Evaluation of magnetic resonance sialography and ultrasonography findings in salivary glands of patients with xerostomia
Abstract
Objectives: The aim of the study was to assess MR sialography and Ultrasonography as
objective tools to examine salivary glands in patients with xerostomia.
Materials and Methods: In this Cross-sectional descriptive study, MR sialography using salivary
secretion stimulation was performed in 16 patients (with the chief complaint of xerostomia) and
11 healthy volunteers. Visibility of the main duct and ductal branches were evaluated before and
after stimulation in axial and oblique sagittal plans, and were classified in to three grades (poor,
fair & good). Patients and volunteers were also examined by ultrasonography; their parenchymal
homogeneity of the salivary glands was graded from 0 to 5 and their echogenicity was divided
to three levels: hypoecho, isoecho and hyperecho. Size of the salivary glands was also measured.
Dependent T-test and independent T-test,Spearman and Chi-square analysis were performed to
analyze the results.
Results: In this study the results showed no significant difference in the visibility of salivary
glands ducts before and after salivary secretion stimulation in healthy volunteers. In the
patients group, however, significant difference was seen in the visibility of salivary glands ducts
after stimulation in sagittal planes of right and left parotid glands (P-Value=0.033) as well as
left submandibular glands (P-Value=0.035). No significant difference in the visibility of salivary
glands ducts was observed between healthy volunteers and patients,except in sagittal plan of left
parotid glands (P-Value=0.004). In addition, there was no significant difference in parenchymal
characteristics and size of salivary glands in ultrasonography results in the two groups. No
Significant correlation could be established between MR Sialography and Ultrasonography
findings.
Conclusions: Achieving no significant difference in imaging results between patients and
volunteers suggests that MR sialographic images and US features may not serve as suitable
diagnostic criteria in patients with xerostomia.
References
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- Glore R, Spiteri‐Staines K, Paleri V. A patient with dry mouth. Clinical Otolaryngology. 2009;34(4):358-63.
- Som PM CH. Head and neck imaging: Mosby; 2003.
- Jager L, Menauer F, Holzknecht N, Scholz V, Grevers G, Reiser M. Sialolithiasis: MR sialography of the submandibular duct--an alternative to conventional sialography and US? Radiology. 2000;216(3):665-71. Epub 2000/08/31.
- JR P. Textbook of Oral Medicine. 2 ed: Jaypee Brothers Medical Pub; 2008.
- Torres SR, Peixoto CB, Caldas DM, Silva EB, Akiti T, Nucci M, et al. Relationship between salivary flow rates and Candida counts in subjects with xerostomia. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics. 2002;93:149-54.
- Wada A, Uchida N, Yokokawa M, Yoshizako T, Kitagaki H. Radiationinduced xerostomia: objective evaluation of salivary gland injury using MR sialography. AJNR Am J Neuroradiol. 2009;30(1):53-8. Epub 2008/10/10.
- Cho A KJ, Kim YK, Kho HS. salivary flow rate and clinical charasteristics of patients with xerostomia according to its aetiology. Oral Rehabilitation. 2010;37:185-93.
- Orloff LA, Hwang HS, Jecker P. The role of ultrasound in the diagnosis and management of salivary disease. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2009;20(2):136-44.
- Ying M, Wu VWC, Kwong DLW. Comparison of sonographic appearance of normal and postradiotherapy parotid glands: a preliminary study. Ultrasound in medicine & biology. 2007;33(8):1244-50.
- Morimoto Y, Habu M, Tomoyose T, Ono K, Tanaka T, Yoshioka I, et al. Dynamic magnetic resonance sialography as a new diagnostic technique for patients with Sjogren’s syndrome. Oral Dis. 2006;12(4):408-14. Epub 2006/06/24.
- Niemela RK, Takalo R, Paakko E, Suramo I, Paivansalo M, Salo T, et al. Ultrasonography of salivary glands in primary Sjogren’s syndrome. A comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands. Rheumatology (Oxford). 2004;43(7):875-9. Epub 2004/04/29.
- Minami S, Suzuki M, Takemura A, Takei Y, Arakawa S, Yoshizawa Y, et al. Optimal timing of MR sialography by use of a simple method of stimulating the salivary gland: a preliminary report. Radiological Physics and Technology. 2008;1(2):208-13.
- Morimoto Y, Ono K, Tanaka T, Kito S, Inoue H, Shinohara Y, et al. The functional evaluation of salivary glands using dynamic MR sialography following citric acid stimulation: a preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(3):357-64. Epub 2005/08/27.
- Murakami R, Baba Y, Nishimura R, Baba T, Matsumoto N, Yamashita Y, et al. MR sialography using half- Fourier acquisition single-shot turbo spin-echo (HASTE) sequences. AJNR Am J Neuroradiol. 1998;19(5):959-61. Epub 1998/06/05.
- Minami S, Suzuki M, Takemura A, Takei Y, Arakawa S, Yoshizawa Y, et al. Optimal timing of MR sialography by use of a simple method of stimulating the salivary gland: a preliminary report. Radiol Phys Technol. 2008;1(2):208-13. Epub 2008/07/01.
- Weber TF, Cramer MC, Aldefeld D, Weiss F, Petersen KU, Reitmeier F, et al. [Ultrafast MR sialography: comparison of two coil systems including an alternative surface coil]. Rofo. 2008;180(11):977-82. Epub 2008/09/30.
- Ultraschnelle MR-Sialografie: Intraindividueller Vergleich einer Oberflachenempfangs- mit einer konventionellen Kopf-Hals-Spule.
- Pretorius P. Use of MR sialography and T2W fat-suppressed series in parotitis. South African Journal of Radiology. 2010;14(3):69.
- Sumi T, Takagi Y, Ichikawa Y, Sumi M, Kimura Y, Nakamura T. Imaging features of the lacrimal and salivary glands of patients with IgG4 related Mikulicz’s disease: a report of three cases. Oral Radiology. 2012:1-6.
Abstract
References
- Porter SA SC, Hegarty AM. An update of etiology and management of xerostomia. Oral surg Oral med Oral pathol Ora radiol Oral endod. 2004;97:28-46.
- Glore R, Spiteri‐Staines K, Paleri V. A patient with dry mouth. Clinical Otolaryngology. 2009;34(4):358-63.
- Som PM CH. Head and neck imaging: Mosby; 2003.
- Jager L, Menauer F, Holzknecht N, Scholz V, Grevers G, Reiser M. Sialolithiasis: MR sialography of the submandibular duct--an alternative to conventional sialography and US? Radiology. 2000;216(3):665-71. Epub 2000/08/31.
- JR P. Textbook of Oral Medicine. 2 ed: Jaypee Brothers Medical Pub; 2008.
- Torres SR, Peixoto CB, Caldas DM, Silva EB, Akiti T, Nucci M, et al. Relationship between salivary flow rates and Candida counts in subjects with xerostomia. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics. 2002;93:149-54.
- Wada A, Uchida N, Yokokawa M, Yoshizako T, Kitagaki H. Radiationinduced xerostomia: objective evaluation of salivary gland injury using MR sialography. AJNR Am J Neuroradiol. 2009;30(1):53-8. Epub 2008/10/10.
- Cho A KJ, Kim YK, Kho HS. salivary flow rate and clinical charasteristics of patients with xerostomia according to its aetiology. Oral Rehabilitation. 2010;37:185-93.
- Orloff LA, Hwang HS, Jecker P. The role of ultrasound in the diagnosis and management of salivary disease. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2009;20(2):136-44.
- Ying M, Wu VWC, Kwong DLW. Comparison of sonographic appearance of normal and postradiotherapy parotid glands: a preliminary study. Ultrasound in medicine & biology. 2007;33(8):1244-50.
- Morimoto Y, Habu M, Tomoyose T, Ono K, Tanaka T, Yoshioka I, et al. Dynamic magnetic resonance sialography as a new diagnostic technique for patients with Sjogren’s syndrome. Oral Dis. 2006;12(4):408-14. Epub 2006/06/24.
- Niemela RK, Takalo R, Paakko E, Suramo I, Paivansalo M, Salo T, et al. Ultrasonography of salivary glands in primary Sjogren’s syndrome. A comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands. Rheumatology (Oxford). 2004;43(7):875-9. Epub 2004/04/29.
- Minami S, Suzuki M, Takemura A, Takei Y, Arakawa S, Yoshizawa Y, et al. Optimal timing of MR sialography by use of a simple method of stimulating the salivary gland: a preliminary report. Radiological Physics and Technology. 2008;1(2):208-13.
- Morimoto Y, Ono K, Tanaka T, Kito S, Inoue H, Shinohara Y, et al. The functional evaluation of salivary glands using dynamic MR sialography following citric acid stimulation: a preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(3):357-64. Epub 2005/08/27.
- Murakami R, Baba Y, Nishimura R, Baba T, Matsumoto N, Yamashita Y, et al. MR sialography using half- Fourier acquisition single-shot turbo spin-echo (HASTE) sequences. AJNR Am J Neuroradiol. 1998;19(5):959-61. Epub 1998/06/05.
- Minami S, Suzuki M, Takemura A, Takei Y, Arakawa S, Yoshizawa Y, et al. Optimal timing of MR sialography by use of a simple method of stimulating the salivary gland: a preliminary report. Radiol Phys Technol. 2008;1(2):208-13. Epub 2008/07/01.
- Weber TF, Cramer MC, Aldefeld D, Weiss F, Petersen KU, Reitmeier F, et al. [Ultrafast MR sialography: comparison of two coil systems including an alternative surface coil]. Rofo. 2008;180(11):977-82. Epub 2008/09/30.
- Ultraschnelle MR-Sialografie: Intraindividueller Vergleich einer Oberflachenempfangs- mit einer konventionellen Kopf-Hals-Spule.
- Pretorius P. Use of MR sialography and T2W fat-suppressed series in parotitis. South African Journal of Radiology. 2010;14(3):69.
- Sumi T, Takagi Y, Ichikawa Y, Sumi M, Kimura Y, Nakamura T. Imaging features of the lacrimal and salivary glands of patients with IgG4 related Mikulicz’s disease: a report of three cases. Oral Radiology. 2012:1-6.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | January 3, 2016 |
| Submission Date | December 6, 2016 |
| Published in Issue | Year 2016Volume: 19 Issue: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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