Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic Review

被引:0
作者
Le Guevelou, J. [1 ]
Palard-Novello, X. [2 ]
Kammerer, E. [1 ]
Baty, M. [1 ]
Perazzi, M. [1 ]
Larnaudie, A. [3 ]
De Crevoisier, R. [1 ]
Castelli, J. [1 ]
机构
[1] Ctr Eugene Marquis, Dept Radiotherapy, Rennes, France
[2] Ctr Eugene Marquis, Dept Nucl Med, Rennes, France
[3] Ctr Francois Baclesse, Dept Radiotherapy, Caen, France
来源
CANCER MEDICINE | 2024年 / 13卷 / 24期
关键词
head and neck cancer; MRI; PET/CT; radiotherapy; salivary gland; xerostomia; INTENSITY-MODULATED RADIOTHERAPY; RADIATION-INDUCED XEROSTOMIA; METABOLIC IMAGING BIOMARKERS; PAROTID-GLAND; CANCER-PATIENTS; THERAPY; SIALOGRAPHY; DAMAGE;
D O I
10.1002/cam4.70494
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundModern imaging techniques with magnetic resonance imaging (MRI) or positron emission tomography/computed tomography (PET/CT) have recently been developed to assess radiation-induced damage to salivary structures. The primary aim of this review was to summarize evidence on the imaging modalities used for the assessment and prediction of xerostomia after head and neck radiotherapy (RT).MethodsA systematic review of the literature was performed using successively the MeSH terms "PET," "MRI," "scintigraphy," "xerostomia," and "radiotherapy."ResultsSalivary excretion flow following head and neck RT is correlated with the dose delivered to both parotid and submandibular glands. Salivary gland standardized uptake value extracted from PET/CT following RT has been shown to be correlated with SEF. Models including early SUV decline or ADC increase during RT and clinical parameters can help predict the loss of salivary function after RT.ConclusionsModern imaging parameters appear to be correlated with salivary gland scintigraphy parameters. Models including functional parameters extracted from either PET/CT or MRI unveil new possibilities for adaptive treatment in a selected population of patients.
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页数:16
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