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Is salivary gland ultrasonography a useful tool in Sjögren's syndrome? A systematic review.

Sandrine Jousse-Joulin 1, 2 Vera Milic 3 Malin V Jonsson 4 Athena Plagou 5 Elke Theander 6 Nicoletta Luciano 7 Pascale Rachele 7 Chiara Baldini 8 Hendrika Bootsma 9 Arjan Vissink 10 Alojzija Hocevar 11 Salvatore de Vita 12 Athanasios G Tzioufas 5 Zarin Alavi 13 Simon J Bowman 14 Valerie Devauchelle-Pensec 2, 1
1 CHU - BREST - Rhumato - CHRU Brest - Service de Rhumatologie
2 EA2216 - Immunologie et Pathologie
3 Institute of Rheumatology
4 Center for Research on Embedded Systems
5 Department of Pathophysiology, Medical School, University of Athens
6 Dep Rheumato - Malmo - SUEDE - Department of Rheumatology
7 CMC Esculapio - PISE - Centro Medico Chirurgico Esculapio
8 Rheum Unit - PISA - Rheumatology Unit
9 Dep Rheum - GRONINGEN - Department of Rheumatology and Clinical Immunology Groningen
10 Dep Oral and Maxillofacial Surgery - GRONINGEN - Department of Oral & Maxillofacial Surgery & Maxillofacial Prosthetics
11 Dep Rheumato - Ljubljana - SLOVENIE - Department of Rheumatology
12 University of Udine and University Hospital of Udine
13 CIC - Brest - Centre d'Investigation Clinique
14 NQEH - BIRMINGHAM - New Queen Elizabeth Hospital
Abstract : Ultrasonography (US) is a sensitive tool in the diagnosis of major salivary gland abnormalities in primary Sjögren's syndrome (pSS). The aim of this systematic review was to assess the metric properties of this technique. PUBMED and EMBASE databases were searched. All publications between January 1988 and January 2013 were considered. Data were extracted from the articles meeting the inclusion criteria according to US definition of salivary gland scoring system and metric properties studied. The type and number of glands tested, study design and metric properties according to OMERACT filter (truth, discrimination, feasibility) were assessed. Of 167 publications identified initially with PUBMED and EMBASE, 31 met the inclusion criteria. The number of pSS patients varied among the studies from 16 to 140. The diagnosis of pSS was in line in most of the cases with the American-European Consensus Group (AECG) classification criteria for Sjögren's syndrome. The US examination was performed in suspected pSS only in studies in which the sensitivity ranged from 45.8 to 91.6% and specificity from 73 to 98.1%. There was heterogeneity in regard to the definition of US in B-mode and few studies used US in colour Doppler. Few studies reported reliability of US and sensitivity to change in pSS. US is a valuable tool for detecting salivary gland abnormalities in pSS. Its reliability has been poorly investigated and there is considerable variation in the definition of US abnormalities. Further studies are required to validate and standardize the US definition of salivary gland in pSS.
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https://hal.univ-brest.fr/hal-01272813
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Submitted on : Thursday, February 11, 2016 - 1:53:26 PM
Last modification on : Monday, October 11, 2021 - 2:23:09 PM

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Sandrine Jousse-Joulin, Vera Milic, Malin V Jonsson, Athena Plagou, Elke Theander, et al.. Is salivary gland ultrasonography a useful tool in Sjögren's syndrome? A systematic review.. Rheumatology, Oxford University Press (OUP), 2015, ⟨10.1093/rheumatology/kev385⟩. ⟨hal-01272813⟩

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