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. 2021 Oct 12;227(1):177–202. doi: 10.1007/s00429-021-02397-3

Table 1.

Studies of anosmia with various etiologies: demographic information, clinical characteristics, and associated tests

No. MRI filed strength Age, gender, and etiology Duration of olfactory loss Otorhinolaryngological evaluation Psychophysical, physiological tests and questionnaire Notes
Various etiology

(Chung et al. 2018)

Korea

3T CX Philips

64-channel

34 Pt. (15M/19F)

9–72 years

CRS = 15

PIOD = 7

Trauma = 2

Idiopathic ` = 10

Mean = 59.2 months

2–552 months

Nasal endoscopic

Sniffin’ Sticks

(Korean version)

Sino-Nasal Outcome

Questionnaire of Olfactory Disorder (QOD)

(Hummel et al. 2015)

Germany

1.5T Signa Echospeed, GEMS

378 Pt. (185M/193F)

Mean age: 49 ± 14

CRS = 99

PIOD = 78

Trauma = 201

Nasal endoscopic

Otorhinolaryngological investigation

Sniffin’ Sticks

(Goektas et al. 2009)

Germany

1.5T Symphony Vision

10 Pt.

PIOD = 3

Trauma = 4

Idiopathic ` = 3

Mean = 146 ± 203

7–600 months

Nasal endoscopic Sniffin’ Sticks *Only anosmia Pt. were included in this study

(Fonteyn et al. 2014)

Belgium

267 Pt.

PIOD = 76

Trauma = 103

Idiopathic ` = 40

Congenital = 27

Toxic = 10

Neurological = 11

Sniffin’ Sticks

Retronasal psychophysical performances were evaluated by the application of 20 standardized odorant powders on the mobile part of the patient’s tongue

*Total participants were 469, but the rest is hyposmia

(Rombaux et al. 2006b)

Belgium

1.5T Sigma Echospeed

GEMS

33 Pt.

PIOD = 11

(5M/6F) 27–63 years

Trauma = 11

(5M/6F) 20–60 years

NP = 11

(4M/7F) 35–60 years

HC = 11

(5M/6F) 22–61 years

Nasal endoscopic Sniffin’ Sticks

Retronasal Psychological performance was evaluated using 20 stimuli

Stimulants were applied to the midline of the tongue

(Mueller et al. 2005)

31 Pt.

RVI = 22 (9 M/13 F)

(mean age, 57 years)

Trauma = 9 (7 M/2 F)

(mean age = 52 years

HC = 17 (4 M/13 F)

(mean age = 49 years)

3–108 months Sniffin’ Sticks Results are a combination of anosmia and hyposmia

(Bitter et al. 2010b)

Germany

3.0T Magnetom TrioTim

12-channel

17 Pt. (6M/11F)

19–64 years

Mean age: 49.6 ± 13.8

PIOD = 4

Trauma = 5

Idiopathic ` = 8

17 HC (6M/11F)

22–65 years

Mean age: 40.4 ± 14.9

*Right-handed

12–252 months Nasal endoscopic Sniffin’ Sticks

(Peng et al. 2013)

China

3T Siemens Trio Tim Magnetom

8-channel

19 Pt. (5M/14F)

28–57 years

Mean age: 45.3 ± 10.2

PIOD = 13

Trauma = 4

Idiopathic ` = 1

20 HC (6M/14F)

24–59 years

Mean age: 43.6 ± 14.8

*Right-handed

2–240 months Toyota and Takagi olfactometry

(Rombaux et al. 2012)

Belgium

3T Philips Achieva

8-channel

60 Pt. (21M/39F)

24–79 years

Mean age: 50

PIOD = 28

Trauma = 32

Sniffin’ Sticks

Retronasal psychophysical olfactory tests

Idiopathic olfactory loss

(Liu et al. 2018)

China

3T Siemens Trio Tim Magnetom

12-channel

20 Pt. (8M/12F)

26–77 years

Mean age: 44 ± 12

20 HC (8M/12F)

23–69 years

Mean age: 44 ± 12

Mean = 26.4 months

4–96 months

Nasal endoscopic and paranasal sinus examination

Sniffin’ Sticks

Toyota and Takagi olfactometry

(Rombaux et al. 2010a)

Belgium

1.5T Signa Echospeed, GEMS

22 Pt. (9M/13F)

31–78 years

Mean age: 53.7

22 HC (9M/13F)

28–77 years

Mean age: 52.00

Mean = 8.4 months

3–19 months

Sniffin’ Sticks

Retronasal psychophysical performances (R), using odorized powders presented to the oral cavity so that orthonasal olfactory stimuli were avoided

Parosmia in three Pt

(Yao et al. 2014)

China

3T Siemens Trio Tim Magnetom

12-channel

16 Pt. (9M/7F)

29–61 years

Mean age: 48.6 ± 9.9

16 HC

32–60 years

Mean age: 52.5 ± 8.7

*Right-handed

6–120 months Nasal endoscopic

Sniffin’ Sticks

Toyota and Takagi olfactometry

Mini-Mental-State-Examination

Upper respiratory tract infection (postinfectious olfactory loss)

(Yao et al. 2018)

China

3T Siemens Trio Tim Magnetom

19 Pt. (5M/14F)

21–50 years

Mean age: 37.7 ± 8.4

20 HC (8M/12F)

22–49 years

Mean age: 35.4 ± 7.9

*Right-handed

Mean = 49.2 ± 31.2 months

6–104.4 months

Nasal endoscopic

Sniffin’ Sticks

Toyota and Takagi olfactometry

Mini-Mental-State-Examination

(Rombaux et al. 2006a)

Belgium

1.5T Signa Echospeed, GEMS 11 Pt.

Mean = 6 months

1–15 months

Nasal endoscopic

Otorhinolaryngological investigation

Sniffin’ Sticks

(Rombaux et al. 2009a)

Belgium

1.5T Signa Echospeed, GEMS 122 Pt. but only 50 Pt. with OB measurement Sniffin’ Sticks
Congenital anosmia
(Karstensen et al. 2018)

3 T Siemens Magnetom Verio

32-channel

17 Pt. (6M/11F)

Mean age: 49.1 ± 13.8

16 HC (7M/9F)

Mean age: 47.2 ± 16.1

*Taste, vision and hearing examination

Sniffin’ Sticks

MoCA

(Yousem et al. 1996b)

3 Pt.

(borderline function)

Sinonasal endoscopic

UPSIT

Mini-Mental Status Examination

*Total participants were 25, but the rest is hyposmia
(Frasnelli et al. 2013)

1.5T Siemens Sonata

8-channel

17 Pt. (11M/6F)

Mean age: 40.30 ± 17.6

17 HC (5M/12F)

Mean age: 39.2 ± 14.4

Sniffin’ Sticks

(Huart et al. 2011)

Brussels

1.5T Signa Echo Speed

(Brussel)

1.5T Siemens Magnetom Vision

(Dresden)

36 Pt. (12M/24F)

Mean age: 38

7–79 years old

70 HC (34M/36F)

Mean age: 36.5

7–72 years old

Sniffin’ Sticks

(Abolmaali et al. 2002)

Germany

1.5T Siemens Magnetom Vision

21 Pt. (2M/19F)

Mean age: 29

12–73 years old

8 HC (4M/4F)

Mean age: 24

21–27 years old

Sniffin’ Sticks

(Peter et al. 2020)

Sweden and Netherlands

3T Siemens Magnetom

Prisma

20-channel

(Swedish)

3T Siemens Magnetom Verio

32-channel

(Netherland)

33 Pt. (13M/21F)

(1 Pt. removed due to abnormal anatomy)

34 HC (12M/22F)

Sniffin’ Sticks

24/34 individuals with ICA had received a diagnosis from a physician

27/34 lacked bilateral OB

3/34 had identifiable (albeit small) OB 4/34 non-determinable due to the limited spatial resolution of 1 mm3

Traumatic brain injury
(Han et al. 2018)

1.5T Siemens Sonata

8-channel

24 Pt. (15M/9F)

Mean age: 53.7 ± 13.7

22 HC (17M/5F)

Mean age: 45 ± 13.9

Mean = 32.2 ± 22 months Sniffin’ Sticks
(Miao et al. 2015)

26 Pt. (15M/11F)

Mean age: 40.08 ± 10.70

21 HC (12M/9F)

Mean age: 42.52 ± 11.64

*Right-handed

Mean = 11.5 months

10 days–108 months

Nasal endoscopic

Sniffin’ Sticks

Toyota and Takagi olfactometry

Side of head trauma: occipital (19 Pt.)
(Rombaux et al. 2006b) 1.5T Signa Echospeed GEMS 20 Pt.

Mean = 14.9 months

3–60 months

Nasal endoscopic

Sniffin’ Sticks

Psychophysical

tests of olfactory function assessed both for the orthonasal (olfactory

perception during sniffing) and retronasal routes

perception during eating, drinking

*Only anosmia Pt. were included in this study

(Yousem et al. 1999)

USA

36 Pt. (21M/15F)

Mean age: 36 ± 11.40

24 HC (12M/12F)

Mean age: 39 ± 11.50

Mean = 52 months ± 95.6 Nasal endoscopic

UPSIT

Picture Identification Test

30-item Mini-Mental Status Examination

(Yousem et al. 1996a)

USA

25 Pt. (14M/11F)

Mean age: 36 ± 9.80

3–183 months Nasal endoscopic

UPSIT

Picture Identification Test

30-item Mini-Mental Status Examination

(Jiang et al. 2009b)

Taiwan

1.5T Exite GEMS

54 Pt. (32M/22F)

17–60 years

Mean age: 39

30 HC (24M/6F)

20–79 years

Mean age: 43.4

*Right-handed

1–125 months Nasal endoscopic Phenyl ethyl alcohol (PEA) *odor detection threshold
(Doty et al. 1997)

148M

Mean age: 40.4 ± 16.2

120F

Mean age: 42.3 ± 17.8

UPSIT

Pt. patient, CRS chronic rhinosinusitis, RVI respiratory viral infection, IOL idiopathic olfactory loss, PIOD postinfectious olfactory dysfunction, NP nasal polyposis, HC healthy control, OB olfactory bulb, OS olfactory sulcus, GM gray matter, SFS superior frontal sulcus, MFG middle frontal gyrus, UPSIT University of Pennsylvania Smell Identification Test

*Sinonasal endoscopy was evaluated to exclude obstructive or inflammatory causes of smell dysfunction