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Both criteria and non-criteria patients had significantly higher parotid strain ratio and submandibular velocity compared with healthy controls (p less then 0.001 and p less then 0.001 for parotid strain ratio and p less then 0.001 and p = 0.016 for submandibular velocity, respectively). Replacing labial gland biopsy findings with parotid strain ratio in the new classification criteria resulted in similar sensitivity and lower specificity, 91.6% and 80%, respectively. Conclusion Parotid shear elastography is an easy and noninvasive met
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