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

ABSTRACT Background Modern 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 ima...

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Main Authors: J. Le Guevelou, X. Palard‐Novello, E. Kammerer, M. Baty, M. Perazzi, A. Larnaudie, R. De Crevoisier, J. Castelli
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70494
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author J. Le Guevelou
X. Palard‐Novello
E. Kammerer
M. Baty
M. Perazzi
A. Larnaudie
R. De Crevoisier
J. Castelli
author_facet J. Le Guevelou
X. Palard‐Novello
E. Kammerer
M. Baty
M. Perazzi
A. Larnaudie
R. De Crevoisier
J. Castelli
author_sort J. Le Guevelou
collection DOAJ
description ABSTRACT Background Modern 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). Methods A systematic review of the literature was performed using successively the MeSH terms “PET,” “MRI,” “scintigraphy,” “xerostomia,” and “radiotherapy.” Results Salivary 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. Conclusions Modern 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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spelling doaj-art-08b53fea7a1542a2965442926abe1cc92025-01-20T10:51:32ZengWileyCancer Medicine2045-76342024-12-011324n/an/a10.1002/cam4.70494Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic ReviewJ. Le Guevelou0X. Palard‐Novello1E. Kammerer2M. Baty3M. Perazzi4A. Larnaudie5R. De Crevoisier6J. Castelli7Department of Radiotherapy Centre Eugène Marquis Rennes FranceDepartment of Nuclear Medicine Centre Eugène Marquis Rennes FranceDepartment of Radiotherapy Centre Eugène Marquis Rennes FranceDepartment of Radiotherapy Centre Eugène Marquis Rennes FranceDepartment of Radiotherapy Centre Eugène Marquis Rennes FranceDepartment of Radiotherapy Centre François Baclesse Caen FranceDepartment of Radiotherapy Centre Eugène Marquis Rennes FranceDepartment of Radiotherapy Centre Eugène Marquis Rennes FranceABSTRACT Background Modern 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). Methods A systematic review of the literature was performed using successively the MeSH terms “PET,” “MRI,” “scintigraphy,” “xerostomia,” and “radiotherapy.” Results Salivary 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. Conclusions Modern 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.https://doi.org/10.1002/cam4.70494head and neck cancerMRIPET/CTradiotherapysalivary glandxerostomia
spellingShingle J. Le Guevelou
X. Palard‐Novello
E. Kammerer
M. Baty
M. Perazzi
A. Larnaudie
R. De Crevoisier
J. Castelli
Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic Review
Cancer Medicine
head and neck cancer
MRI
PET/CT
radiotherapy
salivary gland
xerostomia
title Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic Review
title_full Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic Review
title_fullStr Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic Review
title_full_unstemmed Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic Review
title_short Assessment and Prediction of Salivary Gland Function After Head and Neck Radiotherapy: A Systematic Review
title_sort assessment and prediction of salivary gland function after head and neck radiotherapy a systematic review
topic head and neck cancer
MRI
PET/CT
radiotherapy
salivary gland
xerostomia
url https://doi.org/10.1002/cam4.70494
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