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Open Access 30-03-2022 | Magnetic Resonance Imaging | ENT • Original Article

The prognostic role of ultrasound and magnetic resonance imaging in obstructive sleep apnoea based on lateral oropharyngeal wall obstruction

Authors: Viktória Molnár, András Molnár, Zoltán Lakner, Dávid László Tárnoki, Ádám Domonkos Tárnoki, Zsófia Jokkel, László Kunos, László Tamás

Published in: Sleep and Breathing | Issue 1/2023

Abstract

Purpose

This study examined the prognostic value of the lateral pharyngeal wall (LPW)-based obstruction and obstructive sleep apnoea (OSA) prediction using ultrasound (US) and MRI (magnetic resonance imaging).

Methods

One hundred patients with and without OSA were enrolled, according to overnight polysomnography. The LPW thickness (LPWT) was measured using a Philips Ingenia 1.5 T MRI device, and US measurements were carried out at rest and during Müller’s manoeuvre (MM) with a Samsung RS85 device. The obstruction was localised under drug-induced sleep endoscopy.

Results

Significantly greater LPWT using MRI was observed in the OSA group compared to the control group, while US results showed a significant difference only in the case of LPWT during MM on the left side. Obese patients presented significantly higher LPWT values. A significant correlation between BMI and LPWT was observed. Men presented significantly higher LPWT MRI values and left-sided LPWT using US compared to women. LPWT and AHI parameters were significantly correlated. The severity of LPW obstruction correlated with LPWT, while the LPW collapse significantly correlated with AHI. The severity of LPW collapse differed depending on the AHI values. Using US LPWT values and anthropometric parameters, a 93% effectiveness in OSA prognostication and 89% in LPWT-based obstruction were detected. MRI detected OSA in 90% and LPW-based obstruction in 84%. US successfully detected LPW-based collapse severity in 67%.

Conclusion

US LPWT measurements were helpful in detecting OSA and LPWT-based obstruction. These examinations may be useful for surgical planning.

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Title: The prognostic role of ultrasound and magnetic resonance imaging in obstructive sleep apnoea based on lateral oropharyngeal wall obstruction
Authors: Viktória Molnár
András Molnár
Zoltán Lakner
Dávid László Tárnoki
Ádám Domonkos Tárnoki
Zsófia Jokkel
László Kunos
László Tamás
Publication date: 30-03-2022
Publisher: Springer International Publishing
Keywords: Magnetic Resonance Imaging
Endoscopy
Ultrasound
Magnetic Resonance Imaging
Ultrasound
Published in: Sleep and Breathing / Issue 1/2023
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-022-02597-z

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