Quantitative evaluation of parotid gland dysfunction in patients with hyposalivation using magnetic resonance imaging mapping technique

Abstract Objective This study aimed to assess the feasibility of quantitative magnetic resonance imaging (MRI) employing the multi-dynamic multi-echo (MDME) technique as a diagnostic modality for evaluating glandular dysfunction in patients with hyposalivation. Methods The MDME technique generated T...

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Bibliographic Details
Main Authors: Chena Lee, Ari Lee, Yoon Joo Choi, Sang-Sun Han, Hee Woo Cho, Kug Jin Jeon
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05873-y
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Summary:Abstract Objective This study aimed to assess the feasibility of quantitative magnetic resonance imaging (MRI) employing the multi-dynamic multi-echo (MDME) technique as a diagnostic modality for evaluating glandular dysfunction in patients with hyposalivation. Methods The MDME technique generated T1, T2, and proton density (PD) maps of the parotid gland, allowing for the simultaneous acquisition of values from the respective mappings. The Mann–Whitney U-test was used to compare the hyposalivation and control groups, and receiver operating characteristic (ROC) curve analysis was performed. Results A total of 71 patients who underwent MDME MRI were reviewed and categorized into hyposalivation patients (n = 32) and healthy controls (n = 25). The average T1, T2 and PD value of the gland in the hyposalivation group were 606.92 ms, 91.85 ms, and 82.52 pu, respectively, whereas those in the control group were 628.08 ms, 80.69 ms, and 91.12 pu, respectively. The T2 and PD values were significantly different between the hyposalivation and control groups. The cut-off T2 value was 85.75 ms (AUC = 0.8131, p < 0.0001) and the cut-off PD value was 81.55 pu (AUC = 0.7588, p = 0.0009). Conclusions T2 and PD values derived from the MDME technique demonstrated strong potential for detecting parotid gland dysfunction in hyposalivation patients. These findings suggest that MDME-based quantitative MRI mapping shows promise in evaluating hyposalivation of the parotid gland and could become a valuable diagnostic tool in clinical settings.
ISSN:1472-6831