Rating of Techniques: Clinical condition—vertigo and hearing loss*

MRI Head and Internal Auditory Canal without and with ContrastMRI Head and Internal Auditory Canal without ContrastCT Temporal Bone without ContrastCT Head without and with ContrastMRA Head with or without ContrastCTA Head
Sensorineural hearing loss, acute and intermittent vertigo8763N/AN/A
Sensorineural hearing loss, no vertigo8754N/AN/A
Conductive hearing loss, rule out petrous bone abnormality3383N/AN/A
Total deafness, cochlear implant candidate, surgical planning5593N/AN/A
Fluctuating hearing loss, history of meningitis or to rule out congenital anomaly7784N/AN/A
Episodic vertigo, new onset (hours to days)764565
Vertigo, no hearing loss, normal findings on neurologic examination8754N/AN/A
  • Note:—MRI indicates MR imaging; MRA, MR angiography; CTA, CT angiography; N/A, not rated.

  • * Appropriateness criteria scale from 1 to 9: 1 indicates least appropriate; 9, most appropriate.

  • For possible cholesteatoma with labyrinthine fistula.

  • MR imaging is superior to CT for the detection of dural invasion and extradural extension.