(Sağlık Bilimleri Üniversitesi, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, Bursa, Türkiye)
(Sancaktepe Şehit Prof. Dr. İlhan Varank Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, İstanbul, Türkiye.)
(Sancaktepe Eğitim ve Araştırma Hastanesi, Radyoloji Bölümü, İstanbul, Türkiye)
Yıl: 2020Cilt: 23Sayı: 2ISSN: 1304-2947 / 1307-9948Sayfa Aralığı: 230 - 240İngilizce

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Introduction: Temporary hearing threshold shift might develop after noise exposure due to magnetic resonance imaging. We aimed to investigate the effects of acoustic noise during 1.5 Tesla temporal bone MRI on audiometric tests and disturbance self-reports in patients with tinnitus.Materials and Method: Sixty-three symptomatic ears of 55 patients with persistent tinnitus were included in this study. Sound level recordings of imaging room were made with dosimeter. Two age groups (<65 years and > 65 years) were created. Hearing thresholds were measured before, 24 hours after and 1 month after performing magnetic resonance imaging. Visual analogue scale, tinnitus handicap inventory and the Beck depression inventory were applied to all patients before and 24 hours after the imaging.Results: The mean intensity of acoustic noise during imaging was recorded as 99.3±3.4 dBA (109.9±4.1 dB). The threshold shifts were statistically higher in patients aged ≥65 than the ones aged <65 for 2000 and 4000 frequencies (p<0.05). The mean temporary shifts in tinnitus loudness were 5.00±6.495 dB and 10.17±11.179 dB for the patients with age<65 and age≥65 respectively (p = 0.018). While majority of the time dependent effects were significant for audiometric tests; they were insignificant for self-reported questionnaires, except visual analogue scale 5, which was higher in patients aged<65 (p = 0.012).Conclusion: Acoustic noise due to 1.5 Tesla temporal bone magnetic resonance imaging caused hearing threshold shifts and deterioration in intensity and disturbance of the tinnitus especially in elderly. Hearing protection is essentially required for all patients, when it is indicated.
DergiAraştırma MakalesiErişime Açık
  • 1. Annesley-Williams DJ, Laitt D, Jenkins JP, Ramsden RT, Gillespie JE. MRI in the investigation of sensorineural hearing loss: is contrast enhancement still necessary? J Laryngol Otol 2001;115(1):14-21. (PMID:11233615)
  • 2. Revadi G, Rahmat O, Raman R, Norlisah R, Ng KH. Hearing loss after noise exposure. Auris Nasus Larynx 2011;38(4):519-22. (PMID:21236610)
  • 3. Brummett RE, Talbot JM, Charuhas P. Potential hearing loss resulting from MR imaging. Radiology 1988;169(2):539-40. (PMID:3175004)
  • 4. McJury M, Blug A, Joerger C, Condon B, Wyper D. Short communication: acoustic noise levels during magnetic resonance imaging scanning at 1.5 T. Br J Radiol 1994;67(796):413-5. (PMID:8173889)
  • 5. Jin C, Li H, Li X, Wang M, Liu C, Guo J, Yang J. Temporary hearing threshold shift in healthy volunteers with hearing protection caused by acoustic noise exposure during 3-T multisequence. MR Neuroimaging. Radiology 2018;286(2):602-8. (PMID:28813235)
  • 6. Govindaraju R, Omar R, Rajagopalan R, Norlisah R, Kwan-Hoong N. Hearing loss after noise exposure. Auris Nasus Larynx 2011;38(4):519-22. (PMID:21236610)
  • 7. Lim EY, Tang IP, Peyman M, Ramli N, Narayanan P, Rajagopalan R. 3 Tesla magnetic resonance imaging noise in standard head and neck sequence does not cause temporary threshold shift in high frequency. Eur Arch Otorhinolaryngol 2015;272(11):3109-13. (PMID:25205300)
  • 8. Figueiredo RR, Azevedo AA, Oliveira Pde M. Correlation analysis of the visual-analogue scale and the Tinnitus Handicap Inventory in tinnitus patients. Revista Brasileira de Otorrinolaringologia. 2009;75(1):76-9. (PMID:19488564)
  • 9. Aksoy S, Firat Y, Alpar R. The Tinnitus Handicap Inventory: a study of validity and reliability. The international tinnitus journal 2007;13(2):94-8. (PMID:18229787)
  • 10. Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 1996;122(2):143-8. (PMID:8630207)
  • 11. Beck AT, Steer RA, Brown GK. BDI-II: Beck depression inventory manual. 2nd edition, Psychological Corporation, San Antonio, TX, USA 1996.
  • 12. Quirk ME, Letendre AJ, Ciottone RA, Lingley JF. Anxiety in patients undergoing MR imaging. Radiology 1989;170(2):463-6. (PMID:2911670)
  • 13. Kanal E, Shellock FG, Talagala L. Safety considerations in MR imaging. Radiology 1990;176(3):593-606. (PMID:2202008)
  • 14. Shellock FG. Biological effects and safety aspects of magnetic resonance imaging. Magn Reson Q 1989;5(4):243-61. (PMID:2701284)
  • 15. Amaro E, Jr, Williams SC, Shergill SS, et al. Acoustic noise and functional magnetic resonance imaging: current strategies and future prospects. J Magn Reson Imaging 2002;16(5):497-510. (PMID:12412026)
  • 16. Golz A, Westerman ST, Westerman LM, et al. The effects of noise on the vestibular system. Am J Otolaryngol 2001;22(3):190-6. (PMID:11351289)
  • 17. Eggermont JJ, Roberts LE. The neuroscience of tinnitus. Trends Neurosci 2004;27:676-82. (PMID:15474168)
  • 18. Noreña AJ, Eggermont JJ. Changes in spontaneous neural activity immediately after an acoustic trauma: Implications for neural correlates of tinnitus. Hear Res 2003;183(1-2):137-53. (PMID:13679145)
  • 19. Nondahl DM, Cruickshanks KJ, Wiley TL, Klein R, Klein BE, Tweed TS, et al. Prevalence and 5-year incidence of tinnitus among older adults: The epidemiology of hearing loss study. J Am Acad Audiol 2002;13(6):323- 31. (PMID:12141389)
  • 20. Strainer JC, Ulmer JL, Yetkin FZ, et al. Functional MR of the primary auditory cortex: an analysis of pure tone activation and tone discrimination. AJR 1997;18(4):601-10. (PMID:9127019)
  • 21. Counter SA, Olofsson A, Grahn, Borg E. MRI acoustic noise: sound pressure and frequency analysis. J Magn Reson Imaging 1997;7(3):606-11. (PMID:9170052)
  • 22. Cho ZH, Park SH, Kim JH, et al. Analysis of acoustic noise in MRI. Magn Reson Imaging 1997;15(7):815-22. (PMID:9309612)
  • 23. Zöger S, Svedlund J, Holgers KM. Relationship between tinnitus severity and psychiatric disorders. Psychosomatics 2006;47(4):282-8. (PMID:16844885)
  • 24. Ferreira LM, Ramos Junior AN, Mendes EP. Characterization of tinnitus in the elderly and its possible related disorders. Rev. Bras. Otorrinolaringol 2009;75(2):245-8. (PMID:19575111)

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