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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Unlock access to our full Course Library and all self-paced Fellowships.
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Get access to free live lectures, every week, from top radiologists.
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Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
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Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Salivary Glands
66 topics, 3 hr. 54 min.
Introduction to Salivary Gland Imaging
10 m.Bell's Palsy
5 m.Innervation of the Parotid Gland – Summary
6 m.Stenson’s Duct – Summary
7 m.Submandibular Gland – Summary
5 m.Submandibular Gland & Wharton's Duct Anatomy
7 m.Wharton’s Duct – Summary
2 m.Sublingual Gland – Summary
6 m.Simple and Plunging Ranula
5 m.Minor Salivary Glands – Summary
2 m.Technique for Salivary Gland Imaging – Summary
8 m.MRI Technique – Case
4 m.Benign Neoplasms – Summary
8 m.Pleomorphic adenoma with Carcinoma Ex Pleomorphic Adenoma
11 m.Pleomorphic Adenoma
5 m.Hard Palate Pleomorphic Adenoma
5 m.Pleomorphic Adenoma – Summary
3 m.Parotid Pleomorphic Adenoma
5 m.Parapharyngeal Space Pleomorphic Adenoma – Case
4 m.Deep Lobe Parotid Gland Pleomorphic Adenoma – Case
5 m.Pleomorphic Adenoma of the Nasal Cavity
4 m.Carcinoma Ex Pleomorphic Adenoma
4 m.Advanced Imaging for Salivary Gland Neoplasms – Summary
4 m.Monomorphic Adenoma – Case
2 m.Prognosis of Pleomorphic Adenoma
4 m.Warthin’s Tumor – Summary
5 m.Warthin's Tumor
4 m.Extraparotid Warthin's Tumor
3 m.Multiple Parotid Masses – Summary
3 m.Onocoytomas – Summary
4 m.Oncocytoma
2 m.Schwannoma of the Intraparotid Facial Nerve
2 m.Malignant Neoplasms – Summary
4 m.Mucoepidermoid Carcinoma
4 m.Parotid Mucoepidermoid Carcinoma
3 m.Malignancy Salivary Neoplasm Features - Summary
2 m.Adenoid Cystic Carcinoma – Summary
5 m.Adenoid Cystic Carcinoma
9 m.Adenoid Cystic Carcinoma of the Tongue
3 m.Perineural Spread – Summary
2 m.Perineural Spread in a Large Cell Undifferentiated Carcinoma
4 m.Parotid Squamous Cell Carcinoma
3 m.Left Parotid Squamous Cell Carcinoma – Case
2 m.Adenocarcinomas – Summary
3 m.Parotid Adenocarcinoma
2 m.Recurrent Parotid Adenocarcinoma
3 m.Parotid Lymphoma - Summary
2 m.Parotid Lymphoma on CT
2 m.Parotid Lymphoma on PET-CT
2 m.Acinic Cell Carcinoma
2 m.Sialolithiasis – Summary
6 m.Submandibular Sialithisis
3 m.Submandibular Saialithiasis on MRI
2 m.Submandibular Sialodocholithiasis and Parotid Sialolithiasis
5 m.Salivary Calcifications and Cysts
2 m.Parotid Sialodocholithiasis and Sialectasia on MRI
2 m.Sjögren’s Syndrome – Summary
5 m.Sjögren’s Syndrome
2 m.Kuttner Lesion – Summary
2 m.Salivary Gland Cysts – Summary
6 m.Lympoepithelial Cyst in HIV
3 m.Sialadenitis in HIV
5 m.Ranulas – Summary
4 m.Bilateral Ranulas
2 m.Ranula - Clinical Correlation
1 m.Sialocele – Summary
4 m.0:00
Here is a patient who had
0:04
a tongue adenoid cystic carcinoma.
0:07
If you remember back to that diagram I showed of the
0:10
concentration of minor salivary gland tissue,
0:13
you recall that the hard palate and soft palate had the
0:17
highest concentration or the highest number
0:19
of minor salivary gland tissue,
0:22
but the tongue was in the top three.
0:24
And in this case,
0:26
we have a patient who had an adenoid cystic carcinoma that
0:30
was biopsied of the minor salivary gland
0:33
tissue on the surface of the tongue.
0:35
And I'm showing you the coronal plane just to give you a
0:38
better perspective of the overall look
0:40
of the head and neck region.
0:42
In this case, it was relatively dark
0:44
on the T1-weighted scan.
0:46
You notice it was really bright on the T2-weighted scan
0:51
and showed pretty avid enhancement.
0:53
Here you can see it coming to the surface of the tongue,
0:56
which is where the minor salivary gland tissue resided.
1:00
Here it is on the surface of the tongue
1:02
and on the surface of the tongue.
1:05
Now,
1:05
adenoid cystic carcinoma's signal intensity on
1:08
T2-weighted imaging is quite variable.
1:10
This is as bright as what one might think
1:13
about with a pleomorphic adenoma,
1:15
and this depends on whether you have the cribriform tubular
1:18
or solid histologic growth pattern
1:21
for adenoid cystic carcinoma.
1:24
The cribriform pattern has the highest rate of cystic
1:28
components within it on histology and is associated with
1:32
the brighter signal intensity on T2-weighted scan.
1:35
So this is one of the exceptions to the rule that
1:38
malignancies in the salivary glands tend to be bright
1:41
on T2-weight imaging. There are varieties of both
1:44
mucopidermoid carcinoma low-grade and the cribriform
1:49
pattern of adenoid cystic carcinoma where it
1:53
may be bright on a T2-weighted scan.
1:55
This patient was fortunate enough
1:58
not to have perineural spread.
Adenoid Cystic Carcinoma of the Tongue
HIDEInteractive Transcript
0:00
Here is a patient who had
0:04
a tongue adenoid cystic carcinoma.
0:07
If you remember back to that diagram I showed of the
0:10
concentration of minor salivary gland tissue,
0:13
you recall that the hard palate and soft palate had the
0:17
highest concentration or the highest number
0:19
of minor salivary gland tissue,
0:22
but the tongue was in the top three.
0:24
And in this case,
0:26
we have a patient who had an adenoid cystic carcinoma that
0:30
was biopsied of the minor salivary gland
0:33
tissue on the surface of the tongue.
0:35
And I'm showing you the coronal plane just to give you a
0:38
better perspective of the overall look
0:40
of the head and neck region.
0:42
In this case, it was relatively dark
0:44
on the T1-weighted scan.
0:46
You notice it was really bright on the T2-weighted scan
0:51
and showed pretty avid enhancement.
0:53
Here you can see it coming to the surface of the tongue,
0:56
which is where the minor salivary gland tissue resided.
1:00
Here it is on the surface of the tongue
1:02
and on the surface of the tongue.
1:05
Now,
1:05
adenoid cystic carcinoma's signal intensity on
1:08
T2-weighted imaging is quite variable.
1:10
This is as bright as what one might think
1:13
about with a pleomorphic adenoma,
1:15
and this depends on whether you have the cribriform tubular
1:18
or solid histologic growth pattern
1:21
for adenoid cystic carcinoma.
1:24
The cribriform pattern has the highest rate of cystic
1:28
components within it on histology and is associated with
1:32
the brighter signal intensity on T2-weighted scan.
1:35
So this is one of the exceptions to the rule that
1:38
malignancies in the salivary glands tend to be bright
1:41
on T2-weight imaging. There are varieties of both
1:44
mucopidermoid carcinoma low-grade and the cribriform
1:49
pattern of adenoid cystic carcinoma where it
1:53
may be bright on a T2-weighted scan.
1:55
This patient was fortunate enough
1:58
not to have perineural spread.
Report
Description
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Salivary Glands
Oral Cavity/Oropharynx
Neuroradiology
Neoplastic
MRI
Head and Neck
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