Sonoelastographic Modalities in the Evaluation of Salivary Gland Characteristics in Sjögren's Syndrome

Abstract The purpose of this study was to investigate salivary tissue assessment with various sonoelastographic modalities (real-time tissue elastography, Virtual Touch imaging and quantification) in patients with Sjögren's syndrome as compared with an appropriate control group. The sonoelastog...

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Veröffentlicht in:Ultrasound in medicine & biology 2016-09, Vol.42 (9), p.2130-2139
Hauptverfasser: Hofauer, Benedikt, Mansour, Naglaa, Heiser, Clemens, Gahleitner, Constanze, Thuermel, Klaus, Bas, Murat, Knopf, Andreas
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container_end_page 2139
container_issue 9
container_start_page 2130
container_title Ultrasound in medicine & biology
container_volume 42
creator Hofauer, Benedikt
Mansour, Naglaa
Heiser, Clemens
Gahleitner, Constanze
Thuermel, Klaus
Bas, Murat
Knopf, Andreas
description Abstract The purpose of this study was to investigate salivary tissue assessment with various sonoelastographic modalities (real-time tissue elastography, Virtual Touch imaging and quantification) in patients with Sjögren's syndrome as compared with an appropriate control group. The sonoelastographic modalities were evaluated in 50 patients with primary Sjögren's syndrome (pSS). Patients underwent high-resolution ultrasonography of the submandibular and parotid glands. Results of B-mode, real-time tissue elastography, Virtual Touch imaging—each graded with the appropriate scoring system—and Virtual Touch quantification were compared with those for 50 patients with sicca symptoms who did not fulfill the American–European consensus group criteria. In B-mode, 34 of 50 parotid glands in patients with pSS and 8 of 50 in the control group had abnormal findings ( p  
doi_str_mv 10.1016/j.ultrasmedbio.2016.04.011
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The sonoelastographic modalities were evaluated in 50 patients with primary Sjögren's syndrome (pSS). Patients underwent high-resolution ultrasonography of the submandibular and parotid glands. Results of B-mode, real-time tissue elastography, Virtual Touch imaging—each graded with the appropriate scoring system—and Virtual Touch quantification were compared with those for 50 patients with sicca symptoms who did not fulfill the American–European consensus group criteria. In B-mode, 34 of 50 parotid glands in patients with pSS and 8 of 50 in the control group had abnormal findings ( p  &lt; 0.001). Compared with 9 of 50 control patients, 38 of 50 patients with pSS had abnormal findings in submandibular gland B-mode ( p  &lt; 0.001). With real-time tissue elastography, there was a trend toward higher scores for parotid glands in the pSS group ( p  = 0.238), whereas scores for submandibular glands in the control group were higher ( p  = 0.107). Virtual Touch imaging did not indicate any difference ( p  = 0.647 and p  = 0.658). In Virtual Touch quantification, values for parotid (mean: 2.99 m/s) and submandibular glands (mean: 2.54 m/s) in the pSS group were higher than those for parotid (mean: 2.16 m/s) and submandibular (mean: 2.04 m/s) glands in the control group ( p  &lt; 0.001 and p  = 0.008). Glandular stiffness, measured by Virtual Touch quantification, was significantly higher in patients with Sjögreńs syndrome than in patients with sicca symptoms.</description><identifier>ISSN: 0301-5629</identifier><identifier>EISSN: 1879-291X</identifier><identifier>DOI: 10.1016/j.ultrasmedbio.2016.04.011</identifier><identifier>PMID: 27207020</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Elasticity Imaging Techniques - methods ; Elastography ; Female ; Humans ; Male ; Middle Aged ; Radiology ; Salivary gland disease ; Salivary Glands - diagnostic imaging ; Shear wave ; Sjogren's syndrome ; Sjogren's Syndrome - diagnostic imaging ; Ultrasonography ; Virtual Touch imaging ; Virtual Touch quantification ; Young Adult</subject><ispartof>Ultrasound in medicine &amp; biology, 2016-09, Vol.42 (9), p.2130-2139</ispartof><rights>World Federation for Ultrasound in Medicine &amp; Biology</rights><rights>2016 World Federation for Ultrasound in Medicine &amp; Biology</rights><rights>Copyright © 2016 World Federation for Ultrasound in Medicine &amp; Biology. 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Virtual Touch imaging did not indicate any difference ( p  = 0.647 and p  = 0.658). In Virtual Touch quantification, values for parotid (mean: 2.99 m/s) and submandibular glands (mean: 2.54 m/s) in the pSS group were higher than those for parotid (mean: 2.16 m/s) and submandibular (mean: 2.04 m/s) glands in the control group ( p  &lt; 0.001 and p  = 0.008). Glandular stiffness, measured by Virtual Touch quantification, was significantly higher in patients with Sjögreńs syndrome than in patients with sicca symptoms.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Elasticity Imaging Techniques - methods</subject><subject>Elastography</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiology</subject><subject>Salivary gland disease</subject><subject>Salivary Glands - diagnostic imaging</subject><subject>Shear wave</subject><subject>Sjogren's syndrome</subject><subject>Sjogren's Syndrome - diagnostic imaging</subject><subject>Ultrasonography</subject><subject>Virtual Touch imaging</subject><subject>Virtual Touch quantification</subject><subject>Young Adult</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc2O0zAQxy0EYsvCK6CIC1wS_JU45oCEyrIgLeIQkLhZjjNpHVK7azuV-mK8AC-GSxeEOHEaaeb_n4_fIPSM4Ipg0rycqmVOQccdDL31Fc25CvMKE3IPrUgrZEkl-XofrTDDpKwbKi_QoxgnjLFomHiILqigWGCKV2jTeedh1jH5TdD7rTXFRz_o2SYLsbCuSFsorg56XnSy3hV-LLpcPehwLK5n7YZivdVBmwTBxmTNL083_fi-CeCex6I7uiH4HTxGD0Y9R3hyFy_Rl3dXn9fvy5tP1x_Wb25KU3OZSmmEYQy3lNFW07rv-5GbEXrajHTgoxGCDC1w3rMWqB7ISCSv9UglFYY2QrJL9OLcdx_87QIxqZ2NBua8KvglKtISUtdScp6lr85SE3yMAUa1D3aXD1MEqxNoNam_QasTaIW5yqCz-endnKXP5T_W32Sz4O1ZAPnag4WgorHgDAw2gElq8Pb_5rz-p42ZrbNGz9_gCHHyS3CZpyIqUoVVd3r56eOkYRhzwdhPVcKtVw</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Hofauer, Benedikt</creator><creator>Mansour, Naglaa</creator><creator>Heiser, Clemens</creator><creator>Gahleitner, Constanze</creator><creator>Thuermel, Klaus</creator><creator>Bas, Murat</creator><creator>Knopf, Andreas</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160901</creationdate><title>Sonoelastographic Modalities in the Evaluation of Salivary Gland Characteristics in Sjögren's Syndrome</title><author>Hofauer, Benedikt ; Mansour, Naglaa ; Heiser, Clemens ; Gahleitner, Constanze ; Thuermel, Klaus ; Bas, Murat ; Knopf, Andreas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c549t-9c7c33082328a25bbbf4cfeb26f2d4fc771d8e44b38e2ad1f1945af2927c26793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Elasticity Imaging Techniques - methods</topic><topic>Elastography</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiology</topic><topic>Salivary gland disease</topic><topic>Salivary Glands - diagnostic imaging</topic><topic>Shear wave</topic><topic>Sjogren's syndrome</topic><topic>Sjogren's Syndrome - diagnostic imaging</topic><topic>Ultrasonography</topic><topic>Virtual Touch imaging</topic><topic>Virtual Touch quantification</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hofauer, Benedikt</creatorcontrib><creatorcontrib>Mansour, Naglaa</creatorcontrib><creatorcontrib>Heiser, Clemens</creatorcontrib><creatorcontrib>Gahleitner, Constanze</creatorcontrib><creatorcontrib>Thuermel, Klaus</creatorcontrib><creatorcontrib>Bas, Murat</creatorcontrib><creatorcontrib>Knopf, Andreas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in medicine &amp; biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hofauer, Benedikt</au><au>Mansour, Naglaa</au><au>Heiser, Clemens</au><au>Gahleitner, Constanze</au><au>Thuermel, Klaus</au><au>Bas, Murat</au><au>Knopf, Andreas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sonoelastographic Modalities in the Evaluation of Salivary Gland Characteristics in Sjögren's Syndrome</atitle><jtitle>Ultrasound in medicine &amp; biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>42</volume><issue>9</issue><spage>2130</spage><epage>2139</epage><pages>2130-2139</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Abstract The purpose of this study was to investigate salivary tissue assessment with various sonoelastographic modalities (real-time tissue elastography, Virtual Touch imaging and quantification) in patients with Sjögren's syndrome as compared with an appropriate control group. The sonoelastographic modalities were evaluated in 50 patients with primary Sjögren's syndrome (pSS). Patients underwent high-resolution ultrasonography of the submandibular and parotid glands. Results of B-mode, real-time tissue elastography, Virtual Touch imaging—each graded with the appropriate scoring system—and Virtual Touch quantification were compared with those for 50 patients with sicca symptoms who did not fulfill the American–European consensus group criteria. In B-mode, 34 of 50 parotid glands in patients with pSS and 8 of 50 in the control group had abnormal findings ( p  &lt; 0.001). Compared with 9 of 50 control patients, 38 of 50 patients with pSS had abnormal findings in submandibular gland B-mode ( p  &lt; 0.001). With real-time tissue elastography, there was a trend toward higher scores for parotid glands in the pSS group ( p  = 0.238), whereas scores for submandibular glands in the control group were higher ( p  = 0.107). Virtual Touch imaging did not indicate any difference ( p  = 0.647 and p  = 0.658). In Virtual Touch quantification, values for parotid (mean: 2.99 m/s) and submandibular glands (mean: 2.54 m/s) in the pSS group were higher than those for parotid (mean: 2.16 m/s) and submandibular (mean: 2.04 m/s) glands in the control group ( p  &lt; 0.001 and p  = 0.008). Glandular stiffness, measured by Virtual Touch quantification, was significantly higher in patients with Sjögreńs syndrome than in patients with sicca symptoms.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>27207020</pmid><doi>10.1016/j.ultrasmedbio.2016.04.011</doi><tpages>10</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Elasticity Imaging Techniques - methods
Elastography
Female
Humans
Male
Middle Aged
Radiology
Salivary gland disease
Salivary Glands - diagnostic imaging
Shear wave
Sjogren's syndrome
Sjogren's Syndrome - diagnostic imaging
Ultrasonography
Virtual Touch imaging
Virtual Touch quantification
Young Adult
title Sonoelastographic Modalities in the Evaluation of Salivary Gland Characteristics in Sjögren's Syndrome
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