Sialogram PRINT
I. Equipment (May vary between sites)
a. Isovue 300 or Omnipaque 240
b. Sialography catheter (25-side hole) or (27-endhole)
c. Bowel of lemons from (hospital dietary)
d. Long Q tips or cotton balls
e. HSG light, jewelers mask or headlamp
II. Personnel
a. Radiologist/RA
i. Places salivary catheter
ii. Injects contrast under fluoro guidance
b. Hospital Technologist
i. Prints order for radiologist/RA review
ii. Documents patient history and pregnancy status prior to exam
iii. Assists the radiologist/RA during procedure
iv. Provides patient with aftercare instructions
III. Procedure
a. Obtain scout fluoroscopic spot image of affected side
b. Have patient suck on a lemon wedge to open duct
c. Place Q tip or cotton ball over the opening to the duct
d. Cannulate the duct (advise patient – contrast injection may feel like a dull toothache)
e. Gently inject contrast under fluoroscopic guidance (cine record if available)
f. Capture images of contrast filled duct in different projections
g. After exam have patient suck on a lemon wedge to evacuate contrast
h. Obtain post procedure image
IV. Required Images
a. Scout
b. AP, lateral, and oblique contrast filled duct
c. Post evacuation
V. Special Considerations
a. Follow contrast allergy protocol
Links to Sialography article & images:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1512577/pdf/califmed00188-0068.pdf
https://www.britannica.com/science/human-digestive-system/Salivary-glands