[The value of MRS in diagnosis of Sjoigren's syndrome in parotid gland].
OBJECTIVE
The purpose of this study is to evaluate the value of MR sialography in diagnosis of Sjoigren's syndrome in parotid gland.


METHODS
MRI and MRS were used to diagnose Sjoigren's symdrome and differentiate with other disease combined with clinical, serologic and histopathologic result. Meanwhile, the result of MRS was compared with sialograph.


RESULTS
25 cases were ultimately diagnosed as Sjoigren's syndrome among 32 cases by clinical, serologic, histopathologic and sialography or MRS method. 23 cases were presented typical image in MRS, and sensitivity was 92%; specificity 71.4% and accuracy 87.5%. Other different manifestations were found in 25 cases, such as: autoantibody 68%, focui lymphocytic infiltration 72%. 18 cases have the positive results between MRS and sialography and 15 cases (83.3%) have the same manifestations by degree classification.


CONCLUSIONS
The Sjoigren's syndrome can be confirmed by clinical, serologic, histopathologic, and MRS or sialography. MRS is a reliable method to diagnosis and differentiated diagnose Sjoigren's syndrome with other disease.
Department of Oral and Maxillofacial Surgery, College of Stomatology,Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China. ycq616@hotmail.com
Chuang-qi
CQ
Yu
Ling-yan
LY
Zheng
Jun
J
Zhang
D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D010306:Parotid Gland / Q000473:pathology*; D012680:Sensitivity and Specificity; D012796:Sialography; D012859:Sjogren's Syndrome / Q000175:diagnosis*