Main Article Content
Abstract
Medical technological advancements have revealed previously unknown anatomical features in the nasal cavity known as tubarial glands. However, many questions remain unanswered concerning these glands. Through this systematic review, we sought to analyze the tubarial glands, including their major discovery, anatomical and histological features, and clinical significance. Articles were identified according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, with data collected from Scopus, ScienceDirect, SpringerLink, and PubMed until September 2024. Medical Subject Headings (MeSH) were utilized with various terminology: "tubarial gland*", "tubarial salivary gland*", and "radiotherapy”. The inclusion criteria were: (1) resources categorized as original research reports, case reports, case studies, letters to the editor, brief communications, commentaries, editorials, and news; (2) publications with accessible full text; and (3) articles providing information on the tubarial glands. The exclusion criteria were: (1) papers categorized as systematic reviews, meta-analyses, or bibliometric analyses; and (2) articles not published in English. The identification yielded 37 resources from around the world, including 19 original research reports (51.3%), 3 case reports (8.1%), 6 letters to the editor (16.2%), 2 brief communications (5.4%), 7 commentaries (18.9%), 1 editorial (2.7%), and 1 news article (2.7%). The research subjects comprised 1 healthy patient (2.7%) out of 26 subjects, 12 prostate cancer patients (32.4%) out of 612 subjects, 3 head and neck cancer patients (8.1%) out of 38 subjects, 1 nasopharyngeal carcinoma patient (2.7%) out of 240 subjects, 1 Sjögren's syndrome patient (2.7%) out of 29 subjects, 1 patient with oncocytic papillary cystadenoma (2.7%), and 20 patients with other conditions (54.0%). This systematic review suggests that the newly discovered glands exhibit similar morphological, histological, and physiological properties to salivary glands and may have a function in the lubrication and maintenance of the upper airway.
Keywords
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References
- Alvarez-Lozada, L.A., Salinas-Puente, E., Torres-De Leon, R., et al. (2024) ‘Initial evaluation and external validation of 68Ga-PSMA-11 PET/CT in tubarial gland characterization’, Radiotherapy and Oncology, 190, p. 109975. Available at: https://doi.org/10.1016/j.radonc.2023.109975.
- Aral, İ.P., Altinisik I.G., Dadak B., et al. (2024) ‘A Prospective Evaluation of Tubarial Gland Doses With Acute Dysphagia and Treatment Tolerance in Head and Neck Cancer Patients’, Cureus [Preprint]. Available at: https://doi.org/10.7759/cureus.56566.
- Bikker, F.J. and Vissink, A. (2021) ‘Letter to the editor concerning Valstar et al., [Radiother Oncol 2020 Sep 23;S0167-8140(20)30809-4. doi: 10.1016/j.radonc.2020.09.034]’, Radiotherapy and Oncology, 154, p. 318. Available at: https://doi.org/10.1016/j.radonc.2020.12.005.
- Cohen Goldemberg, D., Novaes Pinheiro, T., Santos-Silva, A., et al. (2021a) ‘Comments on “The tubarial salivary glands: First description of a potential new organ at risk for head-neck radiotherapy”’, Radiotherapy and Oncology, 154, pp. 316–317. Available at: https://doi.org/10.1016/j.radonc.2020.12.004.
- Cohen Goldemberg, D., Novaes Pinheiro, T., Santos-Silva, A., et al. (2021b) ‘Comments on “The tubarial salivary glands: First description of a potential new organ at risk for head-neck radiotherapy”’, Radiotherapy and Oncology, 154, pp. 316–317. Available at: https://doi.org/10.1016/j.radonc.2020.12.004.
- Dave, M. (2020) ‘New salivary gland organs discovered’, British Dental Journal, 229(9), pp. 573–573. Available at: https://doi.org/10.1038/s41415-020-2386-9.
- Ebrahim, A., Reich C., Wilde K., et al. (2024) ‘A comprehensive analysis of the tubarial glands’, The Anatomical Record [Preprint]. Available at: https://doi.org/10.1002/ar.25561.
- Ellsworth, S.G., Winkfield, K.M. and Greenberger, J.S. (2021) ‘RE: Valstar et al., “The tubarial salivary glands: A potential new organ at risk for radiotherapy”’, Radiotherapy and Oncology, 154, pp. 312–313. Available at: https://doi.org/10.1016/j.radonc.2020.12.002.
- De Felice, F., Scarabelli, M., De Pietro, R., et al. (2022) ‘Relationship between Salivary Amylase and Xerostomia in Intensity-Modulated Radiation Therapy for Head and Neck Cancer: A Prospective Pilot Study’, Current Oncology, 29(9), pp. 6564–6572. Available at: https://doi.org/10.3390/curroncol29090516.
- Glantschnig, L., Dierks, A., Wienand G., et al. (2024) ‘Intense PSMA expression of the uvula detected by [68 Ga]Ga-PSMA-PET/CT’, European Journal of Nuclear Medicine and Molecular Imaging, 51(5), pp. 1488–1489. Available at: https://doi.org/10.1007/s00259-023-06511-x.
- Grootelaar, R., Van Ginkel, M., Nienhuis P., et al. (2023) Salivary gland 18 F-FDG-PET/CT uptake patterns in Sjögren’s syndrome and giant cell arteritis patients Salivary gland FDG-uptake in pSS and GCA patients / R.G.J. Grootelaar et al, Clinical and Experimental Rheumatology. Available at: https://doi.org/10.55563/clinexprheumatol/8qt9me.
- Guerreiro, F., van Houdt, P., Navest, R., et al. (2024) ‘Validation of quantitative magnetic resonance imaging techniques in head and neck healthy structures involved in the salivary and swallowing function: Accuracy and repeatability’, Physics and Imaging in Radiation Oncology, 31, p. 100608. Available at: https://doi.org/10.1016/j.phro.2024.100608.
- Hasny, N.S., Amiruddin, F., Hussain, F., et al. (2021) ‘Unilateral Tubarial Oncocytic Papillary Cystadenoma Presenting with Epistaxis’, Medeniyet Medical Journal, 36(4), pp. 343–347. Available at: https://doi.org/10.4274/MMJ.galenos.2021.40404.
- Iwanaga, J., Ibaragi, S., Nakano, K., et al. (2021) ‘No convincing evidence for the presence of tubarial salivary glands: A letter to the editor regarding “The tubarial salivary glands: A potential new organ at risk for radiotherapy”’, Radiotherapy and Oncology, 154, pp. 321–322. Available at: https://doi.org/10.1016/j.radonc.2020.12.007.
- Kalshetty, A., Menon, B., Rakshit, S., et al. (2021) ‘Correlation of Lesional Uptake Parameters and Ratios with miPSMA Score and Estimating Normal Physiologic Concentration: An Exploratory Analysis in Metastatic Castration-Resistant Prostatic Carcinoma Patients with 68 Ga-PSMA-11 PET/CT’, Journal of Nuclear Medicine Technology, 49(3), pp. 235–240. Available at: https://doi.org/10.2967/jnmt.120.261289.
- Kumar, S.A., Narayan, R., Kumari, C., et al. (2024) ‘Tubarial salivary glands on PSMA ligands-based PET imaging and post177Lu PSMA therapy scan: reiterating its importance’, Asia Oceania Journal of Nuclear Medicine and Biology, 12(1), pp. 43–45. Available at: https://doi.org/10.22038/AOJNMB.2023.72138.1505.
- Li, W. et al. (2022) ‘Further comments on the tubarial glands’, Radiotherapy and Oncology, 172, pp. 50–53. Available at: https://doi.org/10.1016/j.radonc.2022.05.010.
- Ling, S., van der Veldt, A., Segbers, M., et al. (2024) ‘Tubarial salivary glands show a low relative contribution to functional salivary gland tissue mass’, Annals of Nuclear Medicine [Preprint]. Available at: https://doi.org/10.1007/s12149-024-01965-x.
- Matsusaka, Y., Yamane, T., Fukushima, K., et al. (2021) ‘Can the function of the tubarial glands be evaluated using [99mTc]pertechnetate SPECT/CT, [18F]FDG PET/CT, and [11C]methionine PET/CT?’, EJNMMI Research, 11(1), p. 34. Available at: https://doi.org/10.1186/s13550-021-00779-6.
- Mentis, A.-F.A. and Chrousos, G.P. (2021) ‘Tubarial Salivary Glands in Sjogren Syndrome: Are They Just a Potential Missing Link With No Broader Implications?’, Frontiers in Immunology, 12. Available at: https://doi.org/10.3389/fimmu.2021.684490.
- Mudry, A. and Jackler, R.K. (2021) ‘Are “tubarial salivary glands” a previously unknown structure?’, Radiotherapy and Oncology, 154, pp. 314–315. Available at: https://doi.org/10.1016/j.radonc.2020.12.003.
- Nagahata, K., Kanda, M., Kamekura, R., et al. (2022) ‘Abnormal [18F]fluorodeoxyglucose accumulation to tori tubarius in IgG4-related disease’, Annals of Nuclear Medicine, 36(2), pp. 200–207. Available at: https://doi.org/10.1007/s12149-021-01691-8.
- Narayan, R.K., Kumari, C., Panchal, P., et al. (2021) ‘A macroscopic salivary gland and a potential organ or simply tubarial sero-mucinous glands?’, Radiotherapy and Oncology, 154, pp. 324–325. Available at: https://doi.org/10.1016/j.radonc.2020.12.016.
- Nascimento, J.J.C., Ribeiro, E.C.O. and Silva-Neto, E.J. (2021) ‘Letter to the Editor regarding “The tubarial salivary glands: A potential new organ at risk for radiotherapy”’, Radiotherapy and Oncology, 154, p. 323. Available at: https://doi.org/10.1016/j.radonc.2020.12.014.
- N.B., P., Ravi, K.S. and Durgapal, P. (2021) ‘Discovery of new salivary gland – A substantial histological analysis’, Radiotherapy and Oncology, 161, pp. 92–94. Available at: https://doi.org/10.1016/j.radonc.2021.06.004.
- Nishida, H., Kondo, Y., Kusaba, T., et al. (2022) ‘Immunohistochemical Reactivity of Prostate-Specific Membrane Antigen in Salivary Gland Tumors’, Head and Neck Pathology, 16(2), pp. 427–433. Available at: https://doi.org/10.1007/s12105-021-01376-8.
- North, V.S., Tran, A.Q. and Kazim, M. (2022) ‘Orbital adenoid cystic carcinoma arising from nasopharyngeal salivary gland origin’, Radiotherapy and Oncology, 168, pp. 104–105. Available at: https://doi.org/10.1016/j.radonc.2022.01.034.
- Pringle, S., Bikker, F., Vogel, W., et al. (2023) ‘Immunohistological profiling confirms salivary gland-like nature of the tubarial glands and suggests closest resemblance to the palatal salivary glands’, Radiotherapy and Oncology, 187, p. 109845. Available at: https://doi.org/10.1016/j.radonc.2023.109845.
- Sample, C., Jung, N., Rahmim, A., et al. (2022) ‘Development of a CT-Based Auto-Segmentation Model for Prostate-Specific Membrane Antigen (PSMA) Positron Emission Tomography-Delineated Tubarial Glands’, Cureus [Preprint]. Available at: https://doi.org/10.7759/cureus.31060.
- Sample, C., Rahmim, A., Uribe, C., et al. (2024) ‘Neural blind deconvolution for deblurring and supersampling PSMA PET’, Physics in Medicine & Biology, 69(8), p. 085025. Available at: https://doi.org/10.1088/1361-6560/ad36a9.
- Sample, C., Rahmim, A., Bénard, F., et al. (2024) ‘PSMA PET as a predictive tool for subregional importance estimates in the parotid gland’, Biomedical Physics & Engineering Express [Preprint]. Available at: https://doi.org/10.1088/2057-1976/ad229c.
- Sample, C., Uribe, C., Rahmim, A., et al. (2024) ‘Heterogeneous PSMA ligand uptake inside parotid glands’, Physica Medica, 121, p. 103366. Available at: https://doi.org/10.1016/j.ejmp.2024.103366.
- Schumann, S. (2021) ‘Salivary glands at the pharyngeal ostium of the Eustachian tube are already described in histological literature’, Radiotherapy and Oncology, 154, p. 326. Available at: https://doi.org/10.1016/j.radonc.2020.12.022.
- Singh, V. and Reddy, K.C. (2021) ‘Discovery of New Organs in Human Throat’, Journal of the Anatomical Society of India, 70(1), pp. 1–2. Available at: https://doi.org/10.4103/jasi.jasi_240_20.
- Thakar, A., Kumar, R., Thankaraj, A., et al. (2021) ‘Clinical implications of tubarial salivary glands’, Radiotherapy and Oncology, 154, pp. 319–320. Available at: https://doi.org/10.1016/j.radonc.2020.12.006.
- Valstar, M.H., de Bakker, B., Steenbakkers, R., et al. (2021a) ‘The tubarial glands paper: A starting point. A reply to comments’, Radiotherapy and Oncology, 154, pp. 308–311. Available at: https://doi.org/10.1016/j.radonc.2020.12.001.
- Valstar, M.H., de Bakker, B., Steenbakkers, R., et al. (2021b) ‘The tubarial salivary glands: A potential new organ at risk for radiotherapy’, Radiotherapy and Oncology, 154, pp. 292–298. Available at: https://doi.org/10.1016/j.radonc.2020.09.034.
- Yazdani, E., Karamzadeh-Ziarati, N., Cheshmi, S., et al. (2024) ‘Automated segmentation of lesions and organs at risk on [68Ga]Ga-PSMA-11 PET/CT images using self-supervised learning with Swin UNETR’, Cancer Imaging, 24(1), p. 30. Available at: https://doi.org/10.1186/s40644-024-00675-x.
- Zhao, D., Teng, F., Meng, L., et al. (2023) ‘Development and validation of a nomogram for prediction of recovery from moderate-severe xerostomia post-radiotherapy in nasopharyngeal carcinoma patients’, Radiotherapy and Oncology, 184, p. 109683. Available at: https://doi.org/10.1016/j.radonc.2023.109683.
References
Alvarez-Lozada, L.A., Salinas-Puente, E., Torres-De Leon, R., et al. (2024) ‘Initial evaluation and external validation of 68Ga-PSMA-11 PET/CT in tubarial gland characterization’, Radiotherapy and Oncology, 190, p. 109975. Available at: https://doi.org/10.1016/j.radonc.2023.109975.
Aral, İ.P., Altinisik I.G., Dadak B., et al. (2024) ‘A Prospective Evaluation of Tubarial Gland Doses With Acute Dysphagia and Treatment Tolerance in Head and Neck Cancer Patients’, Cureus [Preprint]. Available at: https://doi.org/10.7759/cureus.56566.
Bikker, F.J. and Vissink, A. (2021) ‘Letter to the editor concerning Valstar et al., [Radiother Oncol 2020 Sep 23;S0167-8140(20)30809-4. doi: 10.1016/j.radonc.2020.09.034]’, Radiotherapy and Oncology, 154, p. 318. Available at: https://doi.org/10.1016/j.radonc.2020.12.005.
Cohen Goldemberg, D., Novaes Pinheiro, T., Santos-Silva, A., et al. (2021a) ‘Comments on “The tubarial salivary glands: First description of a potential new organ at risk for head-neck radiotherapy”’, Radiotherapy and Oncology, 154, pp. 316–317. Available at: https://doi.org/10.1016/j.radonc.2020.12.004.
Cohen Goldemberg, D., Novaes Pinheiro, T., Santos-Silva, A., et al. (2021b) ‘Comments on “The tubarial salivary glands: First description of a potential new organ at risk for head-neck radiotherapy”’, Radiotherapy and Oncology, 154, pp. 316–317. Available at: https://doi.org/10.1016/j.radonc.2020.12.004.
Dave, M. (2020) ‘New salivary gland organs discovered’, British Dental Journal, 229(9), pp. 573–573. Available at: https://doi.org/10.1038/s41415-020-2386-9.
Ebrahim, A., Reich C., Wilde K., et al. (2024) ‘A comprehensive analysis of the tubarial glands’, The Anatomical Record [Preprint]. Available at: https://doi.org/10.1002/ar.25561.
Ellsworth, S.G., Winkfield, K.M. and Greenberger, J.S. (2021) ‘RE: Valstar et al., “The tubarial salivary glands: A potential new organ at risk for radiotherapy”’, Radiotherapy and Oncology, 154, pp. 312–313. Available at: https://doi.org/10.1016/j.radonc.2020.12.002.
De Felice, F., Scarabelli, M., De Pietro, R., et al. (2022) ‘Relationship between Salivary Amylase and Xerostomia in Intensity-Modulated Radiation Therapy for Head and Neck Cancer: A Prospective Pilot Study’, Current Oncology, 29(9), pp. 6564–6572. Available at: https://doi.org/10.3390/curroncol29090516.
Glantschnig, L., Dierks, A., Wienand G., et al. (2024) ‘Intense PSMA expression of the uvula detected by [68 Ga]Ga-PSMA-PET/CT’, European Journal of Nuclear Medicine and Molecular Imaging, 51(5), pp. 1488–1489. Available at: https://doi.org/10.1007/s00259-023-06511-x.
Grootelaar, R., Van Ginkel, M., Nienhuis P., et al. (2023) Salivary gland 18 F-FDG-PET/CT uptake patterns in Sjögren’s syndrome and giant cell arteritis patients Salivary gland FDG-uptake in pSS and GCA patients / R.G.J. Grootelaar et al, Clinical and Experimental Rheumatology. Available at: https://doi.org/10.55563/clinexprheumatol/8qt9me.
Guerreiro, F., van Houdt, P., Navest, R., et al. (2024) ‘Validation of quantitative magnetic resonance imaging techniques in head and neck healthy structures involved in the salivary and swallowing function: Accuracy and repeatability’, Physics and Imaging in Radiation Oncology, 31, p. 100608. Available at: https://doi.org/10.1016/j.phro.2024.100608.
Hasny, N.S., Amiruddin, F., Hussain, F., et al. (2021) ‘Unilateral Tubarial Oncocytic Papillary Cystadenoma Presenting with Epistaxis’, Medeniyet Medical Journal, 36(4), pp. 343–347. Available at: https://doi.org/10.4274/MMJ.galenos.2021.40404.
Iwanaga, J., Ibaragi, S., Nakano, K., et al. (2021) ‘No convincing evidence for the presence of tubarial salivary glands: A letter to the editor regarding “The tubarial salivary glands: A potential new organ at risk for radiotherapy”’, Radiotherapy and Oncology, 154, pp. 321–322. Available at: https://doi.org/10.1016/j.radonc.2020.12.007.
Kalshetty, A., Menon, B., Rakshit, S., et al. (2021) ‘Correlation of Lesional Uptake Parameters and Ratios with miPSMA Score and Estimating Normal Physiologic Concentration: An Exploratory Analysis in Metastatic Castration-Resistant Prostatic Carcinoma Patients with 68 Ga-PSMA-11 PET/CT’, Journal of Nuclear Medicine Technology, 49(3), pp. 235–240. Available at: https://doi.org/10.2967/jnmt.120.261289.
Kumar, S.A., Narayan, R., Kumari, C., et al. (2024) ‘Tubarial salivary glands on PSMA ligands-based PET imaging and post177Lu PSMA therapy scan: reiterating its importance’, Asia Oceania Journal of Nuclear Medicine and Biology, 12(1), pp. 43–45. Available at: https://doi.org/10.22038/AOJNMB.2023.72138.1505.
Li, W. et al. (2022) ‘Further comments on the tubarial glands’, Radiotherapy and Oncology, 172, pp. 50–53. Available at: https://doi.org/10.1016/j.radonc.2022.05.010.
Ling, S., van der Veldt, A., Segbers, M., et al. (2024) ‘Tubarial salivary glands show a low relative contribution to functional salivary gland tissue mass’, Annals of Nuclear Medicine [Preprint]. Available at: https://doi.org/10.1007/s12149-024-01965-x.
Matsusaka, Y., Yamane, T., Fukushima, K., et al. (2021) ‘Can the function of the tubarial glands be evaluated using [99mTc]pertechnetate SPECT/CT, [18F]FDG PET/CT, and [11C]methionine PET/CT?’, EJNMMI Research, 11(1), p. 34. Available at: https://doi.org/10.1186/s13550-021-00779-6.
Mentis, A.-F.A. and Chrousos, G.P. (2021) ‘Tubarial Salivary Glands in Sjogren Syndrome: Are They Just a Potential Missing Link With No Broader Implications?’, Frontiers in Immunology, 12. Available at: https://doi.org/10.3389/fimmu.2021.684490.
Mudry, A. and Jackler, R.K. (2021) ‘Are “tubarial salivary glands” a previously unknown structure?’, Radiotherapy and Oncology, 154, pp. 314–315. Available at: https://doi.org/10.1016/j.radonc.2020.12.003.
Nagahata, K., Kanda, M., Kamekura, R., et al. (2022) ‘Abnormal [18F]fluorodeoxyglucose accumulation to tori tubarius in IgG4-related disease’, Annals of Nuclear Medicine, 36(2), pp. 200–207. Available at: https://doi.org/10.1007/s12149-021-01691-8.
Narayan, R.K., Kumari, C., Panchal, P., et al. (2021) ‘A macroscopic salivary gland and a potential organ or simply tubarial sero-mucinous glands?’, Radiotherapy and Oncology, 154, pp. 324–325. Available at: https://doi.org/10.1016/j.radonc.2020.12.016.
Nascimento, J.J.C., Ribeiro, E.C.O. and Silva-Neto, E.J. (2021) ‘Letter to the Editor regarding “The tubarial salivary glands: A potential new organ at risk for radiotherapy”’, Radiotherapy and Oncology, 154, p. 323. Available at: https://doi.org/10.1016/j.radonc.2020.12.014.
N.B., P., Ravi, K.S. and Durgapal, P. (2021) ‘Discovery of new salivary gland – A substantial histological analysis’, Radiotherapy and Oncology, 161, pp. 92–94. Available at: https://doi.org/10.1016/j.radonc.2021.06.004.
Nishida, H., Kondo, Y., Kusaba, T., et al. (2022) ‘Immunohistochemical Reactivity of Prostate-Specific Membrane Antigen in Salivary Gland Tumors’, Head and Neck Pathology, 16(2), pp. 427–433. Available at: https://doi.org/10.1007/s12105-021-01376-8.
North, V.S., Tran, A.Q. and Kazim, M. (2022) ‘Orbital adenoid cystic carcinoma arising from nasopharyngeal salivary gland origin’, Radiotherapy and Oncology, 168, pp. 104–105. Available at: https://doi.org/10.1016/j.radonc.2022.01.034.
Pringle, S., Bikker, F., Vogel, W., et al. (2023) ‘Immunohistological profiling confirms salivary gland-like nature of the tubarial glands and suggests closest resemblance to the palatal salivary glands’, Radiotherapy and Oncology, 187, p. 109845. Available at: https://doi.org/10.1016/j.radonc.2023.109845.
Sample, C., Jung, N., Rahmim, A., et al. (2022) ‘Development of a CT-Based Auto-Segmentation Model for Prostate-Specific Membrane Antigen (PSMA) Positron Emission Tomography-Delineated Tubarial Glands’, Cureus [Preprint]. Available at: https://doi.org/10.7759/cureus.31060.
Sample, C., Rahmim, A., Uribe, C., et al. (2024) ‘Neural blind deconvolution for deblurring and supersampling PSMA PET’, Physics in Medicine & Biology, 69(8), p. 085025. Available at: https://doi.org/10.1088/1361-6560/ad36a9.
Sample, C., Rahmim, A., Bénard, F., et al. (2024) ‘PSMA PET as a predictive tool for subregional importance estimates in the parotid gland’, Biomedical Physics & Engineering Express [Preprint]. Available at: https://doi.org/10.1088/2057-1976/ad229c.
Sample, C., Uribe, C., Rahmim, A., et al. (2024) ‘Heterogeneous PSMA ligand uptake inside parotid glands’, Physica Medica, 121, p. 103366. Available at: https://doi.org/10.1016/j.ejmp.2024.103366.
Schumann, S. (2021) ‘Salivary glands at the pharyngeal ostium of the Eustachian tube are already described in histological literature’, Radiotherapy and Oncology, 154, p. 326. Available at: https://doi.org/10.1016/j.radonc.2020.12.022.
Singh, V. and Reddy, K.C. (2021) ‘Discovery of New Organs in Human Throat’, Journal of the Anatomical Society of India, 70(1), pp. 1–2. Available at: https://doi.org/10.4103/jasi.jasi_240_20.
Thakar, A., Kumar, R., Thankaraj, A., et al. (2021) ‘Clinical implications of tubarial salivary glands’, Radiotherapy and Oncology, 154, pp. 319–320. Available at: https://doi.org/10.1016/j.radonc.2020.12.006.
Valstar, M.H., de Bakker, B., Steenbakkers, R., et al. (2021a) ‘The tubarial glands paper: A starting point. A reply to comments’, Radiotherapy and Oncology, 154, pp. 308–311. Available at: https://doi.org/10.1016/j.radonc.2020.12.001.
Valstar, M.H., de Bakker, B., Steenbakkers, R., et al. (2021b) ‘The tubarial salivary glands: A potential new organ at risk for radiotherapy’, Radiotherapy and Oncology, 154, pp. 292–298. Available at: https://doi.org/10.1016/j.radonc.2020.09.034.
Yazdani, E., Karamzadeh-Ziarati, N., Cheshmi, S., et al. (2024) ‘Automated segmentation of lesions and organs at risk on [68Ga]Ga-PSMA-11 PET/CT images using self-supervised learning with Swin UNETR’, Cancer Imaging, 24(1), p. 30. Available at: https://doi.org/10.1186/s40644-024-00675-x.
Zhao, D., Teng, F., Meng, L., et al. (2023) ‘Development and validation of a nomogram for prediction of recovery from moderate-severe xerostomia post-radiotherapy in nasopharyngeal carcinoma patients’, Radiotherapy and Oncology, 184, p. 109683. Available at: https://doi.org/10.1016/j.radonc.2023.109683.