European Radiology

, Volume 6, Issue 1, pp 46–51 | Cite as

Sjoegren's syndrome: MR imaging of the parotid gland

  • T. J. Vogl
  • S. H. J. Dresel
  • G. Grevers
  • M. Späth
  • C. Bergman
  • J. Balzer
  • J. Lissner
Original Articles Head and Neck Radiology

Abstract

To date, myoepithelial sialoadenitis (Sjoegren's syndrome) has been diagnosed with sialography and other techniques. First results of MR imaging offer new possibilities in the diagnostic imaging of this Thirty-six pat nts with immunohistologically and serologically confirmed Sjoegren s syndrome and 25 patients suffering from other diseases, included as a control group, were examined by MR in transverse and coronal orientation T-2 weighted sequneces (TR/TE- 1600/25/90) and T- weighted sequences (TR/TE 500/25 msplainand after (Gd-DTPA administration were obtained. In all patients the parotid gland showed characteristics internal paterns and abnormalities in gland size. There was a 21 nonhomogeneous internal pattern wit a characteristicsc speckled, honeycomb-like appearance visible especially on T2-weighted sequences. Enhancement with Gd-DTPA yielded no additional information. A staging system with four stages of Sjoegren's syndrome (no characteristics changes to a nodular and swollen gland) was developed. Magnetic resonance has become an important new tool in assessing parotid gland changes in patients suffering from Sjoegren's syndrome, and could well replace the more invasive and unpleasant diagnostic methods in the near future.

Keywords

Public Health Staging System Diagnostic Imaging Diagnostic Method Parotid Gland 

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • T. J. Vogl
    • 1
  • S. H. J. Dresel
    • 2
  • G. Grevers
    • 3
  • M. Späth
    • 4
  • C. Bergman
    • 2
  • J. Balzer
    • 1
  • J. Lissner
    • 1
  1. 1.Department of RadiologyUniversity of BerlinBerlinGermany
  2. 2.Department of RadiologyUniversity of MunichGermany
  3. 3.Department of Oto-Rhino-LaryngologyUniversity of MunichGermany
  4. 4.Department of RheumatologyUniversity of MunichGermany

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