Power Doppler ultrasound-guided sialography using the phenomenon of increased blood flow: A technical report
오송희, 서유경, 김규태, 최용석, 황의환,
소속 상세정보
오송희 ( Oh Song-Hee ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
서유경 ( Seo Yu-Kyeong ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
김규태 ( Kim Gyu-Tae ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
최용석 ( Choi Yong-Suk ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
황의환 ( Hwang Eui-Hwan ) - Kyung Hee University Graduate School Department of Oral and Maxillofacial Radiology
Abstract
Purpose: This report presents a procedure for performing power Doppler ultrasound-guided sialography using the phenomenon of increased blood flow and illustrates its application to practical patient cases.
Materials and Methods: The salivary gland was scanned using ultrasound equipment (GE LOGIQ5 Expert® device; GE Medical Systems, Milwaukee, WI, USA) to identify pathological findings related to the patient's chief complaint. To identify the orifice of the main duct, it should be cannulated using a lacrimal dilator. After inserting the catheter into the cannulated main duct, the position of the catheter within the duct was confirmed by ultrasound. A contrast agent was injected until the patient felt fullness, and ultrasound (B-mode) was used to confirm whether the contrast agent filled the main canal and secondary and tertiary ducts. Then, power Doppler ultrasound was performed to determine whether the salivary gland had increased blood flow.
Results: In 2 cases in this report, a power Doppler ultrasound scan showed a significant increase in blood flow after contrast medium injection, which was not observed on a preoperative scan.
Conclusion: Power Doppler ultrasound was found to be a simple, safe, and effective tool for real-time sialography monitoring.
키워드
Sialography; Ultrasonography; Vasodilation
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