Alterations of the cerebral microstructure in patients with noise‐induced hearing loss: A diffusion tensor imaging study

Abstract Objective To explore the changes in the cerebral microstructure of patients with noise‐induced hearing loss (NIHL) using diffusion tensor imaging (DTI). Method Overall, 122 patients with NIHL (mild [MP, n = 79], relatively severe patients [including moderate and severe; RSP, n = 32], and undetermined [lost to follow‐up, n = 11]) and 84 healthy controls (HCs) were enrolled. All clinical data, including age, education level, hearing threshold, occupation type, noise exposure time, and some scale scores (including the Mini‐Mental State Examination [MMSE], tinnitus handicap inventory [THI], and Hamilton Anxiety Scale [HAMA]), were collected and analyzed. All participants underwent T1WI3DFSPGR and DTI, and tract‐based spatial statistics and region of interest (ROI) analysis were used for assessment. Results The final sample included 71 MP, 28 RSP, and 75 HCs. The HAMA scores of the three groups were significantly different (p .05). There was a significant negative correlation between the FA and HAMA scores for the left IFOF/ILF, right FPT, left SLF, and left C‐H for the three groups (p