Skip to main content
Erschienen in: European Radiology 9/2014

01.09.2014 | Head and Neck

Effects of gender, age, and body mass index on fat contents and apparent diffusion coefficients in healthy parotid glands: an MRI evaluation

verfasst von: Hing-Chiu Chang, Chun-Jung Juan, Hui-Chu Chiu, Cheng-Chieh Cheng, Su-Chin Chiu, Yi-Jui Liu, Hsiao-Wen Chung, Hsian-He Hsu

Erschienen in: European Radiology | Ausgabe 9/2014

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To establish standard apparent diffusion coefficient (ADC) and the fat content as a function of age, gender and body mass index (BMI) in healthy parotid glands, and to address the influences of fat suppression on ADC measurements.

Methods

A total of 100 healthy adults (gender and age evenly distributed) were prospectively recruited, with parotid fat content measured from gradient-echo images with fat–water separated using iterative decomposition with echo asymmetry and least squares (IDEAL). The ADCs were estimated using both fat-saturated and non-fat-saturated diffusion-weighted imaging via a periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) technique.

Results

Parotid fat content was larger in men than in women by about 10 percentage points (P < 0.005), and positively associated with BMI and age for both genders (mostly with P < 0.001). ADCs estimated with non-fat-saturated PROPELLER were significantly lower in men than in women (P < 0.005), but showed no gender difference if measured using fat-saturated PROPELLER (P = 0.840). The negative association between parotid ADC and age/BMI/fat (P < 0.001) showed greater regression slopes in non-fat-saturated PROPELLER than in fat-saturated data.

Conclusions

Parotid fat content in healthy adults correlates positively with both age and BMI; the correlation with age is gender-dependent. Parotid ADC measurements are strongly influenced by fat saturation.

Key Points

Parotid fat content in healthy adults correlates positively with age and BMI.
The rate of aging-related increase in fat contents is gender-dependent.
Parotid ADC measurements are strongly influenced by fat saturation.
Literatur
1.
Zurück zum Zitat Thoeny HC, De Keyzer F, Claus FG, Sunaert S, Hermans R (2005) Gustatory stimulation changes the apparent diffusion coefficient of salivary glands: initial experience. Radiology 235:629–634PubMedCrossRef Thoeny HC, De Keyzer F, Claus FG, Sunaert S, Hermans R (2005) Gustatory stimulation changes the apparent diffusion coefficient of salivary glands: initial experience. Radiology 235:629–634PubMedCrossRef
2.
Zurück zum Zitat Regier M, Ries T, Arndt C et al (2009) Sjögren’s syndrome of the parotid gland: value of diffusion-weighted echo-planar MRI for diagnosis at an early stage based on MR sialography grading in comparison with healthy volunteers. Röfo 181:242–248PubMed Regier M, Ries T, Arndt C et al (2009) Sjögren’s syndrome of the parotid gland: value of diffusion-weighted echo-planar MRI for diagnosis at an early stage based on MR sialography grading in comparison with healthy volunteers. Röfo 181:242–248PubMed
3.
Zurück zum Zitat Arndt C, Graessner J, Cramer MC et al (2006) Functional imaging of submandibular glands: diffusion-weighted echo-planar MRI before and after stimulation. Röfo 178:893–897PubMed Arndt C, Graessner J, Cramer MC et al (2006) Functional imaging of submandibular glands: diffusion-weighted echo-planar MRI before and after stimulation. Röfo 178:893–897PubMed
4.
Zurück zum Zitat Habermann CR, Gossrau P, Kooijman H et al (2007) Monitoring of gustatory stimulation of salivary glands by diffusion-weighted MR imaging: comparison of 1.5T and 3T. AJNR 28:1547–1551PubMedCrossRef Habermann CR, Gossrau P, Kooijman H et al (2007) Monitoring of gustatory stimulation of salivary glands by diffusion-weighted MR imaging: comparison of 1.5T and 3T. AJNR 28:1547–1551PubMedCrossRef
5.
Zurück zum Zitat Kato H, Kanematsu M, Toida M et al (2011) Salivary gland function evaluated by diffusion-weighted MR imaging with gustatory stimulation: preliminary results. J Magn Reson Imaging 34:904–909PubMed Kato H, Kanematsu M, Toida M et al (2011) Salivary gland function evaluated by diffusion-weighted MR imaging with gustatory stimulation: preliminary results. J Magn Reson Imaging 34:904–909PubMed
6.
Zurück zum Zitat Dirix P, De Keyzer F, Vandecaveye V, Stroobants S, Hermans R, Nuyts S (2008) Diffusion-weighted magnetic resonance imaging to evaluate major salivary gland function before and after radiotherapy. Int J Radiat Oncol Biol Phys 71:1365–1371PubMedCrossRef Dirix P, De Keyzer F, Vandecaveye V, Stroobants S, Hermans R, Nuyts S (2008) Diffusion-weighted magnetic resonance imaging to evaluate major salivary gland function before and after radiotherapy. Int J Radiat Oncol Biol Phys 71:1365–1371PubMedCrossRef
7.
Zurück zum Zitat Zhang Y, Ou D, Gu Y et al (2013) Diffusion-weighted MR imaging of salivary glands with gustatory stimulation: comparison before and after radiotherapy. Acta Radiol 54:928–933PubMedCrossRef Zhang Y, Ou D, Gu Y et al (2013) Diffusion-weighted MR imaging of salivary glands with gustatory stimulation: comparison before and after radiotherapy. Acta Radiol 54:928–933PubMedCrossRef
8.
Zurück zum Zitat Sumi M, Nakamura T (2014) Head and neck tumours: combined MRI assessment based on IVIM and TIC analyses for the differentiation of tumors of different histological types. Eur Radiol 24:223–231PubMedCrossRef Sumi M, Nakamura T (2014) Head and neck tumours: combined MRI assessment based on IVIM and TIC analyses for the differentiation of tumors of different histological types. Eur Radiol 24:223–231PubMedCrossRef
9.
Zurück zum Zitat Sumi M, Van Cauteren M, Sumi T, Obara M, Ichikawa Y, Nakamura T (2012) Salivary gland tumors: use of intravoxel incoherent motion MR imaging for assessment of diffusion and perfusion for the differentiation of benign from malignant tumors. Radiology 263:770–777PubMedCrossRef Sumi M, Van Cauteren M, Sumi T, Obara M, Ichikawa Y, Nakamura T (2012) Salivary gland tumors: use of intravoxel incoherent motion MR imaging for assessment of diffusion and perfusion for the differentiation of benign from malignant tumors. Radiology 263:770–777PubMedCrossRef
10.
Zurück zum Zitat Baron P, Dorrius MD, Kappert P, Oudkerk M, Sijens PE (2010) Diffusion-weighted imaging of normal fibroglandular breast tissue: influence of microperfusion and fat suppression technique on the apparent diffusion coefficient. NMR Biomed 23:399–405PubMed Baron P, Dorrius MD, Kappert P, Oudkerk M, Sijens PE (2010) Diffusion-weighted imaging of normal fibroglandular breast tissue: influence of microperfusion and fat suppression technique on the apparent diffusion coefficient. NMR Biomed 23:399–405PubMed
11.
Zurück zum Zitat Juan CJ, Chang HC, Hsueh CJ et al (2009) Salivary glands: echo-planar versus PROPELLER diffusion-weighted MR imaging for assessment of ADCs. Radiology 253:144–152PubMedCrossRef Juan CJ, Chang HC, Hsueh CJ et al (2009) Salivary glands: echo-planar versus PROPELLER diffusion-weighted MR imaging for assessment of ADCs. Radiology 253:144–152PubMedCrossRef
12.
Zurück zum Zitat Thoeny HC, De Keyzer F, Boesch C, Hermans R (2004) Diffusion-weighted imaging of the parotid gland: influence of the choice of b-values on the apparent diffusion coefficient value. J Magn Reson Imaging 20:786–790PubMed Thoeny HC, De Keyzer F, Boesch C, Hermans R (2004) Diffusion-weighted imaging of the parotid gland: influence of the choice of b-values on the apparent diffusion coefficient value. J Magn Reson Imaging 20:786–790PubMed
13.
Zurück zum Zitat Yerli H, Agildere AM, Aydin E et al (2007) Value of apparent diffusion coefficient calculation in the differential diagnosis of parotid gland tumors. Acta Radiol 48:980–987PubMedCrossRef Yerli H, Agildere AM, Aydin E et al (2007) Value of apparent diffusion coefficient calculation in the differential diagnosis of parotid gland tumors. Acta Radiol 48:980–987PubMedCrossRef
14.
Zurück zum Zitat Marzi S, Forina C, Marucci L et al (2014) Early radiation-induced changes evaluated by intravoxel incoherent motion in the major salivary glands. J Magn Reson Imaging. doi:10.1002/jmri.24626 PubMed Marzi S, Forina C, Marucci L et al (2014) Early radiation-induced changes evaluated by intravoxel incoherent motion in the major salivary glands. J Magn Reson Imaging. doi:10.​1002/​jmri.​24626 PubMed
15.
Zurück zum Zitat Pipe JG, Farthing VG, Forbes KP (2002) Multishot diffusion-weighted FSE using PROPELLER MRI. Magn Reson Med 47:42–52PubMedCrossRef Pipe JG, Farthing VG, Forbes KP (2002) Multishot diffusion-weighted FSE using PROPELLER MRI. Magn Reson Med 47:42–52PubMedCrossRef
16.
Zurück zum Zitat Forbes KP, Pipe JG, Karis JP, Heiserman JE (2002) Improved image quality and detection of acute cerebral infarction with PROPELLER diffusion-weighted MR imaging. Radiology 225:551–555PubMedCrossRef Forbes KP, Pipe JG, Karis JP, Heiserman JE (2002) Improved image quality and detection of acute cerebral infarction with PROPELLER diffusion-weighted MR imaging. Radiology 225:551–555PubMedCrossRef
17.
Zurück zum Zitat Partridge SC, Singer L, Sun R et al (2011) Diffusion-weighted MRI: influence of intravoxel fat signal and breast density on breast tumor conspicuity and apparent diffusion coefficient measurements. Magn Reson Imaging 29:1215–1221PubMedCentralPubMedCrossRef Partridge SC, Singer L, Sun R et al (2011) Diffusion-weighted MRI: influence of intravoxel fat signal and breast density on breast tumor conspicuity and apparent diffusion coefficient measurements. Magn Reson Imaging 29:1215–1221PubMedCentralPubMedCrossRef
18.
Zurück zum Zitat Erlandsen SL, Magney JE (1985) Human histology: organs and systems. University of Minnesota Press, Minneapolis Erlandsen SL, Magney JE (1985) Human histology: organs and systems. University of Minnesota Press, Minneapolis
19.
Zurück zum Zitat Izumi M, Eguchi K, Nakamura H, Nagataki S, Nakamura T (1997) Premature fat deposition in the salivary glands associated with Sjogren syndrome: MR and CT evidence. AJNR 18:951–958PubMed Izumi M, Eguchi K, Nakamura H, Nagataki S, Nakamura T (1997) Premature fat deposition in the salivary glands associated with Sjogren syndrome: MR and CT evidence. AJNR 18:951–958PubMed
20.
Zurück zum Zitat Holland AJ, Baron-Hay GS, Brennan BA (1996) Parotid lipomatosis. J Pediatr Surg 31:1422–1423PubMedCrossRef Holland AJ, Baron-Hay GS, Brennan BA (1996) Parotid lipomatosis. J Pediatr Surg 31:1422–1423PubMedCrossRef
21.
Zurück zum Zitat Tartaglino LM, Rao VM, Markiewicz DA (1994) Imaging of radiation changes in the head and neck. Semin Roentgenol 29:81–91PubMedCrossRef Tartaglino LM, Rao VM, Markiewicz DA (1994) Imaging of radiation changes in the head and neck. Semin Roentgenol 29:81–91PubMedCrossRef
22.
Zurück zum Zitat Blaak E (2001) Gender differences in fat metabolism. Curr Opin Clin Nutr Metab Care 4:499–502PubMedCrossRef Blaak E (2001) Gender differences in fat metabolism. Curr Opin Clin Nutr Metab Care 4:499–502PubMedCrossRef
23.
Zurück zum Zitat Hannan WJ, Wrate RM, Cowen SJ, Freeman CP (1995) Body mass index as an estimate of body fat. Int J Eat Disord 18:91–97PubMedCrossRef Hannan WJ, Wrate RM, Cowen SJ, Freeman CP (1995) Body mass index as an estimate of body fat. Int J Eat Disord 18:91–97PubMedCrossRef
24.
Zurück zum Zitat Snead DB, Birge SJ, Kohrt WM (1993) Age-related differences in body composition by hydrodensitometry and dual-energy X-ray absorptiometry. J Appl Physiol 74:770–775PubMed Snead DB, Birge SJ, Kohrt WM (1993) Age-related differences in body composition by hydrodensitometry and dual-energy X-ray absorptiometry. J Appl Physiol 74:770–775PubMed
25.
Zurück zum Zitat Reeder SB, Pineda AR, Wen Z et al (2005) Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging. Magn Reson Med 54:636–644PubMedCrossRef Reeder SB, Pineda AR, Wen Z et al (2005) Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging. Magn Reson Med 54:636–644PubMedCrossRef
26.
Zurück zum Zitat Reeder SB, McKenzie CA, Pineda AR et al (2007) Water-fat separation with IDEAL gradient-echo imaging. J Magn Reson Imaging 25:644–652PubMed Reeder SB, McKenzie CA, Pineda AR et al (2007) Water-fat separation with IDEAL gradient-echo imaging. J Magn Reson Imaging 25:644–652PubMed
27.
Zurück zum Zitat Chang HC, Juan CJ, Chiu HC et al (2013) Parotid fat contents in healthy subjects evaluated with iterative decomposition with echo asymmetry and least squares fat-water separation. Radiology 267:918–923PubMedCrossRef Chang HC, Juan CJ, Chiu HC et al (2013) Parotid fat contents in healthy subjects evaluated with iterative decomposition with echo asymmetry and least squares fat-water separation. Radiology 267:918–923PubMedCrossRef
28.
Zurück zum Zitat Elison JM, Leggitt VL, Thomson M, Oyoyo U, Wycliffe ND (2008) Influence of common orthodontic appliances on the diagnostic quality of cranial magnetic resonance images. Am J Orthod Dentofacial Orthop 134:563–572PubMedCrossRef Elison JM, Leggitt VL, Thomson M, Oyoyo U, Wycliffe ND (2008) Influence of common orthodontic appliances on the diagnostic quality of cranial magnetic resonance images. Am J Orthod Dentofacial Orthop 134:563–572PubMedCrossRef
29.
Zurück zum Zitat Yu H, Reeder SB, Shimakawa A, Brittain JH, Pelc NJ (2005) Field map estimation with a region growing scheme for iterative 3-point water-fat decomposition. Magn Reson Med 54:1032–1039PubMedCrossRef Yu H, Reeder SB, Shimakawa A, Brittain JH, Pelc NJ (2005) Field map estimation with a region growing scheme for iterative 3-point water-fat decomposition. Magn Reson Med 54:1032–1039PubMedCrossRef
30.
Zurück zum Zitat Wang FN, Huang TY, Lin FH et al (2005) PROPELLER EPI: an MRI technique suitable for diffusion tensor imaging at high field strength with reduced geometric distortions. Magn Reson Med 54:1232–1240PubMedCentralPubMedCrossRef Wang FN, Huang TY, Lin FH et al (2005) PROPELLER EPI: an MRI technique suitable for diffusion tensor imaging at high field strength with reduced geometric distortions. Magn Reson Med 54:1232–1240PubMedCentralPubMedCrossRef
31.
Zurück zum Zitat Ries T, Arndt C, Regier M et al (2008) Value of apparent diffusion coefficient calculation before and after gustatory stimulation in the diagnosis of acute or chronic parotitis. Eur Radiol 18:2251–2257PubMedCrossRef Ries T, Arndt C, Regier M et al (2008) Value of apparent diffusion coefficient calculation before and after gustatory stimulation in the diagnosis of acute or chronic parotitis. Eur Radiol 18:2251–2257PubMedCrossRef
32.
Zurück zum Zitat Anzai Y, Lufkin RB, Jabour BA, Hanafee WN (1992) Fat-suppression failure artifacts simulating pathology on frequency-selective fat-suppression MR images of the head and neck. AJNR 13:879–884PubMed Anzai Y, Lufkin RB, Jabour BA, Hanafee WN (1992) Fat-suppression failure artifacts simulating pathology on frequency-selective fat-suppression MR images of the head and neck. AJNR 13:879–884PubMed
33.
Zurück zum Zitat Streckfus C, Bigler L, O'Bryan T (2002) Aging and salivary cytokine concentrations as predictors of whole saliva flow rates among women: a preliminary study. Gerontology 48:282–288PubMedCrossRef Streckfus C, Bigler L, O'Bryan T (2002) Aging and salivary cytokine concentrations as predictors of whole saliva flow rates among women: a preliminary study. Gerontology 48:282–288PubMedCrossRef
34.
Zurück zum Zitat Yabuuchi H, Matsuo Y, Kamitani T et al (2008) Parotid gland tumors: can addition of diffusion-weighted MR imaging to dynamic contrast-enhanced MR imaging improve diagnostic accuracy in characterization? Radiology 249:909–916PubMedCrossRef Yabuuchi H, Matsuo Y, Kamitani T et al (2008) Parotid gland tumors: can addition of diffusion-weighted MR imaging to dynamic contrast-enhanced MR imaging improve diagnostic accuracy in characterization? Radiology 249:909–916PubMedCrossRef
35.
Zurück zum Zitat Attenberger UI, Runge VM, Stemmer A et al (2009) Diffusion weighted imaging: a comprehensive evaluation of a fast spin echo DWI sequence with BLADE (PROPELLER) k-space sampling at 3T, using a 32-channel head coil in acute brain ischemia. Invest Radiol 44:656–661PubMedCrossRef Attenberger UI, Runge VM, Stemmer A et al (2009) Diffusion weighted imaging: a comprehensive evaluation of a fast spin echo DWI sequence with BLADE (PROPELLER) k-space sampling at 3T, using a 32-channel head coil in acute brain ischemia. Invest Radiol 44:656–661PubMedCrossRef
36.
Zurück zum Zitat Chou MC, Huang TY, Chung HW, Hsieh TJ, Chang HC, Chen CY (2013) Q-ball imaging with PROPELLER EPI acquisition. NMR Biomed 26:1723–1732PubMedCrossRef Chou MC, Huang TY, Chung HW, Hsieh TJ, Chang HC, Chen CY (2013) Q-ball imaging with PROPELLER EPI acquisition. NMR Biomed 26:1723–1732PubMedCrossRef
37.
Zurück zum Zitat Bydder M, Yokoo T, Hamilton G et al (2008) Relaxation effects in the quantification of fat using gradient echo imaging. Magn Reson Imaging 26:347–359PubMedCentralPubMedCrossRef Bydder M, Yokoo T, Hamilton G et al (2008) Relaxation effects in the quantification of fat using gradient echo imaging. Magn Reson Imaging 26:347–359PubMedCentralPubMedCrossRef
38.
Zurück zum Zitat Liu CY, McKenzie CA, Yu H, Brittain JH, Reeder SB (2007) Fat quantification with IDEAL gradient echo imaging: correction of bias from T(1) and noise. Magn Reson Med 58:354–364PubMedCrossRef Liu CY, McKenzie CA, Yu H, Brittain JH, Reeder SB (2007) Fat quantification with IDEAL gradient echo imaging: correction of bias from T(1) and noise. Magn Reson Med 58:354–364PubMedCrossRef
39.
Zurück zum Zitat Yu H, Shimakawa A, McKenzie CA, Brodsky E, Brittain JH, Reeder SB (2008) Multiecho water-fat separation and simultaneous R2* estimation with multifrequency fat spectrum modeling. Magn Reson Med 60:1122–1134PubMedCentralPubMedCrossRef Yu H, Shimakawa A, McKenzie CA, Brodsky E, Brittain JH, Reeder SB (2008) Multiecho water-fat separation and simultaneous R2* estimation with multifrequency fat spectrum modeling. Magn Reson Med 60:1122–1134PubMedCentralPubMedCrossRef
Metadaten
Titel
Effects of gender, age, and body mass index on fat contents and apparent diffusion coefficients in healthy parotid glands: an MRI evaluation
verfasst von
Hing-Chiu Chang
Chun-Jung Juan
Hui-Chu Chiu
Cheng-Chieh Cheng
Su-Chin Chiu
Yi-Jui Liu
Hsiao-Wen Chung
Hsian-He Hsu
Publikationsdatum
01.09.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 9/2014
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-014-3265-z

Weitere Artikel der Ausgabe 9/2014

European Radiology 9/2014 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.