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Magnetic resonance sialography alternative method for the study of diseases of the parotid salivary glands

[Stomatology]
Boris Arutiunian; Marina Kozlova; Aleksandr Vasilyev;

Existing methods for the diagnosis of non-neoplastic diseases of the large salivary glands (BSG) do not meet all the requirements of the dentist. In 60 patients – 50 women and 10 men aged from 25 to 70 years with parenchymal sialadenitis, the effectiveness of magnetic resonance sialography (Mr-sialography) was evaluated on a device with a power of 3.0 Tesla. The MR-sialography technique with stimulation of salivation and obturation of the orifice of the duct allows visualization of the main duct and the system of intra-ferrous ducts of the parotid salivary glands to the second order, as well as to identify cystic lesions of the parenchyma. When diagnosing parenchymal sialadenitis, the method has a sensitivity of 97.7 %, an accuracy of 96.6 %. The specificity was 93.3 %. MR-sialography allows to obtain a high-quality image, visualizing the ductal system and the parenchyma of the parotid salivary glands as a single whole and simultaneously from two sides.

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References:
1. Afanasyev V. V., Vinokurova O. Yu., Hubutiya B. N., Denisova E. I. Struktura zabolevaemosti SZh po dannym Vserossijskogo centra po izucheniju zabolevanij SZh na baze kliniki hirurgicheskoj stomatologii cheljustno-licevogo gospitalja veteranov vojn departamenta zdravoohranenija g. Moskvy. Rossijskij stomatologicheskij zhurnal. – Russian dental journal. 2012;6:36-37. (In Russ.).
2. Runova N. B. Sovremennye principy diagnostiki i lechenija zabolevanij sljunnyh zhelez. Sovremennye tehnologii v medicine. – Modern technologies in medicine. 2011;3:152-156. (In Russ.).
3. Patel R. R., Carlos R. C., Midia M., Mukherji S. K. Apparent diffusion coefficient mapping of the normal parotid gland and parotid involvement in patients with systemic connective tissue disorders. AJNR Am. J. Neuroradiol. 2004;25(1):16-20.
4. Drage N. A., Brown J. E. Cone beam computed sialography of sialoliths. Dentomaxillofacial Radiology. 2009;38(5):301- 305. https://doi.org/10.1259/dmfr/90784441
5. Hugill J., Sala E., Hollingsworth K. G., Lomas D. J. MR sialography: The effect of a sialogogue and ductal occlusion in volunteers. Br. J. Radiol. 2008;81(967):583-586. https://doi.org/10.1259/bjr/29344975
6. Ugga L., Ravanelli M., Pallottino A. A., Farina D., Maroldi R. Diagnostic work-up in obstructive and inflammatory salivary gland disorders. Acta Otorhinolaryngol Ital. 2017;37(2):83- 93. https://doi.org/10.14639/0392-100X-1597
7. Saied F., Włodkowska-Korytkowska M., Maślińska M., Kwiatkowska B., Kunisz W. [et al.]. The usefulness of ultrasound in the diagnostics of Sjögren’s syndrome. J. Ultrason. 2013;13(53):202-211. https://doi.org/10.15557/JoU.2013.0020
8. Kozlova M. V., Vasilyev A. Yu., Arutyunyan B. A., Repin I. S. Sovershenstvovanie luchevyh metodov diagnostiki zabolevanij bolshih sljunnyh zhelez. Kremlevskaja medicina. Klinicheskij vestnik. – Kremlin medicine. Clinical Herald. 2017;3:19-23. (In Russ.).
9. Ren Y. D., Li X. R., Zhang J., Long L., Li W. X. [et al.]. Conventional MRI techniques combined with MR sialography on T2-3D-DRIVE in Sjögren syndrome. Int. J. Clin. Exp. Med. 2015;8(3):3974-3982.
10. Belysheva E. S., Bulgakov V. S., Varfolomeeva L. G., Manveljan A. S. Izuchenie vozmozhnosti magnitno-rezonansnoj tomografii pri obsledovanii neizmenennyh bolshih sljunnyh zhelez. Vestnik novyh medicinskih tehnologij. – Bulletin of new medical technologies. 2006;2:114. (In Russ.).

Keywords: magnetic resonance sialography, large salivary glands, parenchymal sialadenitis


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