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Updated: Jul 20, 2026

Ultrasonographic Evaluation of Salivary Glands for Sjogren's Syndrome: Diagnostic and Monitoring Insights
Published on: October 13, 2023
[Functional imaging of submandibular glands: diffusion-weighted echo-planar MRI before and after stimulation]
C Arndt1, J Graessner, M C Cramer
1Zentrum für Bildgebende Diagnostik und Intervention, Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Hamburg-Eppendorf.
Diffusion-weighted echo-planar imaging (DWI-EPI) successfully visualized submandibular glands in all volunteers. This technique non-invasively quantifies functional changes, showing significant increases in apparent diffusion coefficient (ADC) after stimulation.
Area of Science:
- Radiology
- Medical Imaging
- Biomedical Engineering
Background:
- Submandibular glands play a crucial role in saliva production.
- Assessing submandibular gland function is important for diagnosing various conditions.
- Non-invasive imaging techniques are needed for functional evaluation.
Purpose of the Study:
- To evaluate the feasibility of diffusion-weighted echo-planar imaging (DWI-EPI) for visualizing submandibular glands.
- To measure functional changes in submandibular glands using DWI-EPI.
- To assess the impact of oral stimulation on submandibular gland diffusion characteristics.
Main Methods:
- Twenty-seven healthy volunteers underwent MRI using a 1.5-T system.
- Diffusion-weighted echo-planar imaging (DWI-EPI) sequences were acquired before and 30 seconds after oral lemon juice stimulation.
- Apparent diffusion coefficient (ADC) maps were generated, and regions of interest (ROIs) were placed within the submandibular glands for analysis.
Main Results:
- Submandibular glands were successfully visualized in all 27 participants using DWI-EPI.
- The mean ADC of the submandibular glands significantly increased from 1.31 x 10(-3) mm(2)/sec at baseline to 1.41 x 10(-3) mm(2)/sec after stimulation (p < 0.001).
- The observed increase in ADC indicates a significant functional change in the glands post-stimulation.
Conclusions:
- Diffusion-weighted echo-planar MR imaging is a feasible and effective method for visualizing submandibular glands.
- DWI-EPI allows for non-invasive quantification of functional changes in the submandibular gland.
- This technique holds potential for diagnosing and monitoring conditions affecting salivary gland function.
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