Response to YAJOT_2018_288 “Letter to the Editor: T2-weighted MRI screening algorithm for patients with asymmetric sensorineural hearing loss”

We thank Drs. O'Bryant and Woo for their thoughtful commentary on our recent publication. We agree that any screening protocol for vestibular schwannoma (VS) or intralabyrinthine schwannoma (ILS) must heavily prioritize asymmetric audiovestibular findings in order to reduce the risk of not scanning a patient with a tumor and scanning too many patients that do not have a lesion. In addition, thin slice image acquisition is critical to identify small, often subtle intracanalicular and intralabyrinthine lesions.

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