Skip to main content
Top
Published in: European Radiology 9/2014

01-09-2014 | Head and Neck

Effects of gender, age, and body mass index on fat contents and apparent diffusion coefficients in healthy parotid glands: an MRI evaluation

Authors: Hing-Chiu Chang, Chun-Jung Juan, Hui-Chu Chiu, Cheng-Chieh Cheng, Su-Chin Chiu, Yi-Jui Liu, Hsiao-Wen Chung, Hsian-He Hsu

Published in: European Radiology | Issue 9/2014

Login to get access

Abstract

Objectives

To establish standard apparent diffusion coefficient (ADC) and the fat content as a function of age, gender and body mass index (BMI) in healthy parotid glands, and to address the influences of fat suppression on ADC measurements.

Methods

A total of 100 healthy adults (gender and age evenly distributed) were prospectively recruited, with parotid fat content measured from gradient-echo images with fat–water separated using iterative decomposition with echo asymmetry and least squares (IDEAL). The ADCs were estimated using both fat-saturated and non-fat-saturated diffusion-weighted imaging via a periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) technique.

Results

Parotid fat content was larger in men than in women by about 10 percentage points (P < 0.005), and positively associated with BMI and age for both genders (mostly with P < 0.001). ADCs estimated with non-fat-saturated PROPELLER were significantly lower in men than in women (P < 0.005), but showed no gender difference if measured using fat-saturated PROPELLER (P = 0.840). The negative association between parotid ADC and age/BMI/fat (P < 0.001) showed greater regression slopes in non-fat-saturated PROPELLER than in fat-saturated data.

Conclusions

Parotid fat content in healthy adults correlates positively with both age and BMI; the correlation with age is gender-dependent. Parotid ADC measurements are strongly influenced by fat saturation.

Key Points

Parotid fat content in healthy adults correlates positively with age and BMI.
The rate of aging-related increase in fat contents is gender-dependent.
Parotid ADC measurements are strongly influenced by fat saturation.
Literature
1.
go back to reference Thoeny HC, De Keyzer F, Claus FG, Sunaert S, Hermans R (2005) Gustatory stimulation changes the apparent diffusion coefficient of salivary glands: initial experience. Radiology 235:629–634PubMedCrossRef Thoeny HC, De Keyzer F, Claus FG, Sunaert S, Hermans R (2005) Gustatory stimulation changes the apparent diffusion coefficient of salivary glands: initial experience. Radiology 235:629–634PubMedCrossRef
2.
go back to reference Regier M, Ries T, Arndt C et al (2009) Sjögren’s syndrome of the parotid gland: value of diffusion-weighted echo-planar MRI for diagnosis at an early stage based on MR sialography grading in comparison with healthy volunteers. Röfo 181:242–248PubMed Regier M, Ries T, Arndt C et al (2009) Sjögren’s syndrome of the parotid gland: value of diffusion-weighted echo-planar MRI for diagnosis at an early stage based on MR sialography grading in comparison with healthy volunteers. Röfo 181:242–248PubMed
3.
go back to reference Arndt C, Graessner J, Cramer MC et al (2006) Functional imaging of submandibular glands: diffusion-weighted echo-planar MRI before and after stimulation. Röfo 178:893–897PubMed Arndt C, Graessner J, Cramer MC et al (2006) Functional imaging of submandibular glands: diffusion-weighted echo-planar MRI before and after stimulation. Röfo 178:893–897PubMed
4.
go back to reference Habermann CR, Gossrau P, Kooijman H et al (2007) Monitoring of gustatory stimulation of salivary glands by diffusion-weighted MR imaging: comparison of 1.5T and 3T. AJNR 28:1547–1551PubMedCrossRef Habermann CR, Gossrau P, Kooijman H et al (2007) Monitoring of gustatory stimulation of salivary glands by diffusion-weighted MR imaging: comparison of 1.5T and 3T. AJNR 28:1547–1551PubMedCrossRef
5.
go back to reference Kato H, Kanematsu M, Toida M et al (2011) Salivary gland function evaluated by diffusion-weighted MR imaging with gustatory stimulation: preliminary results. J Magn Reson Imaging 34:904–909PubMed Kato H, Kanematsu M, Toida M et al (2011) Salivary gland function evaluated by diffusion-weighted MR imaging with gustatory stimulation: preliminary results. J Magn Reson Imaging 34:904–909PubMed
6.
go back to reference Dirix P, De Keyzer F, Vandecaveye V, Stroobants S, Hermans R, Nuyts S (2008) Diffusion-weighted magnetic resonance imaging to evaluate major salivary gland function before and after radiotherapy. Int J Radiat Oncol Biol Phys 71:1365–1371PubMedCrossRef Dirix P, De Keyzer F, Vandecaveye V, Stroobants S, Hermans R, Nuyts S (2008) Diffusion-weighted magnetic resonance imaging to evaluate major salivary gland function before and after radiotherapy. Int J Radiat Oncol Biol Phys 71:1365–1371PubMedCrossRef
7.
go back to reference Zhang Y, Ou D, Gu Y et al (2013) Diffusion-weighted MR imaging of salivary glands with gustatory stimulation: comparison before and after radiotherapy. Acta Radiol 54:928–933PubMedCrossRef Zhang Y, Ou D, Gu Y et al (2013) Diffusion-weighted MR imaging of salivary glands with gustatory stimulation: comparison before and after radiotherapy. Acta Radiol 54:928–933PubMedCrossRef
8.
go back to reference Sumi M, Nakamura T (2014) Head and neck tumours: combined MRI assessment based on IVIM and TIC analyses for the differentiation of tumors of different histological types. Eur Radiol 24:223–231PubMedCrossRef Sumi M, Nakamura T (2014) Head and neck tumours: combined MRI assessment based on IVIM and TIC analyses for the differentiation of tumors of different histological types. Eur Radiol 24:223–231PubMedCrossRef
9.
go back to reference Sumi M, Van Cauteren M, Sumi T, Obara M, Ichikawa Y, Nakamura T (2012) Salivary gland tumors: use of intravoxel incoherent motion MR imaging for assessment of diffusion and perfusion for the differentiation of benign from malignant tumors. Radiology 263:770–777PubMedCrossRef Sumi M, Van Cauteren M, Sumi T, Obara M, Ichikawa Y, Nakamura T (2012) Salivary gland tumors: use of intravoxel incoherent motion MR imaging for assessment of diffusion and perfusion for the differentiation of benign from malignant tumors. Radiology 263:770–777PubMedCrossRef
10.
go back to reference Baron P, Dorrius MD, Kappert P, Oudkerk M, Sijens PE (2010) Diffusion-weighted imaging of normal fibroglandular breast tissue: influence of microperfusion and fat suppression technique on the apparent diffusion coefficient. NMR Biomed 23:399–405PubMed Baron P, Dorrius MD, Kappert P, Oudkerk M, Sijens PE (2010) Diffusion-weighted imaging of normal fibroglandular breast tissue: influence of microperfusion and fat suppression technique on the apparent diffusion coefficient. NMR Biomed 23:399–405PubMed
11.
go back to reference Juan CJ, Chang HC, Hsueh CJ et al (2009) Salivary glands: echo-planar versus PROPELLER diffusion-weighted MR imaging for assessment of ADCs. Radiology 253:144–152PubMedCrossRef Juan CJ, Chang HC, Hsueh CJ et al (2009) Salivary glands: echo-planar versus PROPELLER diffusion-weighted MR imaging for assessment of ADCs. Radiology 253:144–152PubMedCrossRef
12.
go back to reference Thoeny HC, De Keyzer F, Boesch C, Hermans R (2004) Diffusion-weighted imaging of the parotid gland: influence of the choice of b-values on the apparent diffusion coefficient value. J Magn Reson Imaging 20:786–790PubMed Thoeny HC, De Keyzer F, Boesch C, Hermans R (2004) Diffusion-weighted imaging of the parotid gland: influence of the choice of b-values on the apparent diffusion coefficient value. J Magn Reson Imaging 20:786–790PubMed
13.
go back to reference Yerli H, Agildere AM, Aydin E et al (2007) Value of apparent diffusion coefficient calculation in the differential diagnosis of parotid gland tumors. Acta Radiol 48:980–987PubMedCrossRef Yerli H, Agildere AM, Aydin E et al (2007) Value of apparent diffusion coefficient calculation in the differential diagnosis of parotid gland tumors. Acta Radiol 48:980–987PubMedCrossRef
14.
go back to reference Marzi S, Forina C, Marucci L et al (2014) Early radiation-induced changes evaluated by intravoxel incoherent motion in the major salivary glands. J Magn Reson Imaging. doi:10.1002/jmri.24626 PubMed Marzi S, Forina C, Marucci L et al (2014) Early radiation-induced changes evaluated by intravoxel incoherent motion in the major salivary glands. J Magn Reson Imaging. doi:10.​1002/​jmri.​24626 PubMed
15.
go back to reference Pipe JG, Farthing VG, Forbes KP (2002) Multishot diffusion-weighted FSE using PROPELLER MRI. Magn Reson Med 47:42–52PubMedCrossRef Pipe JG, Farthing VG, Forbes KP (2002) Multishot diffusion-weighted FSE using PROPELLER MRI. Magn Reson Med 47:42–52PubMedCrossRef
16.
go back to reference Forbes KP, Pipe JG, Karis JP, Heiserman JE (2002) Improved image quality and detection of acute cerebral infarction with PROPELLER diffusion-weighted MR imaging. Radiology 225:551–555PubMedCrossRef Forbes KP, Pipe JG, Karis JP, Heiserman JE (2002) Improved image quality and detection of acute cerebral infarction with PROPELLER diffusion-weighted MR imaging. Radiology 225:551–555PubMedCrossRef
17.
go back to reference Partridge SC, Singer L, Sun R et al (2011) Diffusion-weighted MRI: influence of intravoxel fat signal and breast density on breast tumor conspicuity and apparent diffusion coefficient measurements. Magn Reson Imaging 29:1215–1221PubMedCentralPubMedCrossRef Partridge SC, Singer L, Sun R et al (2011) Diffusion-weighted MRI: influence of intravoxel fat signal and breast density on breast tumor conspicuity and apparent diffusion coefficient measurements. Magn Reson Imaging 29:1215–1221PubMedCentralPubMedCrossRef
18.
go back to reference Erlandsen SL, Magney JE (1985) Human histology: organs and systems. University of Minnesota Press, Minneapolis Erlandsen SL, Magney JE (1985) Human histology: organs and systems. University of Minnesota Press, Minneapolis
19.
go back to reference Izumi M, Eguchi K, Nakamura H, Nagataki S, Nakamura T (1997) Premature fat deposition in the salivary glands associated with Sjogren syndrome: MR and CT evidence. AJNR 18:951–958PubMed Izumi M, Eguchi K, Nakamura H, Nagataki S, Nakamura T (1997) Premature fat deposition in the salivary glands associated with Sjogren syndrome: MR and CT evidence. AJNR 18:951–958PubMed
20.
21.
go back to reference Tartaglino LM, Rao VM, Markiewicz DA (1994) Imaging of radiation changes in the head and neck. Semin Roentgenol 29:81–91PubMedCrossRef Tartaglino LM, Rao VM, Markiewicz DA (1994) Imaging of radiation changes in the head and neck. Semin Roentgenol 29:81–91PubMedCrossRef
22.
23.
go back to reference Hannan WJ, Wrate RM, Cowen SJ, Freeman CP (1995) Body mass index as an estimate of body fat. Int J Eat Disord 18:91–97PubMedCrossRef Hannan WJ, Wrate RM, Cowen SJ, Freeman CP (1995) Body mass index as an estimate of body fat. Int J Eat Disord 18:91–97PubMedCrossRef
24.
go back to reference Snead DB, Birge SJ, Kohrt WM (1993) Age-related differences in body composition by hydrodensitometry and dual-energy X-ray absorptiometry. J Appl Physiol 74:770–775PubMed Snead DB, Birge SJ, Kohrt WM (1993) Age-related differences in body composition by hydrodensitometry and dual-energy X-ray absorptiometry. J Appl Physiol 74:770–775PubMed
25.
go back to reference Reeder SB, Pineda AR, Wen Z et al (2005) Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging. Magn Reson Med 54:636–644PubMedCrossRef Reeder SB, Pineda AR, Wen Z et al (2005) Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging. Magn Reson Med 54:636–644PubMedCrossRef
26.
go back to reference Reeder SB, McKenzie CA, Pineda AR et al (2007) Water-fat separation with IDEAL gradient-echo imaging. J Magn Reson Imaging 25:644–652PubMed Reeder SB, McKenzie CA, Pineda AR et al (2007) Water-fat separation with IDEAL gradient-echo imaging. J Magn Reson Imaging 25:644–652PubMed
27.
go back to reference Chang HC, Juan CJ, Chiu HC et al (2013) Parotid fat contents in healthy subjects evaluated with iterative decomposition with echo asymmetry and least squares fat-water separation. Radiology 267:918–923PubMedCrossRef Chang HC, Juan CJ, Chiu HC et al (2013) Parotid fat contents in healthy subjects evaluated with iterative decomposition with echo asymmetry and least squares fat-water separation. Radiology 267:918–923PubMedCrossRef
28.
go back to reference Elison JM, Leggitt VL, Thomson M, Oyoyo U, Wycliffe ND (2008) Influence of common orthodontic appliances on the diagnostic quality of cranial magnetic resonance images. Am J Orthod Dentofacial Orthop 134:563–572PubMedCrossRef Elison JM, Leggitt VL, Thomson M, Oyoyo U, Wycliffe ND (2008) Influence of common orthodontic appliances on the diagnostic quality of cranial magnetic resonance images. Am J Orthod Dentofacial Orthop 134:563–572PubMedCrossRef
29.
go back to reference Yu H, Reeder SB, Shimakawa A, Brittain JH, Pelc NJ (2005) Field map estimation with a region growing scheme for iterative 3-point water-fat decomposition. Magn Reson Med 54:1032–1039PubMedCrossRef Yu H, Reeder SB, Shimakawa A, Brittain JH, Pelc NJ (2005) Field map estimation with a region growing scheme for iterative 3-point water-fat decomposition. Magn Reson Med 54:1032–1039PubMedCrossRef
30.
go back to reference Wang FN, Huang TY, Lin FH et al (2005) PROPELLER EPI: an MRI technique suitable for diffusion tensor imaging at high field strength with reduced geometric distortions. Magn Reson Med 54:1232–1240PubMedCentralPubMedCrossRef Wang FN, Huang TY, Lin FH et al (2005) PROPELLER EPI: an MRI technique suitable for diffusion tensor imaging at high field strength with reduced geometric distortions. Magn Reson Med 54:1232–1240PubMedCentralPubMedCrossRef
31.
go back to reference Ries T, Arndt C, Regier M et al (2008) Value of apparent diffusion coefficient calculation before and after gustatory stimulation in the diagnosis of acute or chronic parotitis. Eur Radiol 18:2251–2257PubMedCrossRef Ries T, Arndt C, Regier M et al (2008) Value of apparent diffusion coefficient calculation before and after gustatory stimulation in the diagnosis of acute or chronic parotitis. Eur Radiol 18:2251–2257PubMedCrossRef
32.
go back to reference Anzai Y, Lufkin RB, Jabour BA, Hanafee WN (1992) Fat-suppression failure artifacts simulating pathology on frequency-selective fat-suppression MR images of the head and neck. AJNR 13:879–884PubMed Anzai Y, Lufkin RB, Jabour BA, Hanafee WN (1992) Fat-suppression failure artifacts simulating pathology on frequency-selective fat-suppression MR images of the head and neck. AJNR 13:879–884PubMed
33.
go back to reference Streckfus C, Bigler L, O'Bryan T (2002) Aging and salivary cytokine concentrations as predictors of whole saliva flow rates among women: a preliminary study. Gerontology 48:282–288PubMedCrossRef Streckfus C, Bigler L, O'Bryan T (2002) Aging and salivary cytokine concentrations as predictors of whole saliva flow rates among women: a preliminary study. Gerontology 48:282–288PubMedCrossRef
34.
go back to reference Yabuuchi H, Matsuo Y, Kamitani T et al (2008) Parotid gland tumors: can addition of diffusion-weighted MR imaging to dynamic contrast-enhanced MR imaging improve diagnostic accuracy in characterization? Radiology 249:909–916PubMedCrossRef Yabuuchi H, Matsuo Y, Kamitani T et al (2008) Parotid gland tumors: can addition of diffusion-weighted MR imaging to dynamic contrast-enhanced MR imaging improve diagnostic accuracy in characterization? Radiology 249:909–916PubMedCrossRef
35.
go back to reference Attenberger UI, Runge VM, Stemmer A et al (2009) Diffusion weighted imaging: a comprehensive evaluation of a fast spin echo DWI sequence with BLADE (PROPELLER) k-space sampling at 3T, using a 32-channel head coil in acute brain ischemia. Invest Radiol 44:656–661PubMedCrossRef Attenberger UI, Runge VM, Stemmer A et al (2009) Diffusion weighted imaging: a comprehensive evaluation of a fast spin echo DWI sequence with BLADE (PROPELLER) k-space sampling at 3T, using a 32-channel head coil in acute brain ischemia. Invest Radiol 44:656–661PubMedCrossRef
36.
go back to reference Chou MC, Huang TY, Chung HW, Hsieh TJ, Chang HC, Chen CY (2013) Q-ball imaging with PROPELLER EPI acquisition. NMR Biomed 26:1723–1732PubMedCrossRef Chou MC, Huang TY, Chung HW, Hsieh TJ, Chang HC, Chen CY (2013) Q-ball imaging with PROPELLER EPI acquisition. NMR Biomed 26:1723–1732PubMedCrossRef
37.
go back to reference Bydder M, Yokoo T, Hamilton G et al (2008) Relaxation effects in the quantification of fat using gradient echo imaging. Magn Reson Imaging 26:347–359PubMedCentralPubMedCrossRef Bydder M, Yokoo T, Hamilton G et al (2008) Relaxation effects in the quantification of fat using gradient echo imaging. Magn Reson Imaging 26:347–359PubMedCentralPubMedCrossRef
38.
go back to reference Liu CY, McKenzie CA, Yu H, Brittain JH, Reeder SB (2007) Fat quantification with IDEAL gradient echo imaging: correction of bias from T(1) and noise. Magn Reson Med 58:354–364PubMedCrossRef Liu CY, McKenzie CA, Yu H, Brittain JH, Reeder SB (2007) Fat quantification with IDEAL gradient echo imaging: correction of bias from T(1) and noise. Magn Reson Med 58:354–364PubMedCrossRef
39.
go back to reference Yu H, Shimakawa A, McKenzie CA, Brodsky E, Brittain JH, Reeder SB (2008) Multiecho water-fat separation and simultaneous R2* estimation with multifrequency fat spectrum modeling. Magn Reson Med 60:1122–1134PubMedCentralPubMedCrossRef Yu H, Shimakawa A, McKenzie CA, Brodsky E, Brittain JH, Reeder SB (2008) Multiecho water-fat separation and simultaneous R2* estimation with multifrequency fat spectrum modeling. Magn Reson Med 60:1122–1134PubMedCentralPubMedCrossRef
Metadata
Title
Effects of gender, age, and body mass index on fat contents and apparent diffusion coefficients in healthy parotid glands: an MRI evaluation
Authors
Hing-Chiu Chang
Chun-Jung Juan
Hui-Chu Chiu
Cheng-Chieh Cheng
Su-Chin Chiu
Yi-Jui Liu
Hsiao-Wen Chung
Hsian-He Hsu
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 9/2014
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-014-3265-z

Other articles of this Issue 9/2014

European Radiology 9/2014 Go to the issue