Salivary gland ultrasound elastography requires interpretation of “normal” DOI Creative Commons
Henry T. Hoffman, Piper Wenzel, Johannes Zenk

et al.

Laryngoscope Investigative Otolaryngology, Journal Year: 2024, Volume and Issue: 9(5)

Published: Oct. 1, 2024

Strong support has evolved for elastography as a supplement to salivary gland ultrasound assessment.1 We advocate the clinical value of this tool but offer caution in considering "normal" shear wave velocity (also reported Young's modulus) consistently reflect normal function. Standard assessment parotid tumors been identify malignancy with 91% accuracy.2 Jering et al. that additional evaluation improved diagnostic accuracy by identifying malignant be associated faster velocities and larger areas stiff tissue than benign tumors.3 Assessments non-neoplastic disorders have capacity discriminate between glands slower from those patients Sjogren's syndrome velocity.4 Dai through meta-analysis 15 articles addressing primary (pSS) concluded "demonstrates high differentiating pSS healthy/disease control groups".5 Chang Wang identified their experience characterize affected sialolithiasis.6 Sequential assessments changes stiffness following treatment obstructive sialadenitis further utility was similarly group Munich, Germany.7, 8 concur Wang's contention significant decrease they stone removal does "imply diseased became softer after sialolithiasis" interpretation softening speed reflects "recovery function."6 Although others "indirectly organ function,"5 it is important acknowledge fatty replacement may dominate exam provide analysis poorly functioning or nonfunctioning gland. Takagi employed MR degeneration occurring within long-standing syndrome.9 Study post-irradiation xerostomia employing MRI advanced CT imaging also correlated poor function fat infiltration.10 An elegant study surgically resected human breast broad range viscoelastic properties subject analysis.11 These investigators modulus (stiffness) specimens significantly lower glandular fibrous tissue. Our examining long-term injury chronic duct obstruction previous irradiation often identifies slow ("normal") way correlates on imaging. This finding highlighted our report patient who had undergone ligation follow-up an elevated infected tail one seen other regions.12 The measurements atrophy replacement. Advances are at rapid rate will benefit efforts standardize reporting.13 addition novel approaches coupled advances complementary such intravenous intracavitary contrast enhanced ultrasonography (CEUS) greater evaluation.14, Multidimensional deep learning offers promise enhance capabilities.16 supported Otolaryngology Department, University Iowa. Henry T. Hoffman: MeiraGtx research participant; RiboX scientific advisor board; UpToDate author (no conflicts related publication). Harry Quon: participant

Language: Английский

Proposal for standardized ultrasound analysis of the salivary glands: Part 1 submandibular gland DOI Creative Commons
Henry T. Hoffman, Michael Koch, Robert L. Witt

et al.

Laryngoscope Investigative Otolaryngology, Journal Year: 2024, Volume and Issue: 9(1)

Published: Feb. 1, 2024

The Salivary Gland Committee of the American Academy Otolaryngology-Head and Neck Surgery seeks to standardize terminology technique for ultrasonograpy used in evaluation treatment salivary gland disorders.

Language: Английский

Citations

3
Imaging of the Major Salivary Glands in Rheumatic Disease DOI
Diane Mar, Robert Fairchild

Rheumatic Disease Clinics of North America, Journal Year: 2024, Volume and Issue: 50(4), P. 701 - 720

Published: Aug. 28, 2024

Language: Английский

Citations

0
Salivary gland ultrasound elastography requires interpretation of “normal” DOI Creative Commons
Henry T. Hoffman, Piper Wenzel, Johannes Zenk

et al.

Laryngoscope Investigative Otolaryngology, Journal Year: 2024, Volume and Issue: 9(5)

Published: Oct. 1, 2024

Strong support has evolved for elastography as a supplement to salivary gland ultrasound assessment.1 We advocate the clinical value of this tool but offer caution in considering "normal" shear wave velocity (also reported Young's modulus) consistently reflect normal function. Standard assessment parotid tumors been identify malignancy with 91% accuracy.2 Jering et al. that additional evaluation improved diagnostic accuracy by identifying malignant be associated faster velocities and larger areas stiff tissue than benign tumors.3 Assessments non-neoplastic disorders have capacity discriminate between glands slower from those patients Sjogren's syndrome velocity.4 Dai through meta-analysis 15 articles addressing primary (pSS) concluded "demonstrates high differentiating pSS healthy/disease control groups".5 Chang Wang identified their experience characterize affected sialolithiasis.6 Sequential assessments changes stiffness following treatment obstructive sialadenitis further utility was similarly group Munich, Germany.7, 8 concur Wang's contention significant decrease they stone removal does "imply diseased became softer after sialolithiasis" interpretation softening speed reflects "recovery function."6 Although others "indirectly organ function,"5 it is important acknowledge fatty replacement may dominate exam provide analysis poorly functioning or nonfunctioning gland. Takagi employed MR degeneration occurring within long-standing syndrome.9 Study post-irradiation xerostomia employing MRI advanced CT imaging also correlated poor function fat infiltration.10 An elegant study surgically resected human breast broad range viscoelastic properties subject analysis.11 These investigators modulus (stiffness) specimens significantly lower glandular fibrous tissue. Our examining long-term injury chronic duct obstruction previous irradiation often identifies slow ("normal") way correlates on imaging. This finding highlighted our report patient who had undergone ligation follow-up an elevated infected tail one seen other regions.12 The measurements atrophy replacement. Advances are at rapid rate will benefit efforts standardize reporting.13 addition novel approaches coupled advances complementary such intravenous intracavitary contrast enhanced ultrasonography (CEUS) greater evaluation.14, Multidimensional deep learning offers promise enhance capabilities.16 supported Otolaryngology Department, University Iowa. Henry T. Hoffman: MeiraGtx research participant; RiboX scientific advisor board; UpToDate author (no conflicts related publication). Harry Quon: participant

Language: Английский

Citations

0