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European Radiology

Erschienen in:

01.10.2015 | Head and Neck

Diagnostic utility of Acoustic Radiation Force Impulse (ARFI) imaging in primary Sjoegren`s syndrome

verfasst von: Andreas Knopf, Benedikt Hofauer, Klaus Thürmel, Reinhard Meier, Konrad Stock, Murat Bas, Naglaa Manour

Erschienen in: European Radiology | Ausgabe 10/2015

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Abstract

Objectives

The purpose of the study was to assess the diagnostic utility of acoustic radiation force impulse (ARFI) imaging in primary Sjögren’s syndrome (pSS).

Methods

One hundred fifty-seven patients with sicca symptoms and/or salivary gland swelling were included. Sicca symptoms, Schirmer test, unstimulated whole saliva (UWS), SS-A/B antibodies, and histology were assessed according to American-European Consensus group (AECG) criteria. All patients underwent high-resolution ultrasound and ARFI imaging of the parotid (PG) and submandibular glands (SMG).

Results

Seventy patients were classified as having pSS. The remaining 87 patients suffered from idiopathic sicca (n = 24), rheumatoid arthritis (n = 12), sarcoidosis (n = 9), cutaneous/systemic lupus erythematosus (n = 7), scleroderma (n = 2), dermatomyositis (n = 1), HBV/HCV (n = 2), and panarteritis nodosa (n = 1), and disorders in 29 patients were classified as not otherwise specified. ARFI values of the PG were significantly higher in the pSS versus non-pSS groups (2.86 ± 0.07 m/s vs. 2.15 ± 0.11 m/s, p < 0.0001). ARFI imaging demonstrated diagnostic sensitivity and specificity of 81 % and 67 %, respectively.

Conclusions

In addition to histology, ARFI imaging was the most important diagnostic tool for identifying early pSS.

Key points

• Early stages in Sjögren’s syndrome become apparent with major salivary gland enlargements.

• Schirmer and unstimulated whole saliva tests demonstrated insufficient sensitivity/specificity for early-stage diagnosis.

• Acoustic radiation force impulse imaging is a reliable tool for diagnosing early disease stages.

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Titel: Diagnostic utility of Acoustic Radiation Force Impulse (ARFI) imaging in primary Sjoegren`s syndrome
verfasst von: Andreas Knopf
Benedikt Hofauer
Klaus Thürmel
Reinhard Meier
Konrad Stock
Murat Bas
Naglaa Manour
Publikationsdatum: 01.10.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 10/2015
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-015-3705-4

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Diagnostic utility of Acoustic Radiation Force Impulse (ARFI) imaging in primary Sjoegren`s syndrome