{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T05:07:12Z","timestamp":1788671232411,"version":"build-2803163510"},"reference-count":64,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Universidade Federal de Minas Gerais - Pr\u00f3-Reitorias\u00a0de P\u00f3s-Gradua\u00e7\u00e3o e de Extens\u00e3o","award":["PRPG\/PROEX - SEI UFMG 23072.219171\/2025-29"],"award-info":[{"award-number":["PRPG\/PROEX - SEI UFMG 23072.219171\/2025-29"]}]},{"name":"Fundo Fundep\u2014UFMG","award":["FUNDEP 32046*22"],"award-info":[{"award-number":["FUNDEP 32046*22"]}]},{"DOI":"10.13039\/501100004901","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de Minas Gerais","doi-asserted-by":"publisher","award":["FAPEMIG APQ 03440-22"],"award-info":[{"award-number":["FAPEMIG APQ 03440-22"]}],"id":[{"id":"10.13039\/501100004901","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Sj\u00f6gren disease (SD) is characterized by lymphocytic infiltration and fibrosis of the salivary glands. Shear wave elastography (SWE), an ultrasound-based modality that quantifies tissue stiffness, may assist in SD diagnosis. This study aimed to systematically review and meta-analyze the diagnostic performance of SWE in evaluating major salivary glands in individuals with SD, based on studies applying the 2016 ACR\/EULAR classification criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six electronic databases and gray literature sources were searched. Cross-sectional and diagnostic accuracy studies were included. Risk of bias was appraised using the Joanna Briggs Institute tool. Quantitative synthesis was performed using random-effects meta-analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven studies comprising 1029 participants (530 with SD; 499 controls; 90.67% female) were included. Meta-analyses revealed that SWE values were significantly higher in SD patients than in controls, with pooled mean differences of 0.78\u2009m\/s (95% CI: 0.54\u20131.02) and 12.37\u2009kPa (95% CI: 8.65\u201316.10) in the parotid gland, and 0.48\u2009m\/s (95% CI: 0.33\u20130.63) and 9.09\u2009kPa (95% CI: 4.88\u201313.31) in the submandibular gland. Parotid SWE values expressed in kPa showed the highest diagnostic accuracy (AUC\u2009=\u200982.9%), followed by values in m\/s (AUC\u2009=\u200973.1%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SWE effectively differentiates SD from healthy individuals, particularly when applied to the parotid gland. Standardization of SWE protocols may enhance diagnostic accuracy and foster clinical integration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Advances in knowledge<\/jats:title>\n                    <jats:p>This is the first meta-analysis focused exclusively on studies adopting the 2016 ACR\/EULAR criteria for SD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/dmfr\/twaf071","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:48:46Z","timestamp":1758808126000},"page":"119-129","source":"Crossref","is-referenced-by-count":5,"title":["Shear wave elastography of the salivary glands in the diagnosis of Sj\u00f6gren disease: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0706-3293","authenticated-orcid":false,"given":"Beth\u00e2nia Lara Silveira","family":"Freitas","sequence":"first","affiliation":[{"name":"Department of Oral Surgery, Pathology, and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, 31270-901,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8951-087X","authenticated-orcid":false,"given":"Laura Silva","family":"Jer\u00f4nimo","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Pathology, and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, 31270-901,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7660-3952","authenticated-orcid":false,"given":"Ana Clara Coutinho","family":"Pires","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Pathology, and Clinical Dentistry, School of Dentistry, Universidade 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of Oral Surgery, Pathology, and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, 31270-901,","place":["Brazil"]},{"name":"Department of Oral Diagnosis and Pathology, School of Dentistry, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Rio de Janeiro, 21941-902,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2258-8071","authenticated-orcid":false,"given":"Lucas Guimar\u00e3es","family":"Abreu","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Oral Health, School of Dentistry, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, 31270-901,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9623-7835","authenticated-orcid":false,"given":"Tarc\u00edlia Aparecida","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Pathology, and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, 31270-901,","place":["Brazil"]},{"name":"Mutiprofessional Integrated Residency in Health, Hospital das Cl\u00ednicas, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, 31630-903,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6013-9344","authenticated-orcid":false,"given":"Maur\u00edcio Augusto Aquino","family":"de Castro","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Pathology, and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, 31270-901,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7820-4749","authenticated-orcid":false,"given":"S\u00edlvia Ferreira","family":"de 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