Kroll T, Helbig M, Klussmann J-P, Wittekindt C
Justus-Liebig-Universität Gießen, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf-Halschirurgie und Plastische Operationen des Universitätsklinikums Gießen & Marburg, Standort Gießen.
Laryngorhinootologie. 2012 Apr;91(4):229-32. doi: 10.1055/s-0031-1279710. Epub 2011 Jul 4.
Several methods are well established for the imaging of salivary glands. Excluding the invasive method sialendoscopy all other methods show the salivary duct system inadequately. The aim of this study is to demonstrate a method to visualize the salivary duct system by B-mode ultrasound.
In 10 parotid glands of common pig cadavers the ultrasound contrast agent Levovist (®), which is galactose stabilized by palmitic acid was applied into the main salivary ducts while simultaneously performing a transcutaneous B-mode ultrasound.
In all cadavers a visualization of the salivary duct system could be achieved by the application of Levovist (®) because of contrast enhancement. This effect arises as a result of an increased reflection of ultrasound waves on the surface of the microbubbles contained in the contrast agent.
A reproducible visualization of the salivary duct system with B-mode ultrasound is possible by an intraductal application of an ultrasound contrast agent. In future this could be established as a reliable and fast method for imaging of the salivary ducts without ionizing radiation for the patient.
唾液腺成像已有多种成熟方法。除了侵入性方法唾液腺内镜检查外,其他方法对唾液腺导管系统的显示都不够充分。本研究的目的是展示一种通过B超可视化唾液腺导管系统的方法。
在10具普通猪尸体的腮腺中,将由棕榈酸稳定的半乳糖超声造影剂声诺维(®)注入主要唾液腺导管,同时进行经皮B超检查。
在所有尸体中,由于造影增强,应用声诺维(®)可实现唾液腺导管系统的可视化。这种效果是由于造影剂中所含微泡表面对超声波的反射增加所致。
通过导管内应用超声造影剂,利用B超可实现唾液腺导管系统的可重复性可视化。未来,这有望成为一种可靠、快速的唾液腺导管成像方法,且患者无需接受电离辐射。