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. 2022 Jun 30;87:e354–e362. doi: 10.5114/pjr.2022.117971

Table 3.

Magnetic resonance imaging grading qualitative scales proposed by Barath [11] and modified by Bernaerts [13] for evaluation of the cochlear and vestibular endolymphatic hydrops

Severity of hydrops Barath scale Bernaerts scale
Cochlear endolymphatic hydrops (grade)
Normal 0 – Barely visible/Invisible cochlear duct in enhancing scala vestibuli
Mild 1 – Partial obstruction of scala vestibuli by dilated cochlear duct
Severe 2 – Total obliteration of scala vestibuli by enlarged cochlear duct
Vestibular endolymphatic hydrops
Normal 0 – The saccule and utricle are separated, and the saccule is smaller than the utricle.
Extra-low 1 – The saccule is equal or larger than the utricle but is not confluent with the utricle
Mild 1 – A confluence of saccule and utricle, a circular rim of perilymphatic space is visible 2 – A confluence of saccule and utricle, a circular rim of perilymphatic space is visible
Severe 2 – Total obliteration of the vestibular perilymphatic space by dilated endolymphatic structures 3 – Total obliteration of the vestibular perilymphatic space by dilated endolymphatic structures