scholarly journals The Videofluorographic Swallowing Study: A Review of Literature

2020 ◽  
Author(s):  
Umar Farooque ◽  
Syed Adeel Hassan ◽  
SM Ismail Shah ◽  
Saba Asif ◽  
Muhammad Humayoun Rashid ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Reflux Disease ◽  
Barium Swallow ◽  
Review Of Literature ◽  
Neurologic Diseases ◽  
Modified Barium Swallow ◽  
Anatomy And Physiology ◽  
Time Result ◽  
Gastrointestinal Reflux ◽  
Swallowing Assessment

The videofluorographic study is indicated for diseases potentially causing dysphagia and aspiration, such as gastrointestinal reflux disease, cancers of the oropharynx and esophagus, and certain neurologic diseases needing swallowing assessment. The study is designed to survey the anatomy and physiology of swallowing to diagnose any swallowing impairment and is standardized using scales such as the Modified Barium Swallow Impairment Profile (MBSImP). The procedure requires the patient to swallow a barium contrasted bolus which helps to visualize and obtain a real-time result. There are certain complications of the procedure including radiation exposure which requires necessary safety protocols to be followed.

The Modified Barium Swallow Impairment Profile (MBSImP): A New Standard Physiologic Approach to Swallowing Assessment and Targeted Treatment

2009 ◽  
Vol 18 (4) ◽  
pp. 117-122 ◽  
Author(s):  
John Sandidge
Keyword(s):  
Objective Assessment ◽  
Life Quality ◽  
Communication Disorders ◽  
Barium Swallow ◽  
Validity And Reliability ◽  
Modified Barium Swallow ◽  
Speech Language Pathologist ◽  
Under Construction ◽  
Modified Barium Swallow Study ◽  
Swallowing Assessment

Abstract One of the most critical roles of a speech-language pathologist (SLP) is making decisions from a swallowing assessment about life sustaining and life quality issues such as the ability to continue to eat and drink. The optimal swallowing assessment requires recognizing subtle variations in the physiologic components and events that comprise an intact, healthy swallowing mechanism. No voluntary standard currently exists for swallowing evaluation terminology, measurement, or reporting. Bonnie Martin-Harris, a practicing clinician and researcher, sought to evaluate if a protocol that standardized language, administration/measurement of contrast viscosities, and reporting method could be validly and reliably executed for the modified barium swallow study (MBSS). A five-year study supported by the National Institute on Deafness and Other Communication Disorders (NIDCD) rigorously tested the content and external validity and reliability of a method that resulted in developing a standardized tool, the Modified Barium Swallow Impairment Profile (MBSImP) (Martin-Harris et al., 2008). A web-based learning environment is under construction and will be available for any clinician who desires training and competence in using the MBSImP. This article provides background on development of the MBSImP, the importance and benefit of standardized, objective assessment, and detail on features and status of the MBSImP web site.

scholarly journals Best Practices in Modified Barium Swallow Studies

2020 ◽  
Vol 29 (2S) ◽  
pp. 1078-1093
Author(s):  
Bonnie Martin-Harris ◽  
Cheri L. Canon ◽  
Heather Shaw Bonilha ◽  
Joseph Murray ◽  
Kate Davidson ◽  
...  
Keyword(s):  
Best Practices ◽  
Radiation Exposure ◽  
Real Time ◽  
Treatment Planning ◽  
Oral Intake ◽  
Review Article ◽  
Barium Swallow ◽  
Upper Aerodigestive Tract ◽  
Modified Barium Swallow ◽  
State Of The Science

Purpose The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that permits visualization of bolus flow throughout the upper aerodigestive tract in real time. The information gained from the examination is critical for identifying and distinguishing the type and severity of swallowing impairment, determining the safety of oral intake, testing the effect of evidence-based frontline interventions, and formulating oral intake recommendations and treatment planning. The goal of this review article is to provide the state of the science and best practices related to MBSS. Method State of the science and best practices for MBSS are reviewed from the perspectives of speech-language pathologists (SLPs) and radiologists who clinically practice and conduct research in this area. Current quandaries and emerging clinical and research trends are also considered. Results This document provides an overview of the MBSS and standards for conducting, interpreting, and reporting the exam; the SLPs' and radiologist's perspectives on standardization of the exam; radiation exposure; technical parameters for recording and reviewing the exam; the importance of an interdisciplinary approach with engaged radiologists and SLPs; and special considerations for examinations in children. Conclusions The MBSS is the primary swallowing examination that permits visualization of bolus flow and swallowing movement throughout the upper aerodigestive tract in real time. The clinical validity of the study has been established when conducted using reproducible and validated protocols and metrics applied according to best practices to provide accurate and reliable information necessary to direct treatment planning and limit radiation exposure. Standards and quandaries discussed in this review article, as well as references, provide a basis for understanding the current best practices for MBSS.

scholarly journals Management of dysphagia following radiation therapy and tracheostomy

2017 ◽  
Vol 4 (1) ◽  
pp. 260
Author(s):  
Mansi A. Jagtap ◽  
Shlok Shrivastava
Keyword(s):  
Radiation Therapy ◽  
Oral Intake ◽  
Barium Swallow ◽  
Silent Aspiration ◽  
Modified Barium Swallow ◽  
Instrumental Assessment ◽  
History Of ◽  
Detailed Assessment ◽  
Management Of Dysphagia ◽  
Swallowing Assessment

<p class="abstract"><span lang="EN-IN">Dysphagia (swallowing disorders) have been reported commonly following oral and laryngeal cancers. Patients undergoing radiation therapy usually complaint of deterioration in swallowing functions due to fibrosis. Also, presence of tracheostomy causes aspiration while swallowing by reducing the hyolaryngeal excursion and also leading to inadequate subglottic pressure and fixation of trachea. An 85 year old male with history of supraglottic carcinoma managed by radiation therapy and tracheostomy reported for swallowing assessment. Detailed assessment was performed using clinical swallow examination and instrumental assessment (modified barium swallow) using thin, thick and paste consistencies. Results revealed no overt signs of penetration on clinical swallow while modified barium swallow revealed severe intraswallow aspiration due to incomplete hyolaryngeal elevation on all consistencies (more for liquids). This clearly indicated silent aspiration. Swallowing therapy focused on hyolaryngeal elevation using protective maneuvers. Reassessment was performed following 7 sessions using the above mentioned protocol which revealed improvement in hyolaryngeal elevation (complete hyolaryngeal closure during swallow) and no aspiration on all consistencies. Dysphagia is a common complication following radiation therapy. An instrumental assessment is mandatory to rule out silent aspirations as seen in the present case. Swallowing intervention has an important role to treat dysphagia following radiation therapy and has shown to be effective in the present study and literature. Hence, patients who have indications for radiation therapy should undergo swallowing intervention in order to ensure safe oral intake.</span></p>

The Modified Barium Swallow Impairment Profile (MBSImP™©) – Innovation, Dissemination and Implementation

2017 ◽  
Vol 2 (13) ◽  
pp. 129-138 ◽  
Author(s):  
Bonnie Martin-Harris ◽  
Kate Humphries ◽  
Kendrea L. (Focht) Garand
Keyword(s):  
Data Science ◽  
Research Question ◽  
Barium Swallow ◽  
Dissemination And Implementation ◽  
Clinical Settings ◽  
Validity And Reliability ◽  
Modified Barium Swallow ◽  
Standardized Method ◽  
Swallowing Assessment ◽  
Global Registry

The Modified Barium Swallow Impairment Profile (MBSImP™©) is a standardized method for the assessment of swallowing physiology from videofluoroscopic imaging used by teams of speech-language pathologists (SLPs) and radiologists during modified barium swallowing studies (MBSS). The approach is grounded in research and motivated by patient need toward minimizing wide variation in clinical practice and equivocal swallowing assessment findings when attempting to compare assessment results across the continuum of care and between clinical settings. Various methods of scoring are used, which are dependent upon the nature and purpose of the clinical or research question. The MBSImP™© initiated with an National Institute of Health [NIH] supported study has been field tested for 13 years. The standardized method aims to enhance the validity and reliability of swallowing metrics, improve transparency and reproducibility of clinical and research MBSS practices, as well as to optimize patient safety, comfort, expectations, and outcomes. The physiologic study of swallowing impairment using the MBSImP™© has become a program of research that strategically includes a data science initiative using a global registry of quality, safety and outcome metrics.

scholarly journals Radiation exposure in modified barium swallow studies

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Heather Shaw Bonilha ◽  
Bonnie Martin-Harris ◽  
Ashli K. O’Rourke ◽  
Sameer V. Tipnis
Keyword(s):  
Radiation Exposure ◽  
Barium Swallow ◽  
Modified Barium Swallow

scholarly journals ECOG-ACRIN 2399: analysis of patient related outcomes after Chemoradiation for locally advanced head and neck Cancer

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anthony Cmelak ◽  
Mary S. Dietrich ◽  
Shuli Li ◽  
Sheila Ridner ◽  
Arlene Forastiere ◽  
...  
Keyword(s):  
Head And Neck ◽  
Performance Status ◽  
Locally Advanced ◽  
Surrogate Marker ◽  
Post Treatment ◽  
Self Report ◽  
Barium Swallow ◽  
Functional Communication ◽  
Swallowing Function ◽  
Modified Barium Swallow

Abstract Background We conducted a correlative study for E2399, a function preservation trial for resectable locally advanced oropharynx and larynx cancer, to prospectively assess effects of chemoradiation (CCR) on quality of life (QOL), swallowing and voice. We correlated the results of swallow assessments done via questionnaires and objective assessments by modified barium swallow (MBS). Methods The Functional Assessment of Cancer-HN (FACT-HN), the Performance Status Scale – Head and Neck (PSS-HN), swallow assessments (including modified barium swallow studies), and voice assessments: Voice Handicap Index (VHI), the Voice Disability Assessment (VDA), and American Speech-Language Hearing Association’s Functional Communication Measure (FCM) were conducted at baseline and periodically post-treatment for 2 years. Results Baseline QOL and swallowing function predicted overall survival. Patients experienced a marked decrease in QOL, swallowing, and speech post CCR although the decrease in vocal function was modest. Function and QOL returned towards baseline in the majority of patients by 12 months post treatment. Less than 10% of patients had severe dysphagia and were PEG dependent at 12 months post treatment. There was a high degree of correlation between the FACT-HN and PSS-HN swallow items. Statistically significant correlations were found between subjective and objective measures of swallow function. Conclusions Patients experience marked loss in swallowing function post CCR which returned to baseline in the majority of patients. The correlations between the FCM and self-report swallow items on the PSS and FACT-HN appear to be sufficiently strong to justify their use as a surrogate marker for swallowing disability in large therapeutic trials.

scholarly journals Minimising radiation dose using pulsed digital fluoroscopy in the investigation of children

2003 ◽  
Vol 7 (1) ◽  
pp. 34-37
Author(s):  
Savvas Andronikou ◽  
Marisa Mezzabotta
Keyword(s):  
Radiation Dose ◽  
Radiation Exposure ◽  
Patient Dose ◽  
Barium Swallow ◽  
Specific Question ◽  
Simple Description ◽  
Digital Fluoroscopy ◽  
Advantages And Disadvantages ◽  
Micturating Cystourethrogram

Pulsed fluoroscopy is considered a requisite for paediatric fluoroscopy. The goal of paediatric fluoroscopic studies is to produce interpretable images (to answer a specific question) at the lowest possible radiation exposure. Digital pulsed fluoroscopy has the advantage of reducing patient dose while yielding diagnostic images. The radiologist is responsible for choosing the appropriate pulse setting and deciding between storing the image as a 'picture-grab' or a true 'spot-film'. We present a simple description of this technology highlighting the advantages and disadvantages. We also describe in detail our recommended protocol for performing a micturating cystourethrogram and a barium swallow/meal in children.

Reliability and Construct Validity of the Penetration-Aspiration Scale for Quantifying Pediatric Outcomes after Interarytenoid Augmentation

2019 ◽  
Vol 161 (5) ◽  
pp. 862-869 ◽  
Author(s):  
Elizabeth H. Wick ◽  
Kaalan Johnson ◽  
Kim Demarre ◽  
Amy Faherty ◽  
Sanjay Parikh ◽  
...  
Keyword(s):  
Construct Validity ◽  
Mixed Model ◽  
Mixed Linear Model ◽  
Barium Swallow ◽  
Time Interval ◽  
Modified Barium Swallow ◽  
Outcome Group ◽  
Scale Scores ◽  
Postoperative Time ◽  
Penetration Aspiration Scale

Objective To assess the reliability and construct validity of the Penetration-Aspiration Scale in children. Study Design This was a retrospective cohort study of pre- and postoperative video modified barium swallow studies from children who underwent interarytenoid injection augmentation for unexplained persistent pharyngeal dysphagia. Two pediatric speech and language pathologists reviewed each study twice in a blinded and randomized fashion. Setting Tertiary academic pediatric hospital. Subjects and Methods Thirty children were identified with adequate pre- and postoperative modified barium swallow studies within 4 weeks of intervention. Children were separated into clinical outcome groups based on ability to advance to thinner diet consistencies postoperatively. Construct validity was assessed with a mixed linear model to test the hypothesis that only the clinically improved group would receive better Penetration-Aspiration Scale scores after surgery. Reliability was assessed by calculating chance-corrected agreement between raters (interrater) and raters’ repeat evaluations (intrarater). Results Inter- and intrarater reliabilities (Cohen’s κ) were both excellent. Results of the mixed model revealed a significant interaction between outcome group and pre- and postoperative time interval. As hypothesized, this involved a significant improvement in Penetration-Aspiration Scale score only in the improved group. Conclusions These findings suggest that the Penetration-Aspiration Scale is a reliable and valid measure of clinical response to interarytenoid injection augmentation in children.

Sign in / Sign up

Export Citation Format

Share Document