Anatomy and Pathology of the Salivary Glands

Som, Peter M.; Brandwein-Gensler, Margaret

doi:10.1016/b978-0-323-05355-6.00040-9

Cited by 37 publications

(45 citation statements)

References 259 publications

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“…Dreiseidler et al 15 suggested that two-dimensional plain images have limited success in identifying sialoliths because of overlapping anatomical structures. Moreover, Som and Curtin 3 estimate that approximately 20% of submandibular gland sialoliths and 40% of parotid gland sialoliths are missed on plain images dueing to low calcium content. Figure 2 is an example of one such sialolith that was missed on plain imaging because of overlapping structures but identified on CBCT.…”

Section: Discussionmentioning

confidence: 99%

“…Sialadenitis of the major salivary glands, especially the chronic type, is a relatively common condition with approximately two-thirds of cases reportedly being due to ductal obstruction. 3,[12][13][14] Ductal obstruction, in turn, may have as primary causes calculi, strictures and fibromucinous plugs, and as secondary causes mass lesions that may impinge on the ductal structures and cause them to occlude. In this study, sialoliths were the most common cause of obstruction identified on both CBCT (46.8%) and plain (31.9%) images.…”

Section: Discussionmentioning

confidence: 99%

“…1,3 The purpose of this study was to determine whether sialography performed with CBCT is superior to sialography performed with plain imaging.…”

Section: Discussionmentioning

confidence: 99%

“…It is the only examination that demonstrates the fine, delicate anatomy of the ductal system, and most accurately visualizes sialoliths and strictures, two of the most common causes of obstruction. 1,3 These capabilities make sialography the most suitable examination for investigation of obstructive conditions of the parotid and submandibular salivary glands. The capabilities of sialography are, however, restricted by the limitations of the imaging modalities to which it is coupled.…”

Section: Introductionmentioning

confidence: 99%

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A comparative study of the diagnostic capabilities of 2D plain radiograph and 3D cone beam CT sialography

Jadu¹,

Lam²

2013

Dentomaxillofacial Radiology

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Objective: The aim of this study was to compare the diagnostic capabilities of twodimensional sialography with a novel three-dimensional technique using cone beam CT (CBCT). Methods: 47 subjects underwent parotid or submandibular gland sialography over a 2 year period using both plain imaging and CBCT. Both image sets were anonymized and independently reviewed by three certified oral and maxillofacial radiologists blinded to the clinical data. McNemar's x 2 test was used to determine differences between the two modalities for feature visualization and interpretation. Results: CBCT outperformed plain imaging with respect to visualization of the gland parenchyma (p , 0.001) and identification of sialoliths (p 5 0.02). Plain imaging outperformed CBCT for the identification of strictures (p 5 0.04); however, the negative per cent agreement (''specificity'') between the two imaging modalities was 100%. Although both imaging modalities performed equally in identifying normal and abnormal sialographic examinations, CBCT demonstrated a high negative per cent agreement for normal glands and a high positive per cent agreement (''sensitivity'') for abnormal glands with inflammatory changes. Conclusion: CBCT sialography allowed better visualization of gland parenchyma and identification of sialoliths. The high negative per cent agreement for strictures suggests that, if strictures are identified on CBCT images, then obstruction can be ruled in. Relative to plain images, the high negative per cent agreement for normal glands suggests that, if an abnormal finding is detected on CBCT images, then disease can be ruled in, and the high positive per cent agreement for glands with inflammatory changes suggests that inflammation can be ruled out if these changes are not seen on CBCT images.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…1,3 The purpose of this study was to determine whether sialography performed with CBCT is superior to sialography performed with plain imaging.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A comparative study of the diagnostic capabilities of 2D plain radiograph and 3D cone beam CT sialography

Jadu¹,

Lam²

2013

Dentomaxillofacial Radiology

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“…7 Ludlow et al 8 found that the salivary glands and oral mucosa absorbed the highest doses of radiation of all the tissues during common dental radiographic examinations. In dental radiography, digital radiographic systems are becoming more commonly used and they have several advantages over analogue radiography (film-based direct radiography): digital detectors may be more sensitive to radiation, allowing for a lower radiation dose 3 and necessitating fewer retakes owing to improvements in the greyscale and image contrast.…”

Section: Introductionmentioning

confidence: 99%

Absorbed organ and effective doses from digital intra-oral and panoramic radiography applying the ICRP 103 recommendations for effective dose estimations

Granlund¹,

Thilander-Klang²,

Ylhan³

et al. 2016

BJR

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Objective: During dental radiography, the salivary and thyroid glands are at radiation risk. In 2007, the International Commission on Radiological Protection (ICRP) updated the methodology for determining the effective dose, and the salivary glands were assigned tissue-specific weighting factors for the first time. The aims of this study were to determine the absorbed dose to the organs and to calculate, applying the ICRP publication 103 tissue-weighting factors, the effective doses delivered during digital intraoral and panoramic radiography. Methods: Thermoluminescent dosemeter measurements were performed on an anthropomorphic head and neck phantom. The organ-absorbed doses were measured at 30 locations, representing different radiosensitive organs in the head and neck, and the effective dose was calculated according to the ICRP recommendations.

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Imaging of the Salivary Glands

Lazor

Garratt

2023

The Milan System for Reporting Salivary Gland Cytopathology

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Anatomy and Pathology of the Salivary Glands

Cited by 37 publications

References 259 publications

A comparative study of the diagnostic capabilities of 2D plain radiograph and 3D cone beam CT sialography

A comparative study of the diagnostic capabilities of 2D plain radiograph and 3D cone beam CT sialography

Absorbed organ and effective doses from digital intra-oral and panoramic radiography applying the ICRP 103 recommendations for effective dose estimations

Imaging of the Salivary Glands

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