17O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular function

We evaluated the inner ear distribution of 17O-labeled saline administered to the human tympanic cavity. Magnetic resonance imaging was performed after intratympanic administration in five healthy volunteers and one patient with cochlear endolymphatic hydrops. In all volunteers, 17O-labeled water pe...

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Main Authors: Tadao Yoshida, Shinji Naganawa, Masumi Kobayashi, Satofumi Sugimoto, Naomi Katayama, Tsutomu Nakashima, Yutaka Kato, Kazushige Ichikawa, Hiroshi Yamaguchi, Kazuki Nishida, Michihiko Sone
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.1016577/full
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author Tadao Yoshida
Shinji Naganawa
Masumi Kobayashi
Satofumi Sugimoto
Naomi Katayama
Tsutomu Nakashima
Yutaka Kato
Kazushige Ichikawa
Hiroshi Yamaguchi
Kazuki Nishida
Michihiko Sone
author_facet Tadao Yoshida
Shinji Naganawa
Masumi Kobayashi
Satofumi Sugimoto
Naomi Katayama
Tsutomu Nakashima
Yutaka Kato
Kazushige Ichikawa
Hiroshi Yamaguchi
Kazuki Nishida
Michihiko Sone
author_sort Tadao Yoshida
collection DOAJ
description We evaluated the inner ear distribution of 17O-labeled saline administered to the human tympanic cavity. Magnetic resonance imaging was performed after intratympanic administration in five healthy volunteers and one patient with cochlear endolymphatic hydrops. In all volunteers, 17O-labeled water permeated the cochlear basal turn and vestibule at 30 min and disappeared gradually within 2–4 h. All participants experienced positional vertigo lasting a few hours to a few days. Visualization of 17O-labeled water distribution in the endolymphatic space of the posterior ampulla showed indistinct separation of endolymph and perilymph in the cochlea and most of the vestibule in all participants. Intralabyrinthine distribution of 17O-labeled water differed from that in previous reports of intratympanically administered gadolinium-based contrast agent. 17O-labeled water in the endolymphatic space may cause heavier endolymph and positional vertigo. These results of this study may add new insights for investigating the distribution and the effects of molecules in the inner ear after the intratympanic administration in living humans.
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spelling doaj.art-d129f5e39efb4a9ab6c10809b2c7e21e2022-12-22T03:56:09ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-11-011310.3389/fneur.2022.1016577101657717O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular functionTadao Yoshida0Shinji Naganawa1Masumi Kobayashi2Satofumi Sugimoto3Naomi Katayama4Tsutomu Nakashima5Yutaka Kato6Kazushige Ichikawa7Hiroshi Yamaguchi8Kazuki Nishida9Michihiko Sone10Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Radiology, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Health and Nutrition, Faculty of Health and Sciences, Nagoya Women's University, Nagoya, JapanDepartment of Rehabilitation, Ichinomiya Medical Treatment and Habilitation Center, Ichinomiya, JapanDepartment of Radiological Technology, Nagoya University Hospital, Nagoya, JapanDepartment of Radiological Technology, Nagoya University Hospital, Nagoya, JapanMedical Branch of Radioisotope Research Center, Nagoya University, Nagoya, JapanDepartment of Biostatistics Section, Center for Advanced Medicine and Clinical Research, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, JapanWe evaluated the inner ear distribution of 17O-labeled saline administered to the human tympanic cavity. Magnetic resonance imaging was performed after intratympanic administration in five healthy volunteers and one patient with cochlear endolymphatic hydrops. In all volunteers, 17O-labeled water permeated the cochlear basal turn and vestibule at 30 min and disappeared gradually within 2–4 h. All participants experienced positional vertigo lasting a few hours to a few days. Visualization of 17O-labeled water distribution in the endolymphatic space of the posterior ampulla showed indistinct separation of endolymph and perilymph in the cochlea and most of the vestibule in all participants. Intralabyrinthine distribution of 17O-labeled water differed from that in previous reports of intratympanically administered gadolinium-based contrast agent. 17O-labeled water in the endolymphatic space may cause heavier endolymph and positional vertigo. These results of this study may add new insights for investigating the distribution and the effects of molecules in the inner ear after the intratympanic administration in living humans.https://www.frontiersin.org/articles/10.3389/fneur.2022.1016577/full17O-labeled waterMRIperilymphendolymphvertigo
spellingShingle Tadao Yoshida
Shinji Naganawa
Masumi Kobayashi
Satofumi Sugimoto
Naomi Katayama
Tsutomu Nakashima
Yutaka Kato
Kazushige Ichikawa
Hiroshi Yamaguchi
Kazuki Nishida
Michihiko Sone
17O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular function
Frontiers in Neurology
17O-labeled water
MRI
perilymph
endolymph
vertigo
title 17O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular function
title_full 17O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular function
title_fullStr 17O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular function
title_full_unstemmed 17O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular function
title_short 17O-labeled water distribution in the human inner ear: Insights into lymphatic dynamics and vestibular function
title_sort 17o labeled water distribution in the human inner ear insights into lymphatic dynamics and vestibular function
topic 17O-labeled water
MRI
perilymph
endolymph
vertigo
url https://www.frontiersin.org/articles/10.3389/fneur.2022.1016577/full
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