Diagnostic value of ultrasound evaluation of major salivary glands for Sjögren’s syndrome based on the novel OMERACT scoring system

Tang, Guoxue; Luo, Yi; Mo, Yujun; Jiang, Yao; Yang, Huiling; Hao, Shaoyun

doi:10.1016/j.ejrad.2023.110765

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…The graded images of each researcher, classified according to the OMERACT US semiquantitative scoring system, appeared to correspond to different grades, despite actually belonging to the same grade. [13][14][15][16][17] This was particularly noticeable in the lower grades.…”

Section: Editorialmentioning

confidence: 92%

“…11 A consensus-based definition of abnormal US findings and the resulting reliable semiquanti-tative 4-grade scoring system were previously proposed by the Outcome Measures in Rheumatology (OMERACT) group and have since been validated by various researchers. [12][13][14][15][16][17] The reason for this surge in the use of US is that it is noninvasive, versatile, simple, and inexpensive. The momentum for introducing SS into classification criteria is expected to increase in the future.…”

Section: Editorialmentioning

confidence: 99%

“…Screening US performed in parallel with serological evaluation may avoid invasive examination of labial salivary gland biopsies. 17,23 However, some skepticism remains regarding the use of US in SS diagnosis, even after the publication of the OMERACT US semiquantitative scoring system. 24,25 As mentioned earlier, because the reliability of detection using US is inadequate, especially in the early to mild stages of disease onset, MRI, which can evaluate the ductal system in addition to the gland parenchyma, should be actively used to diagnose SS more accurately, while successfully mitigating the shortcomings in US.…”

Section: Editorialmentioning

confidence: 99%

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Has the Time Come?

Takagi

2024

J Rheumatol

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Section: Editorialmentioning

confidence: 92%

Section: Editorialmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

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Has the Time Come?

Takagi

2024

J Rheumatol

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“…OMERACT has published a semi‐quantitative approach to provide a global assessment of salivary gland (primarily parotid) abnormalities associated with Sjogren's disease through a review of video‐imaging to characterize the degree of pathology seen throughout the gland 4–6 . An updated report by Tang et al supported the value of applying this OMERACT scoring system to the analysis of static images of the salivary glands 7 . However, their report offered only a broad review of “ typical static grayscale images ” in their report without identifying which subsites within the glands were analyzed.…”

Section: Introductionmentioning

confidence: 99%

“… 4 , 5 , 6 An updated report by Tang et al supported the value of applying this OMERACT scoring system to the analysis of static images of the salivary glands. 7 However, their report offered only a broad review of “ typical static grayscale images ” in their report without identifying which subsites within the glands were analyzed.…”

Section: Introductionmentioning

confidence: 99%

Proposal for standardized ultrasound analysis of the salivary glands: Part 1 submandibular gland

Hoffman,

Koch,

Witt

et al. 2024

Laryngoscope Investig Oto

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ObjectivesThe Salivary Gland Committee of the American Academy of Otolaryngology‐Head and Neck Surgery seeks to standardize terminology and technique for ultrasonograpy used in the evaluation and treatment of salivary gland disorders.MethodsDevelopment of expert opinion obtained through interaction with international practitioners representing multiple specialties. This committee work includes a comprehensive literature review with presentation of case examples to propose a standardized protocol for the language used in ultrasound salivary gland assessment.ResultsA multiple segment proposal is initiated with this focus on the submandibular gland. We provide a concise rationale for recommended descriptive language highlighted by a more extensive supplement that includes an extensive literature review with additional case examples.ConclusionRecommendations are provided to improve consistency both in performing and reporting submandibular gland ultrasound.

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Speicheldrüsenultraschall oder Biopsie?

Peters,

Timme-Bronsert,

Voll

et al. 2023

Z Rheumatol

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Zusammenfassung Hintergrund Der Ultraschall der Speicheldrüsen (SD) ist eine schnell durchführbare und nichtinvasive Methode, Sjögren-Syndrom(SS)-typische Veränderungen der großen SD zu detektieren und semiquantitativ einzuschätzen. Die Differenzialdiagnose des SS ist komplex, da zahlreiche Krankheiten und Therapienebenwirkungen ein dem SS ähnliches klinisches Bild mit Sicca-Syndrom und z. T. Speicheldrüsenveränderungen verursachen können („Nachahmer-Erkrankungen“). Lange Zeit galt daher die SD-Biopsie, besonders bei SS-A-negativen Patienten, als Diagnostik der Wahl, während der Stellenwert der SD-Sonographie auch heute noch kontrovers diskutiert wird. Ziel der Arbeit Es erfolgt eine Gegenüberstellung SS-typischer und -untypischer Veränderungen der Speicheldrüsen im Ultraschall und dazugehöriger histologischer Schnitte. Material und Methoden Sechs Patientenfälle mit Antikörper-positivem bzw. -negativem SS mit und ohne SS-typischen Ultraschallbefund, SS-assoziiertem Lymphom, Sarkoidose sowie IgG4-assoziierter Erkrankung werden beschrieben. Die Befunde der sonographischen Untersuchung der Parotisdrüsen sowie die dazugehörige Histologie der SD werden erläutert und in Kontext gesetzt. Ergebnisse SS-A-Antikörper-positive Patienten mit SS weisen v. a. bei länger bestehender Erkrankung ein typisches sonographisches Muster mit echoarmen Foci auf. Dieses Muster kann die Diagnose eines SS untermauern helfen. Die Ultraschallmuster der Nachahmer-Erkrankungen unterscheiden sich teils deutlich von primäres Sjögren-Syndrom(pSS)-typischen Mustern. Die histologische Untersuchung der SD hilft bei der Diagnosefindung, jedoch bedürfen gerade niedrige histologische Fokus-Scores einer kritischen Zusammenschau der klinischen, serologischen und bildgebenden Befunde. Diskussion Sowohl der Speicheldrüsenultraschall als auch die histologische Aufarbeitung der Speicheldrüsenbiopsien haben eine Berechtigung in der SS-Diagnostik und Differenzialdiagnose des Sicca-Syndroms.

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Diagnostic value of ultrasound evaluation of major salivary glands for Sjögren’s syndrome based on the novel OMERACT scoring system

Cited by 6 publications

References 18 publications

Has the Time Come?

Has the Time Come?

Proposal for standardized ultrasound analysis of the salivary glands: Part 1 submandibular gland

Speicheldrüsenultraschall oder Biopsie?

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