Journal of the Korean Society of Radiology (한국방사선학회논문지)

The Korean Society of Radiology (한국방사선학회)
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Effectiveness of a Solid Sialogogue to Stimulate Salivation in MR Sialography

자기공명 타액선조영검사 시 고체 타액분비 촉진제의 유용성

  • Choi, Kwanwoo (Department of Radiology, Asan Medical Center) ;
  • Lee, Hobeom (Department of Radiology, Asan Medical Center) ;
  • Na, Sara (Department of Radiology, Asan Medical Center) ;
  • Son, Soonyong (Department of Radiotechnology, Wonkwang Health Science University) ;
  • Yoo, Beonggyu (Department of Radiotechnology, Wonkwang Health Science University)
  • 최관우 (서울아산병원 영상의학과) ;
  • 이호범 (서울아산병원 영상의학과) ;
  • 나사라 (서울아산병원 영상의학과) ;
  • 손순룡 (원광보건대학교 방사선과) ;
  • 유병규 (원광보건대학교 방사선과)
  • Received : 2016.10.15
  • Accepted : 2016.12.31
  • Published : 2016.12.31
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Abstract

This study is aimed to prove that a solid sialogogue can improve the defects of the liquid one and substitute it with no differences in the signal intensity. From January to August 2016, 60 patients with no salivary gland diseases were enrolled. The patients were divided into two groups as follows; a group with a liquid sialogogue and the other group with a solid sialogogue. MR images were acquired and signal intensities of the parotid glands were compared. As a result, the signal intensities of liquid and solid sialogogues showed no statistically significant differences($59.42{\pm}15.74$ and $61.80{\pm}13.99$, respectively) In conclusion, a solid sialogogue was verified to have no signal intensity differences from the liquid one while it could improve the defects of the liquid sialogogue.

본 연구는 MR Sialography 검사 시 사용되는 타액분비촉진제를, 새로운 고체 자극제로 대체하더라도 신호강도는 차이가 없다는 것을 증명함으로써, 기존 액체 자극제의 사용으로 인해 발생되는 문제점을 개선하고자 하였다. 연구방법은 2016년 1월부터 동년 8월까지 타액선 질환이 없는 60명을 대상으로, 액체 자극제와 고체 자극제를 적용한 그룹으로 나누어 각각 영상을 획득한 후, 자극제의 종류에 따른 이하선 관의 신호강도를 비교 평가하였다. 연구결과, 기존의 액체 자극제($59.42{\pm}15.74$)에 비해 새로운 고체 자극제($61.80{\pm}13.99$)를 사용했을 경우 신호강도는 4.01%(2.38) 증가하였으나, 통계적으로 유의한 차이를 보이지 않았다. 결론적으로 자극제의 종류에 따른 신호강도는 차이가 없음으로 새로운 고체 자극제를 사용하면 기존의 액체 자극제의 사용으로 인해 발생되는 여러 가지 문제점을 개선할 수 있다.

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References

  1. J. S. Choi, J. Y. Lim, Y. M. Kim, "Sialendoscopy", Journal of the Korean Otorhinolaryngol Head Neck Surg.,Vol. 54, No. 1, 2015.
  2. O. Nahlieli, A. M. Baruchin, "Endoscopic technique for the diagnosis and treatment of obstructive salivary gland diseases", Journal of the Oral and Maxillofacial Surgery, Vol. 57, No. 12, pp. 1394-1401, 1999. https://doi.org/10.1016/S0278-2391(99)90716-4
  3. O. Nahlieli, A. M. Baruchin, "Long-term experience with endoscopic diagnosis and treatment of salivary gland inflammatory diseases", Journal of the Laryngoscope, Vol. 110, No. 6, pp. 988-993, 2000. https://doi.org/10.1097/00005537-200006000-00020
  4. J. H. Hwang, H. J. Ahn, J. S. Choi, H. Y. Lee, J. Y. Lim, "Usefulness of magnetic resonance sialography for diagnosis of idiopathic chronic sialadenitis, Journal of the Korean Otorhinolaryngol Head Neck Surg.,Vol. 59, No. 1, pp. 41-48, 2016. https://doi.org/10.3342/kjorl-hns.2016.59.1.41
  5. M. Becker, F. Marchal, C. D. Becker, P. Dulgueroy, G. Georgakopoulos, W. Lehmann, F. Terrier, "Sialolithiasis ad salivary ductal stenosis: Diagnostic accuracy of MR sialography with a three-dimensional extended-phase conjugate-symmetry rapid spin-echo sequence 1", Journal of the Radiology, Vol. 217, No. 2, pp. 347-358, 2000. https://doi.org/10.1148/radiology.217.2.r00oc02347
  6. S. M. Uddin, "Dose MR sialography have a greater diagnostic accuracy than conventional X-ray and digital subtraction sialography in detecting salivary glands disease? A literature review", Nepalese Journal of the Radiology, Vol. 1, No. 1, pp. 70-77, 2012.
  7. A. Gadodia, A. Seith, R. Sharma, A. Thakar, R. Parshad, "Magnetic resonance sialography using CISS and HASTE sequences in inflammatory salivary gland diseases: comparison with digital sialography", Journal of Acta Radiologica, Vol. 51, No. 2, pp. 156-163, 2010. https://doi.org/10.3109/02841850903376306
  8. Y. M. Kim, J. S. Choi, S. B. Hong, I. Y. Hyun, J. Y. Lim, "Salivary gland function after sialendoscopy for treatment of chronic radioiodine induced sialadenitis", Journal of Head & Neck, Vol. 38, No. 1, pp. 51-58, 2016. https://doi.org/10.1002/hed.23844
  9. Y. Morimoto, K. Ono, T. Tanaka, S. Kito, H. Inoue, Y. Shinohara, T. Ohba, "The functional evaluation of salivary glands using dynamic MR sialography following citric acid stimulation: a preliminary study", Journal of Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, Vol. 100, No. 3, pp. 357-364, 2005. https://doi.org/10.1016/j.tripleo.2004.11.053
  10. N. Karaca Erdogan, C. Altay, N. Ozenler, T. Bozkurt, E. Uluc, B. Dirin Mete, I. Ozdemir, "Magnetic resonance sialography findings of submandibular ducts imaging", BioMed research international, 2013.
  11. A. Gadodia, A. Seith, R. Sharma, A. Thakar, "MRI and MR sialography of juvenile recurrent parotitis", Journal of the Pediatric Radiology, Vol. 40, No. 8, pp. 1405-1410, 2010. https://doi.org/10.1007/s00247-010-1639-1
  12. M. Jungehulsing, R. Fischbach, U. Schroder, H. Kugel, M. Damm, H. E. Eckel, "Magnetic resonance sialography", Journal of the Otolaryngology Head and Neck Surgery, Vol. 121, No. 4, pp. 488-494, 1999. https://doi.org/10.1016/S0194-5998(99)70243-3
  13. P. Capaccio, S. Torretta, F. Ottaviani, G. Sambataro, L. Pignataro, "Modern management of obstructive salivary diseases", Journal of the Acta Otorhinolaryngologica Italica, Vol. 27, No. 4, pp. 161-172, 2007.