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Research ArticleHEAD & NECK

Evaluating Instantaneous Perfusion Responses of Parotid Glands to Gustatory Stimulation Using High-Temporal-Resolution Echo-Planar Diffusion-Weighted Imaging

T.-W. Chiu, Y.-J. Liu, H.-C. Chang, Y.-H. Lee, J.-C. Lee, K. Hsu, C.-W. Wang, J.-M. Yang, H.-H. Hsu and C.-J. Juan
American Journal of Neuroradiology October 2016, 37 (10) 1909-1915; DOI: https://doi.org/10.3174/ajnr.A4852
T.-W. Chiu
aFrom the Departments of Radiology (T.-W.C., C.-W.W., H.-H.H., C.-J.J.)
cDepartment of Medicine (T.-W.C.), Taipei Medical University, Taipei, Taiwan
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Y.-J. Liu
cDepartment of Medicine (T.-W.C.), Taipei Medical University, Taipei, Taiwan
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H.-C. Chang
eDepartment of Diagnostic Radiology (H.-C.C.), The University of Hong Kong, Hong Kong
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Y.-H. Lee
cDepartment of Medicine (T.-W.C.), Taipei Medical University, Taipei, Taiwan
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J.-C. Lee
fDepartment of Otolaryngology-Head and Neck Surgery (J.-C.L.), Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
gDepartment of Biological Science and Technology (J.-C.L., J.-M.Y.), Institute of Bioinformatics and Systems Biology, National Chiao Tung University, Hsinchu, Taiwan
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K. Hsu
bDentistry (K.H.), National Defense Medical Center, Taipei, Taiwan
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C.-W. Wang
aFrom the Departments of Radiology (T.-W.C., C.-W.W., H.-H.H., C.-J.J.)
hDepartment of Radiology (C.-W.W., H.-H.H., C.-J.J.), Tri-Service General Hospital, Taipei, Taiwan.
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J.-M. Yang
gDepartment of Biological Science and Technology (J.-C.L., J.-M.Y.), Institute of Bioinformatics and Systems Biology, National Chiao Tung University, Hsinchu, Taiwan
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H.-H. Hsu
aFrom the Departments of Radiology (T.-W.C., C.-W.W., H.-H.H., C.-J.J.)
hDepartment of Radiology (C.-W.W., H.-H.H., C.-J.J.), Tri-Service General Hospital, Taipei, Taiwan.
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C.-J. Juan
aFrom the Departments of Radiology (T.-W.C., C.-W.W., H.-H.H., C.-J.J.)
hDepartment of Radiology (C.-W.W., H.-H.H., C.-J.J.), Tri-Service General Hospital, Taipei, Taiwan.
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    Fig 1.

    Demonstration of data acquisition and arrangement of DWI. A, The first 2 images were discarded. T2-weighted images (b0) and diffusion-weighted images (b200) were arranged alternatively for 75 dynamic scans. For DWI, diffusion gradients were applied along the x, y, and z axes periodically. B, Lemon juice was introduced into the oral cavity via a connecting tube at the 11th scan and swallowed at 21st scan. Figure 1B is courtesy of Cheng-Hsuan Juan.

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    Fig 2.

    Signal intensity–time curves before and after fifth-order Butterworth low-pass filtering on DWI (b200). High-frequency noises (gray peaks) are apparently reduced, while the trend of time-series data in response to gustatory stimulation is preserved. a.u. indicates arbitrary unit.

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    Fig 3.

    Magnetic susceptibility artifacts on T2WI and DWI. Mild distortion and signal loss involving the bilateral maxillary sinuses (stars) occur on all T2WI and DWI scans. During swallowing, the parotid glands are still free from artifacts, though more extensive artifacts involve the nasal cavity, oropharynx, and bilateral masticator spaces (circles). The anterior margins of the parotid glands are indicated by arrows. S indicates magnetic susceptibility artifact score.

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    Fig 4.

    Magnetic susceptibility artifacts involving the bilateral masticator spaces and parotid glands (long arrows) are observed during swallowing on DWI in a volunteer with metallic dental implants. Artifacts involving the oral cavity (stars) and left masticator space (short arrows) are evident on all T2WI and DWI. S indicates magnetic susceptibility artifact score.

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    Fig 5.

    Averaged signal intensity–time curves of T2WI (b0) and DWI (b200) (A) and ADC time curves of the parotid glands (B). Lemon juice is administrated (long arrow) at the 11th scan and is swallowed (short arrow) at the 21st scan. a.u. indicates arbitrary unit.

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    Fig 6.

    Normalized signal change–time curves (mean ± SD) of the parotid glands. During gustatory stimulation, the normalized signal change decreases rapidly on T2WI (A) and DWI (B), while it increases rapidly on ADC (C). After swallowing, the normalized signal change remains stagnant on T2WI, increases slowly on DWI, and reduces rapidly on ADC.

Tables

  • Figures
  • Magnetic susceptibility artifact scores of T2WI and DWI

    MSA ScoreAt the BaselineDuring SwallowingAt the End
    Rater 1Rater 2Rater 1Rater 2Rater 1Rater 2
    T2WI (b0)
        0000000
        1010101
        2201920192019
        3111111
    DWI (b200)
        0000000
        1003200
        2202017182020
        3111111
    • Note:—MSA indicates magnetic susceptibility artifacts.

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American Journal of Neuroradiology: 37 (10)
American Journal of Neuroradiology
Vol. 37, Issue 10
1 Oct 2016
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Cite this article
T.-W. Chiu, Y.-J. Liu, H.-C. Chang, Y.-H. Lee, J.-C. Lee, K. Hsu, C.-W. Wang, J.-M. Yang, H.-H. Hsu, C.-J. Juan
Evaluating Instantaneous Perfusion Responses of Parotid Glands to Gustatory Stimulation Using High-Temporal-Resolution Echo-Planar Diffusion-Weighted Imaging
American Journal of Neuroradiology Oct 2016, 37 (10) 1909-1915; DOI: 10.3174/ajnr.A4852

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Evaluating Instantaneous Perfusion Responses of Parotid Glands to Gustatory Stimulation Using High-Temporal-Resolution Echo-Planar Diffusion-Weighted Imaging
T.-W. Chiu, Y.-J. Liu, H.-C. Chang, Y.-H. Lee, J.-C. Lee, K. Hsu, C.-W. Wang, J.-M. Yang, H.-H. Hsu, C.-J. Juan
American Journal of Neuroradiology Oct 2016, 37 (10) 1909-1915; DOI: 10.3174/ajnr.A4852
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