- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
Diagnostic accuracy of the ultrasonographic changes in major salivary glands with Sjogren’s syndrome (Iraqi sample) | ||
| Journal of baghdad college of dentistry | ||
| Article 1, Volume 22, Issue 4, 2010, Pages 53-58 | ||
| Authors | ||
| Ahlam A. Fattah; Dalia F. Tahir | ||
| Abstract | ||
| ABSTRACTBackground: In recent years, the accuracy of new imaging modalities have widely improved and replacedconventional examinations in scientific research. Among them, ultrasound of the major salivary glands seems themost attractive as a non-invasive, inexpensive, and non-irradiating investigation. The aim of the study was toevaluate the use of ultrasonography as a diagnostic tool in Sjogren’s syndrome.Materials and methods: Ultrasonographic examination was performed on the parotid and submandibular glandsglands of 33 patients diagnosed with Sjogren’s syndrome and 33 volunteer control subjects of matched sex and age(age range 30-73 years). Five parameters were assessed by a semiquantitative scoring system in both paired parotidand submandibular glands for each participant according to a semi-quantitative scoring system, these fiveparameters were the echogenicity, inhomogeneity, the presence of hypoechogenic areas, the hyperechogenicreflections and clearness of the salivary gland borders. Finally the ultrasonic scores of the Sjogren’s syndrome casesgroup were compared to those of control group.Results: The mean of the total ultrasonic score of the Sjogren’s syndrome cases was (25.8) which was significantlyhigher than that of controls (4.1), the mean of total ultrasonic score in the Sjogren’s syndrome cases was highest(30.2) in the duration above 10 years. The diagnostic performance for the total score by receiver operatingcharacteristics curve was 0.986 with P <0.001 and by using 15 as the cut-off score in this study, the diagnosticsensitivity for Sjogren’s syndrome was 81.8% and specificity 97.0%.Conclusion: Ultrasound of major salivary glands could be used as a first-line imaging diagnostic tool in the evaluationof oral involvement in patients suspected of having Sjogren’s syndrome and the semi-quantitative scoring system ofmajor salivary glands shows higher diagnostic value in the evaluation of this oral involvement.Key words: Sjogren’s syndrome, Ultrasonography, Major salivary glands. (J Bagh Coll Dentistry 2010;22(4):53-58). | ||
|
Statistics Article View: 187 PDF Download: 135 |
||