Diagnostic Imaging Pathways - Salivary Gland Swelling
Population Covered By The Guidance
This pathway provides guidance on the imaging of adult patients with salivary gland swelling.
Date reviewed: January 2012
Date of next review: January 2015
Quick User Guide
Move the mouse cursor over the PINK text boxes inside the flow chart to bring up a pop up box with salient points.
Clicking on the PINK text box will bring up the full text.
The relative radiation level (RRL) of each imaging investigation is displayed in the pop up box.
|SYMBOL||RRL||EFFECTIVE DOSE RANGE|
|Minimal||< 1 millisieverts|
- Ultrasound is the initial imaging modality in suspected salivary gland disease
- In suspected sialolithiasis, MR sialography is the prefered non-invasive investigation for further assessment of salivary gland calculi
- With a salivary gland mass, CT or MRI can be used for further investigation
- Murray ME, Buckenham TM, Joseph AEA. The role of ultrasound in screening patients referred for sialography: a possible protocol. Clin Otolaryngol Allied Sci. 1996;21:21-3. (Level III evidence)
- Gritzmann N. Sonography of the salivary glands. AJR Am J Roentgenol. 1989;153:161-6. (Level III evidence)
- Jager L, Menauer F, Holzknecht N, et al. Sialolithiasis: MR sialography of the submandibular duct - an alternative to conventional sialography and US? Radiology. 2000;216:665-71. (Level II evidence) Click here to view reference
- Yousem DM, Kraut MA, Chalian AA. Major salivary gland imaging. Radiology. 2000;216:19-29. (Review article)
- Casselman JW, Mancuso AA. Major salivary gland masses: comparison of MR imaging and CT. Radiology. 1987;165:183-9. (Level III evidence)
- Bryan RN, Miller RH, Ferreyro RI, et al. Computed tomography of the major salivary glands. AJR Am J Roentgenol. 1982;139:547-54. (Level III evidence)
- Avrahami E, Englender M, Chen E, et al. CT of submandibular gland sialolithiasis. Neuroradiology. 1996;38:287-90. (Level II/III evidence)
- Choi DS, Na DG, Byun HS, et al. Salivary gland tumors: evaluation with two-phase helical CT. Radiology. 2000;214:231-6. (Level II/III evidence)
- Berg HM, Jacobs JB, Kaufman D, et al. Correlation of fine needle aspiration biopsy and CT scanning of parotid masses. Laryngoscope. 1986;96:1357-62. (Level III evidence)
- Kaneda T, Minami M, Ozawa K, et al. Imaging tumors of the minor salivary glands. Oral Surg Oral Med Oral Pathol. 1994;77:385-90. (Level IV evidence)
- Silvers AR, Som PM. Salivary glands. Radiol Clin North Am. 1998;36(5):941-66. (Review article)
- Buckenham TM, George CD, McVicar D, et al. Digital sialography: imaging and intervention. Br J Radiol. 1994;67:524-9. (Level II/III evidence)
- Becker M, Marchal F, Becker CD, et al. Sialolithiasis and salivary ductal stenosis: diagnostic accuracy of MR sialography with a three-dimensional extended-phase conjugate-symmetry rapid spin-echo sequence. Radiology. 2000;217:347-58. (Level II evidence) Click here to view reference
- Sack MJ, Weber RS, Weinstein GS, et al. Image-guided fine-needle aspiration of the head and neck: five years' experience. Arch Otolaryngol Head Neck Surg. 1998;124:1155-61. (Level III evidence)
- Yousem DM, Sack MJ, Weinstein GS, et al. Computed tomography-guided aspirations of parapharyngeal and skull base masses. Skull Base Surg. 1995;5:131-6. (Level III evidence)
- Thoeny H C. Imaging of salivary gland tumours. Cancer Imaging. 2007;7(1):52-62. (Review article)
- Lee YY, Wong KT, King AD, Ahuja AT. Imaging of salivary gland tumours. Eur J Radiol. 2008;66(3):419-36. (Review article)
- Parker GD, Harnsberger HR. Clinical-radiologic issues in perineural tumor spread of malignant diseases of the extracranial head and neck. Radiographics. 1991;11(3):383-99. (Level III evidence)
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