Skip to main content
Erschienen in: Oral Radiology 2/2019

03.11.2018 | Review Article

Sonographic diagnosis in the head and neck region: from an educational lecture presented at the 56th General Assembly and Annual Scientific Congress of the Japanese Society for Oral and Maxillofacial Radiology

verfasst von: Mayumi Shimizu, Warangkana Weerawanich

Erschienen in: Oral Radiology | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Sonography is a simple, inexpensive, and non-invasive diagnostic modality. Although tissues behind bony structures and deep tissues are not delineated, sonography can depict superficial soft tissues very clearly. In the head and neck region, however, it has not yet been used widely, as the anatomical structures are complicated, and considerable experience is needed both to perform an examination and to make a diagnosis. To perform examinations efficiently, operators must be familiar with the sonographic system in use, and take images at standard planes. To make a correct diagnosis, operators require knowledge of the sonographic anatomy on standard planes, representative sonographic signs and artifacts, and common diseases and their typical sonographic findings. In this paper, we have explained the sonographic anatomy on standard planes, and the sonographic findings of common diseases in the oral and maxillofacial region.
Literatur
3.
Zurück zum Zitat Baker JA, Soo MS, Rosen EL. Artifacts and pitfalls in sonographic imaging of the breast. AJR Am J Roentgenol. 2001;176(5):1261–6.CrossRefPubMed Baker JA, Soo MS, Rosen EL. Artifacts and pitfalls in sonographic imaging of the breast. AJR Am J Roentgenol. 2001;176(5):1261–6.CrossRefPubMed
4.
Zurück zum Zitat Kiesler K, Gugatschka M, Friedrich G. Incidence and clinical relevance of herniation of the mylohyoid muscle with penetration of the sublingual gland. Eur Arch Otorhinolaryngol. 2007;264(9):1071–4 (Epub 2007 May 4).CrossRefPubMed Kiesler K, Gugatschka M, Friedrich G. Incidence and clinical relevance of herniation of the mylohyoid muscle with penetration of the sublingual gland. Eur Arch Otorhinolaryngol. 2007;264(9):1071–4 (Epub 2007 May 4).CrossRefPubMed
7.
Zurück zum Zitat Shimizu M, Ussmüller J, Hartwein J, Donath K, Kinukawa N. Statistical study for sonographic differential diagnosis of tumorous lesions in the parotid gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(2):226–33.CrossRefPubMed Shimizu M, Ussmüller J, Hartwein J, Donath K, Kinukawa N. Statistical study for sonographic differential diagnosis of tumorous lesions in the parotid gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(2):226–33.CrossRefPubMed
8.
Zurück zum Zitat Shimizu M, Ussmüller J, Hartwein J, Donath K. A comparative study of sonographic and histopathologic findings of tumorous lesions in the parotid gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(6):723–37.CrossRefPubMed Shimizu M, Ussmüller J, Hartwein J, Donath K. A comparative study of sonographic and histopathologic findings of tumorous lesions in the parotid gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(6):723–37.CrossRefPubMed
10.
Zurück zum Zitat Zhang L, Zhang ZY. Evaluation of the ultrasonographic features of salivary gland tumours. Chin J Dent Res. 2010;13(2):133–7.CrossRefPubMed Zhang L, Zhang ZY. Evaluation of the ultrasonographic features of salivary gland tumours. Chin J Dent Res. 2010;13(2):133–7.CrossRefPubMed
12.
Zurück zum Zitat Ariji Y, Kimura Y, Hayashi N, Onitsuka T, Yonetsu K, Hayashi K, et al. Power Doppler sonography of cervical lymph nodes in patients with head and neck cancer. AJNR Am J Neuroradiol. 1998;19(2):303–7.PubMed Ariji Y, Kimura Y, Hayashi N, Onitsuka T, Yonetsu K, Hayashi K, et al. Power Doppler sonography of cervical lymph nodes in patients with head and neck cancer. AJNR Am J Neuroradiol. 1998;19(2):303–7.PubMed
13.
Zurück zum Zitat Sato N, Kawabe R, Fujita K, Omura S. Differential diagnosis of cervical lymphadenopathy with intranodal color Doppler flow signals in patients with oral squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(4):482–8.CrossRefPubMed Sato N, Kawabe R, Fujita K, Omura S. Differential diagnosis of cervical lymphadenopathy with intranodal color Doppler flow signals in patients with oral squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(4):482–8.CrossRefPubMed
14.
Zurück zum Zitat Chikui T, Yonetsu K, Nakamura T. Multivariate feature analysis of sonographic findings of metastatic cervical lymph nodes: contribution of blood flow features revealed by power Doppler sonography for predicting metastasis. AJNR Am J Neuroradiol. 2000;21(3):561–7.PubMed Chikui T, Yonetsu K, Nakamura T. Multivariate feature analysis of sonographic findings of metastatic cervical lymph nodes: contribution of blood flow features revealed by power Doppler sonography for predicting metastasis. AJNR Am J Neuroradiol. 2000;21(3):561–7.PubMed
15.
Zurück zum Zitat Yonetsu K, Sumi M, Izumi M, Ohki M, Eida S, Nakamura T. Contribution of doppler sonography blood flow information to the diagnosis of metastatic cervical nodes in patients with head and neck cancer: assessment in relation to anatomic levels of the neck. AJNR Am J Neuroradiol. 2001;22(1):163–9.PubMed Yonetsu K, Sumi M, Izumi M, Ohki M, Eida S, Nakamura T. Contribution of doppler sonography blood flow information to the diagnosis of metastatic cervical nodes in patients with head and neck cancer: assessment in relation to anatomic levels of the neck. AJNR Am J Neuroradiol. 2001;22(1):163–9.PubMed
16.
Zurück zum Zitat Chikui T, Yuasa K, Maemura S, Kanda S. Change of angiostructure and hemodynamics in lymph node metastases in rabbits. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(3):350–7.CrossRefPubMed Chikui T, Yuasa K, Maemura S, Kanda S. Change of angiostructure and hemodynamics in lymph node metastases in rabbits. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(3):350–7.CrossRefPubMed
17.
Zurück zum Zitat Ahuja AT, Ying M. Sonographic evaluation of cervical lymph nodes. AJR Am J Roentgenol. 2005;184(5):1691–9.CrossRefPubMed Ahuja AT, Ying M. Sonographic evaluation of cervical lymph nodes. AJR Am J Roentgenol. 2005;184(5):1691–9.CrossRefPubMed
18.
Zurück zum Zitat Chang DB, Yuan A, Yu CJ, Luh KT, Kuo SH, Yang PC. Differentiation of benign and malignant cervical lymph nodes with color Doppler sonography. AJR Am J Roentgenol. 1994;162(4):965–8.CrossRefPubMed Chang DB, Yuan A, Yu CJ, Luh KT, Kuo SH, Yang PC. Differentiation of benign and malignant cervical lymph nodes with color Doppler sonography. AJR Am J Roentgenol. 1994;162(4):965–8.CrossRefPubMed
19.
Zurück zum Zitat Na DG, Lim HK, Byun HS, Kim HD, Ko YH, Baek JH. Differential diagnosis of cervical lymphadenopathy: usefulness of color Doppler sonography. AJR Am J Roentgenol. 1997;168(5):1311–6.CrossRefPubMed Na DG, Lim HK, Byun HS, Kim HD, Ko YH, Baek JH. Differential diagnosis of cervical lymphadenopathy: usefulness of color Doppler sonography. AJR Am J Roentgenol. 1997;168(5):1311–6.CrossRefPubMed
20.
Zurück zum Zitat Scholbach T, Scholbach J, Krombach GA, Gagel B, Maneschi P, Di Martino E. New method of dynamic color doppler signal quantification in metastatic lymph nodes compared to direct polarographic measurements of tissue oxygenation. Int J Cancer. 2005;114(6):957–62.CrossRefPubMed Scholbach T, Scholbach J, Krombach GA, Gagel B, Maneschi P, Di Martino E. New method of dynamic color doppler signal quantification in metastatic lymph nodes compared to direct polarographic measurements of tissue oxygenation. Int J Cancer. 2005;114(6):957–62.CrossRefPubMed
21.
Zurück zum Zitat Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Hiraoka M, et al. Cervical lymph node metastases: diagnosis at sonoelastography—initial experience. Radiology. 2007;243(1):258–67 (Epub 2007 Feb 9).CrossRefPubMed Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Hiraoka M, et al. Cervical lymph node metastases: diagnosis at sonoelastography—initial experience. Radiology. 2007;243(1):258–67 (Epub 2007 Feb 9).CrossRefPubMed
25.
Zurück zum Zitat Sumi M, Ohki M, Nakamura T. Comparison of sonography and CT for differentiating benign from malignant cervical lymph nodes in patients with squamous cell carcinoma of the head and neck. AJR Am J Roentgenol. 2001;176(4):1019–24.CrossRefPubMed Sumi M, Ohki M, Nakamura T. Comparison of sonography and CT for differentiating benign from malignant cervical lymph nodes in patients with squamous cell carcinoma of the head and neck. AJR Am J Roentgenol. 2001;176(4):1019–24.CrossRefPubMed
26.
Zurück zum Zitat Chaukar D, Dandekar M, Kane S, Arya S, Purandare N, Rangarajan V, et al. Relative value of ultrasound, computed tomography and positron emission tomography imaging in the clinically node-negative neck in oral cancer. Asia Pac J Clin Oncol. 2016;12(2):e332–8. https://doi.org/10.1111/ajco.12255 (Epub 2014 Aug 17).CrossRefPubMed Chaukar D, Dandekar M, Kane S, Arya S, Purandare N, Rangarajan V, et al. Relative value of ultrasound, computed tomography and positron emission tomography imaging in the clinically node-negative neck in oral cancer. Asia Pac J Clin Oncol. 2016;12(2):e332–8. https://​doi.​org/​10.​1111/​ajco.​12255 (Epub 2014 Aug 17).CrossRefPubMed
27.
28.
Zurück zum Zitat Yuasa K, Kawazu T, Nagata T, Kanda S, Ohishi M, Shirasuna K. Computed tomography and ultrasonography of metastatic cervical lymph nodes in oral squamous cell carcinoma. Dentomaxillofac Radiol. 2000;29(4):238–44.CrossRefPubMed Yuasa K, Kawazu T, Nagata T, Kanda S, Ohishi M, Shirasuna K. Computed tomography and ultrasonography of metastatic cervical lymph nodes in oral squamous cell carcinoma. Dentomaxillofac Radiol. 2000;29(4):238–44.CrossRefPubMed
29.
Zurück zum Zitat Shi C, Li S, Shi T, Liu B, Ding C, Qin H. Correlation between thyroid nodule calcification morphology on ultrasound and thyroid carcinoma. J Int Med Res. 2012;40(1):350–7.CrossRefPubMed Shi C, Li S, Shi T, Liu B, Ding C, Qin H. Correlation between thyroid nodule calcification morphology on ultrasound and thyroid carcinoma. J Int Med Res. 2012;40(1):350–7.CrossRefPubMed
30.
Zurück zum Zitat Yoo YH, Kim JA, Son EJ, Youk JH, Kwak JY, Kim EK, et al. Sonographic findings predictive of central lymph node metastasis in patients with papillary thyroid carcinoma: influence of associated chronic lymphocytic thyroiditis on the diagnostic performance of sonography. J Ultrasound Med. 2013;32(12):2145–51. https://doi.org/10.7863/ultra.32.12.2145.CrossRefPubMed Yoo YH, Kim JA, Son EJ, Youk JH, Kwak JY, Kim EK, et al. Sonographic findings predictive of central lymph node metastasis in patients with papillary thyroid carcinoma: influence of associated chronic lymphocytic thyroiditis on the diagnostic performance of sonography. J Ultrasound Med. 2013;32(12):2145–51. https://​doi.​org/​10.​7863/​ultra.​32.​12.​2145.CrossRefPubMed
36.
Zurück zum Zitat Shimizu M, Tokumori K, Saitoh M, Miwa K, Yoshiura K, Kanda S. Sonographic analysis of rat submandibular glands in experimentally-induced sialadenitis. Dentomaxillofac Radiol. 2000;29(2):90–6.CrossRefPubMed Shimizu M, Tokumori K, Saitoh M, Miwa K, Yoshiura K, Kanda S. Sonographic analysis of rat submandibular glands in experimentally-induced sialadenitis. Dentomaxillofac Radiol. 2000;29(2):90–6.CrossRefPubMed
37.
Zurück zum Zitat Gritzmann N, Rettenbacher T, Hollerweger A, Macheiner P, Hübner E. Sonography of the salivary glands. Eur Radiol. 2003;13(5):964–75 (Epub 2002 Sep 5).PubMed Gritzmann N, Rettenbacher T, Hollerweger A, Macheiner P, Hübner E. Sonography of the salivary glands. Eur Radiol. 2003;13(5):964–75 (Epub 2002 Sep 5).PubMed
38.
Zurück zum Zitat Bialek EJ, Jakubowski W, Zajkowski P, Szopinski KT, Osmolski A. US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls. Radiographics. 2006;26(3):745–63.CrossRefPubMed Bialek EJ, Jakubowski W, Zajkowski P, Szopinski KT, Osmolski A. US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls. Radiographics. 2006;26(3):745–63.CrossRefPubMed
39.
Zurück zum Zitat Takashima S, Morimoto S, Tomiyama N, Takeuchi N, Ikezoe J, Kozuka T. Sjogren syndrome: comparison of sialography and ultrasonography. J Clin Ultrasound. 1992;20(2):99–109.CrossRefPubMed Takashima S, Morimoto S, Tomiyama N, Takeuchi N, Ikezoe J, Kozuka T. Sjogren syndrome: comparison of sialography and ultrasonography. J Clin Ultrasound. 1992;20(2):99–109.CrossRefPubMed
40.
Zurück zum Zitat Ariji Y, Ohki M, Eguchi K, Izumi M, Ariji E, Mizokami A, et al. Texture analysis of sonographic features of the parotid gland in Sjögren’s syndrome. AJR Am J Roentgenol. 1996;166(4):935–41.CrossRefPubMed Ariji Y, Ohki M, Eguchi K, Izumi M, Ariji E, Mizokami A, et al. Texture analysis of sonographic features of the parotid gland in Sjögren’s syndrome. AJR Am J Roentgenol. 1996;166(4):935–41.CrossRefPubMed
41.
Zurück zum Zitat Yoshiura K, Yuasa K, Tabata O, Araki K, Yonetsu K, Nakayama E, et al. Reliability of ultrasonography and sialography in the diagnosis of Sjögren’s syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(3):400–7.CrossRefPubMed Yoshiura K, Yuasa K, Tabata O, Araki K, Yonetsu K, Nakayama E, et al. Reliability of ultrasonography and sialography in the diagnosis of Sjögren’s syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(3):400–7.CrossRefPubMed
42.
Zurück zum Zitat Shimizu M, Okamura K, Yoshiura K, Ohyama Y, Nakamura S, Kinukawa N. Sonographic diagnostic criteria for screening Sjögren’s syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(1):85–93 (Epub 2006 Apr 17).CrossRefPubMed Shimizu M, Okamura K, Yoshiura K, Ohyama Y, Nakamura S, Kinukawa N. Sonographic diagnostic criteria for screening Sjögren’s syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(1):85–93 (Epub 2006 Apr 17).CrossRefPubMed
47.
Zurück zum Zitat Shimizu M, Ussmüller J, Donath K, Yoshiura K, Ban S, Kanda S, et al. Sonographic analysis of recurrent parotitis in children: a comparative study with sialographic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(5):606–15.CrossRefPubMed Shimizu M, Ussmüller J, Donath K, Yoshiura K, Ban S, Kanda S, et al. Sonographic analysis of recurrent parotitis in children: a comparative study with sialographic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(5):606–15.CrossRefPubMed
51.
Zurück zum Zitat Goto TK, Yoshiura K, Nakayama E, Yuasa K, Tabata O, Nakano T, et al. The combined use of US and MR imaging for the diagnosis of masses in the parotid region. Acta Radiol. 2001;42(1):88–95.CrossRefPubMed Goto TK, Yoshiura K, Nakayama E, Yuasa K, Tabata O, Nakano T, et al. The combined use of US and MR imaging for the diagnosis of masses in the parotid region. Acta Radiol. 2001;42(1):88–95.CrossRefPubMed
53.
Zurück zum Zitat Tsushima Y, Matsumoto M, Endo K, Aihara T, Nakajima T. Characteristic bright signal of parotid pleomorphic adenomas on T2-weighted MR images with pathological correlation. Clin Radiol. 1994;49(7):485–9.CrossRefPubMed Tsushima Y, Matsumoto M, Endo K, Aihara T, Nakajima T. Characteristic bright signal of parotid pleomorphic adenomas on T2-weighted MR images with pathological correlation. Clin Radiol. 1994;49(7):485–9.CrossRefPubMed
55.
Zurück zum Zitat Keng CY, Lan HHC, Chen CCC, Gueng MK, Su YG, Lee SK. Soft tissue hemangiomas: high-resolution grayscale and color doppler ultrasonographic features in 43 patients. J Med Ultrasound. 2008;16(3):223–30.CrossRef Keng CY, Lan HHC, Chen CCC, Gueng MK, Su YG, Lee SK. Soft tissue hemangiomas: high-resolution grayscale and color doppler ultrasonographic features in 43 patients. J Med Ultrasound. 2008;16(3):223–30.CrossRef
56.
Zurück zum Zitat Glasier CM, Seibert JJ, Williamson SL, Seibert RW, Corbitt SL, Rodgers AB, et al. High resolution ultrasound characterization of soft tissue masses in children. Pediatr Radiol. 1987;17(3):233–7.CrossRefPubMed Glasier CM, Seibert JJ, Williamson SL, Seibert RW, Corbitt SL, Rodgers AB, et al. High resolution ultrasound characterization of soft tissue masses in children. Pediatr Radiol. 1987;17(3):233–7.CrossRefPubMed
59.
Zurück zum Zitat Kutuya N, Kurosaki Y. Sonographic assessment of thyroglossal duct cysts in children. J Ultrasound Med. 2008;27(8):1211–9.CrossRefPubMed Kutuya N, Kurosaki Y. Sonographic assessment of thyroglossal duct cysts in children. J Ultrasound Med. 2008;27(8):1211–9.CrossRefPubMed
61.
Zurück zum Zitat Adhikari S, Blaivas M. Sonography first for subcutaneous abscess and cellulitis evaluation. J Ultrasound Med. 2012;31(10):1509–12.CrossRefPubMed Adhikari S, Blaivas M. Sonography first for subcutaneous abscess and cellulitis evaluation. J Ultrasound Med. 2012;31(10):1509–12.CrossRefPubMed
Metadaten
Titel
Sonographic diagnosis in the head and neck region: from an educational lecture presented at the 56th General Assembly and Annual Scientific Congress of the Japanese Society for Oral and Maxillofacial Radiology
verfasst von
Mayumi Shimizu
Warangkana Weerawanich
Publikationsdatum
03.11.2018
Verlag
Springer Singapore
Erschienen in
Oral Radiology / Ausgabe 2/2019
Print ISSN: 0911-6028
Elektronische ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-018-0353-9

Weitere Artikel der Ausgabe 2/2019

Oral Radiology 2/2019 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.