In Reply We appreciate the response from Ropers and colleagues to our commentary,1 and welcome the news that they do not dismiss imaging for children with unilateral sensorineural hearing loss. We agree that there is insufficient strong evidence to help guide the use of imaging for prognosis at this time, and we support the strong recommendation that future studies should address the research questions of prognostic value, comorbid conditions, and effective interventions in this population of children. Furthermore, we share the concern that most of the imaging currently performed is not easily accessible for research studies that we posit will derive benefit for this population.