Articles
| Open Access | RADIOLOGICAL DIAGNOSIS OF INFLAMMATORY DISEASES AND SIALADENOSES OF THE SALIVARY GLANDS
Akhrorov Alisher Shavkatovich , PhD, Associate Professor of the Department of Maxillofacial Surgery Samarkand State Medical UniversityAbstract
Radiological imaging plays a crucial role in the diagnosis and management of salivary gland disorders, particularly inflammatory diseases and sialadenoses. These conditions often present with overlapping clinical features, making accurate differentiation challenging without advanced imaging techniques. This study aims to evaluate the diagnostic value of various radiological modalities, including ultrasonography (US), computed tomography (CT), magnetic resonance imaging (MRI), and sialography, in distinguishing inflammatory pathologies from non-inflammatory sialadenoses. A mixed-methods approach was employed, involving 110 patients diagnosed with salivary gland disorders between 2019 and 2024. Quantitative analysis focused on imaging sensitivity, specificity, and diagnostic accuracy, while qualitative assessment examined radiological patterns and structural characteristics. The results indicate that MRI provides superior soft tissue contrast and diagnostic accuracy, whereas ultrasound remains a valuable first-line modality. Distinct imaging features were identified for chronic sialadenitis and sialadenosis, facilitating differential diagnosis. The study highlights the importance of multimodal imaging strategies in improving diagnostic precision and guiding clinical decision-making in salivary gland pathology.
Keywords
radiological diagnosis, salivary glands, sialadenitis, sialadenosis, ultrasound, MRI, CT scan, sialography, imaging features, differential diagnosis, head and neck radiology, inflammation, glandular disorders
References
Iro H., Zenk J. Salivary gland diseases in clinical practice // GMS Curr Top Otorhinolaryngol Head Neck Surg. – 2014. – Vol. 13. – P. Doc06.
Mandel L., Surattanont F. Bilateral parotid swelling // J. Am. Dent. Assoc. – 2002. – Vol. 133. – P. 145–150.
Gnepp D.R. Diagnostic surgical pathology of the head and neck. – 2nd ed. – Philadelphia: Saunders Elsevier, 2009. – 1224 p.
Humphrey S.P., Williamson R.T. Salivary gland disorders // Am Fam Physician. – 2001. – Vol. 63. – P. 613–620.
Marchal F., Dulguerov P. Sialolithiasis management // Arch Otolaryngol Head Neck Surg. – 2003. – Vol. 129. – P. 951–956.
Katz P. New methods in sialography // Radiology. – 1991. – Vol. 178. – P. 573–577.
Becker M., Marchal F., Becker C.D. et al. Sialadenitis imaging // Radiographics. – 2000. – Vol. 20. – P. 979–1000.
Sigal R., Monnet O., de Baere T. et al. MR imaging of salivary glands // Radiology. – 1992. – Vol. 185. – P. 619–626.
Dillon W.P., Som P.M. Imaging of salivary glands // Neuroimaging Clin N Am. – 1996. – Vol. 6. – P. 379–403.
Yousem D.M., Kraut M.A., Chalian A.A. Major salivary gland imaging // Radiology. – 2000. – Vol. 216. – P. 19–29.
Drage N.A., Brown J.E. Cone beam CT in salivary gland disease // Dentomaxillofac Radiol. – 2008. – Vol. 37. – P. 1–7.
Takagi Y., Sumi M., Nakamura T. MR sialography // AJNR Am J Neuroradiol. – 2005. – Vol. 26. – P. 123–128.
Izumi M., Eguchi K., Ohki M. Sjögren’s syndrome imaging // Radiat Med. – 1996. – Vol. 14. – P. 181–185.
Vogl T.J., Albrecht M.H., Nour-Eldin N.E.A. MRI of salivary glands // Eur Radiol. – 2018.
Som P.M., Curtin H.D. Head and neck imaging. – 5th ed. – St. Louis: Mosby, 2011. – 3072 p.
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