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GCSI Scoring System for Patient-Reported Outcomes The GCSI is a patient-based symptom instrument in which the score is a sum of three subscale scores (each ranging from 1 to 3) for the three main symptom complexes: 1

Detection : High-resolution MS (HRMS) is mandatory for confirmation

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The specificity of the signal (e.g., no increase in non-vestibular ENT diagnoses like hearing loss) further argues against pure detection bias

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