Abstract
The ability of magnetic resonance imaging (MRI) to detect very small acoustic tumors has triggered many to rethink the use of auditory brain-stem response (ABR) in the screening of acoustic tumors. To assess ABR accuracy, we conducted a retrospective study of 388 surgically treated patients. Of these patients, 111 had complete data-bases including both preoperative MRIs and ABRs. The ABR was abnormal by wave V interaural latency difference in 106 (95%) of the cases. Although our overall sensitivity was 95%, sensitivity varied according to tumor size. ABR was abnormal or absent for all tumors (100%) larger than 2 cm in diameter, for 98% of tumors 1.1 to 2 cm in diameter, and for only 89% of tumors less than or equal to 1 cm in diameter. Ramifications of this in the decision-making process are presented. Criteria for cut-off values are also discussed.
Original language | English (US) |
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Pages (from-to) | 1388-1392 |
Number of pages | 5 |
Journal | Laryngoscope |
Volume | 107 |
Issue number | 10 |
DOIs | |
State | Published - Oct 1997 |
Externally published | Yes |
ASJC Scopus subject areas
- Otorhinolaryngology