Ultrasonography of salivary glands in primary Sjögren's syndrome. A comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands
To evaluate ultrasonography (US) of salivary glands in primary Sjögren's syndrome (SS) and to compare US with parotid magnetic resonance (MR) imaging and MR sialography. US examination of parotid, submandibular and sublingual glands was performed on 27 patients with primary SS, 27 healthy contr...
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| Veröffentlicht in: | British journal of rheumatology 2004-07, Vol.43 (7), p.875-879 |
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| container_title | British journal of rheumatology |
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| creator | NIEMELI, R. K TAKALO, R PÄÄKKÖ, E SURAMO, I PÄIVÄNSALO, M SALO, T HAKALA, M |
| description | To evaluate ultrasonography (US) of salivary glands in primary Sjögren's syndrome (SS) and to compare US with parotid magnetic resonance (MR) imaging and MR sialography.
US examination of parotid, submandibular and sublingual glands was performed on 27 patients with primary SS, 27 healthy controls and 27 symptomatic controls without SS. The results were compared with parotid MR imaging and MR sialography and the clinical features of the patients.
Salivary gland abnormalities, parenchymal inhomogeneity or adipose degeneration, were visualized in 21 (78%) SS patients, in one healthy control and in two symptomatic controls by US. Eighteen (67%) patients had changes in the parotid and submandibular glands and 8 (30%) changes in the sublingual glands. In the comparison, MR sialography was found to be the most sensitive method (96%), followed by MR imaging (81%) and US (78%), in detecting glandular changes. The specificity of US was 94%. The US and MR results were related to anti-Ro/SSA positivity but not to saliva secretion. The focus scores were related only to parotid MR imaging findings.
US, MR imaging and MR sialography with modern technology have reached such a good accuracy in visualizing glandular structural changes that they are promising alternatives to the conventional invasive examinations in the diagnostics of SS. |
| doi_str_mv | 10.1093/rheumatology/keh187 |
| format | Article |
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US examination of parotid, submandibular and sublingual glands was performed on 27 patients with primary SS, 27 healthy controls and 27 symptomatic controls without SS. The results were compared with parotid MR imaging and MR sialography and the clinical features of the patients.
Salivary gland abnormalities, parenchymal inhomogeneity or adipose degeneration, were visualized in 21 (78%) SS patients, in one healthy control and in two symptomatic controls by US. Eighteen (67%) patients had changes in the parotid and submandibular glands and 8 (30%) changes in the sublingual glands. In the comparison, MR sialography was found to be the most sensitive method (96%), followed by MR imaging (81%) and US (78%), in detecting glandular changes. The specificity of US was 94%. The US and MR results were related to anti-Ro/SSA positivity but not to saliva secretion. The focus scores were related only to parotid MR imaging findings.
US, MR imaging and MR sialography with modern technology have reached such a good accuracy in visualizing glandular structural changes that they are promising alternatives to the conventional invasive examinations in the diagnostics of SS.</description><identifier>ISSN: 1462-0324</identifier><identifier>ISSN: 1460-2172</identifier><identifier>EISSN: 1462-0332</identifier><identifier>EISSN: 1460-2172</identifier><identifier>DOI: 10.1093/rheumatology/keh187</identifier><identifier>PMID: 15113992</identifier><identifier>CODEN: BJRHDF</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Case-Control Studies ; Diseases of the osteoarticular system ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Observer Variation ; Parotid Gland - diagnostic imaging ; Parotid Gland - pathology ; Salivary Glands - diagnostic imaging ; Salivary Glands - pathology ; Sialography ; Sjogren's Syndrome - diagnostic imaging ; Sjogren's Syndrome - pathology ; Sublingual Gland - diagnostic imaging ; Sublingual Gland - pathology ; Submandibular Gland - diagnostic imaging ; Submandibular Gland - pathology ; Ultrasonography</subject><ispartof>British journal of rheumatology, 2004-07, Vol.43 (7), p.875-879</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Jul 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-c56eae2664cd2a7b52b59537e3aefa44bc6cfad57a09b1b600efe186619a6e8d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15934571$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15113992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NIEMELI, R. K</creatorcontrib><creatorcontrib>TAKALO, R</creatorcontrib><creatorcontrib>PÄÄKKÖ, E</creatorcontrib><creatorcontrib>SURAMO, I</creatorcontrib><creatorcontrib>PÄIVÄNSALO, M</creatorcontrib><creatorcontrib>SALO, T</creatorcontrib><creatorcontrib>HAKALA, M</creatorcontrib><title>Ultrasonography of salivary glands in primary Sjögren's syndrome. A comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands</title><title>British journal of rheumatology</title><addtitle>Rheumatology (Oxford)</addtitle><description>To evaluate ultrasonography (US) of salivary glands in primary Sjögren's syndrome (SS) and to compare US with parotid magnetic resonance (MR) imaging and MR sialography.
US examination of parotid, submandibular and sublingual glands was performed on 27 patients with primary SS, 27 healthy controls and 27 symptomatic controls without SS. The results were compared with parotid MR imaging and MR sialography and the clinical features of the patients.
Salivary gland abnormalities, parenchymal inhomogeneity or adipose degeneration, were visualized in 21 (78%) SS patients, in one healthy control and in two symptomatic controls by US. Eighteen (67%) patients had changes in the parotid and submandibular glands and 8 (30%) changes in the sublingual glands. In the comparison, MR sialography was found to be the most sensitive method (96%), followed by MR imaging (81%) and US (78%), in detecting glandular changes. The specificity of US was 94%. The US and MR results were related to anti-Ro/SSA positivity but not to saliva secretion. The focus scores were related only to parotid MR imaging findings.
US, MR imaging and MR sialography with modern technology have reached such a good accuracy in visualizing glandular structural changes that they are promising alternatives to the conventional invasive examinations in the diagnostics of SS.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Parotid Gland - diagnostic imaging</subject><subject>Parotid Gland - pathology</subject><subject>Salivary Glands - diagnostic imaging</subject><subject>Salivary Glands - pathology</subject><subject>Sialography</subject><subject>Sjogren's Syndrome - diagnostic imaging</subject><subject>Sjogren's Syndrome - pathology</subject><subject>Sublingual Gland - diagnostic imaging</subject><subject>Sublingual Gland - pathology</subject><subject>Submandibular Gland - diagnostic imaging</subject><subject>Submandibular Gland - pathology</subject><subject>Ultrasonography</subject><issn>1462-0324</issn><issn>1460-2172</issn><issn>1462-0332</issn><issn>1460-2172</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkcFO3DAURa0KVCjtF1SqrEotqwE7jp3xcoSAIiGxANbRi_OS8TSxp3ZCNf_DN_AD_TGMJoJRxcrW87nXV-8S8pWzE860OA1LHHsYfOfbzelvXPJ58YEc8lxlMyZEtvd6z_ID8inGFWNMcjH_SA645FxonR2Sx_tuCBC9822A9XJDfUMjdPYBwoa2Hbg6UuvoOtj-ZXK7-vfUBnTHkcaNq4Pv8YQuqPH9GoJNNvSvHZa0h9bhYA0NmGbgDNKkb61raXJ87zla6HYiJDc_2HpK8JnsN9BF_DKdR-T-4vzu7Nfs-uby6mxxPTM5E8PMSIWAmVK5qTMoKplVUktRoABsIM8ro0wDtSyA6YpXijFskM-V4hoUzmtxRH5ufdfB_xkxDmVvo8EuhUA_xlIlayVUlsDv_4ErPwaXspVcS5V-lTpBYguZ4GMM2JTTFkvOypcGy90Gy22DSfVtsh6rHus3zVRZAn5MAEQDXRPS_mzc4bTIZcHFM62Arro</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>NIEMELI, R. K</creator><creator>TAKALO, R</creator><creator>PÄÄKKÖ, E</creator><creator>SURAMO, I</creator><creator>PÄIVÄNSALO, M</creator><creator>SALO, T</creator><creator>HAKALA, M</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>IQODW</scope><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>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Ultrasonography of salivary glands in primary Sjögren's syndrome. A comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands</title><author>NIEMELI, R. K ; TAKALO, R ; PÄÄKKÖ, E ; SURAMO, I ; PÄIVÄNSALO, M ; SALO, T ; HAKALA, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-c56eae2664cd2a7b52b59537e3aefa44bc6cfad57a09b1b600efe186619a6e8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><topic>Parotid Gland - diagnostic imaging</topic><topic>Parotid Gland - pathology</topic><topic>Salivary Glands - diagnostic imaging</topic><topic>Salivary Glands - pathology</topic><topic>Sialography</topic><topic>Sjogren's Syndrome - diagnostic imaging</topic><topic>Sjogren's Syndrome - pathology</topic><topic>Sublingual Gland - diagnostic imaging</topic><topic>Sublingual Gland - pathology</topic><topic>Submandibular Gland - diagnostic imaging</topic><topic>Submandibular Gland - pathology</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NIEMELI, R. K</creatorcontrib><creatorcontrib>TAKALO, R</creatorcontrib><creatorcontrib>PÄÄKKÖ, E</creatorcontrib><creatorcontrib>SURAMO, I</creatorcontrib><creatorcontrib>PÄIVÄNSALO, M</creatorcontrib><creatorcontrib>SALO, T</creatorcontrib><creatorcontrib>HAKALA, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NIEMELI, R. K</au><au>TAKALO, R</au><au>PÄÄKKÖ, E</au><au>SURAMO, I</au><au>PÄIVÄNSALO, M</au><au>SALO, T</au><au>HAKALA, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasonography of salivary glands in primary Sjögren's syndrome. A comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands</atitle><jtitle>British journal of rheumatology</jtitle><addtitle>Rheumatology (Oxford)</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>43</volume><issue>7</issue><spage>875</spage><epage>879</epage><pages>875-879</pages><issn>1462-0324</issn><issn>1460-2172</issn><eissn>1462-0332</eissn><eissn>1460-2172</eissn><coden>BJRHDF</coden><abstract>To evaluate ultrasonography (US) of salivary glands in primary Sjögren's syndrome (SS) and to compare US with parotid magnetic resonance (MR) imaging and MR sialography.
US examination of parotid, submandibular and sublingual glands was performed on 27 patients with primary SS, 27 healthy controls and 27 symptomatic controls without SS. The results were compared with parotid MR imaging and MR sialography and the clinical features of the patients.
Salivary gland abnormalities, parenchymal inhomogeneity or adipose degeneration, were visualized in 21 (78%) SS patients, in one healthy control and in two symptomatic controls by US. Eighteen (67%) patients had changes in the parotid and submandibular glands and 8 (30%) changes in the sublingual glands. In the comparison, MR sialography was found to be the most sensitive method (96%), followed by MR imaging (81%) and US (78%), in detecting glandular changes. The specificity of US was 94%. The US and MR results were related to anti-Ro/SSA positivity but not to saliva secretion. The focus scores were related only to parotid MR imaging findings.
US, MR imaging and MR sialography with modern technology have reached such a good accuracy in visualizing glandular structural changes that they are promising alternatives to the conventional invasive examinations in the diagnostics of SS.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>15113992</pmid><doi>10.1093/rheumatology/keh187</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Case-Control Studies Diseases of the osteoarticular system Female Humans Magnetic Resonance Imaging Male Medical sciences Middle Aged Observer Variation Parotid Gland - diagnostic imaging Parotid Gland - pathology Salivary Glands - diagnostic imaging Salivary Glands - pathology Sialography Sjogren's Syndrome - diagnostic imaging Sjogren's Syndrome - pathology Sublingual Gland - diagnostic imaging Sublingual Gland - pathology Submandibular Gland - diagnostic imaging Submandibular Gland - pathology Ultrasonography |
| title | Ultrasonography of salivary glands in primary Sjögren's syndrome. A comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands |
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