Imaging plays a central role in the diagnosis, ductal mapping, and interventional planning/management of salivary gland disorders. These disorders include infections, salivary duct stones (sialolithiasis), tumours (benign or malignant), and inflammation (sialadenitis).

For ductal pathology fluoroscopic sialography has long been considered the gold standard [1]. It provides dynamic, real-time visualisation of the salivary ductal system, allowing assessment of strictures, obstructions, and dilatation (sialectasis) with high spatial resolution. Fluoroscopic sialography also offers functional insights into salivary flow and ductal morphology. It is highly sensitive for detecting small ductal stones and is a valuable tool in specific clinical scenarios requiring detailed ductal evaluation [1 – 4].

Prior studies have explored the emerging advantages of CBCT and MRI sialography. In this analysis, we also compare the radiation dose of fluoroscopic sialography with CBCT.