Dysphagia in the Adult: Its Clinical Significance, Diagnosis and Management: Part II

Shaw, James A.

doi:10.1111/j.1742-1241.1981.tb08226.x

Int J Clinical Practice

1981

DOI: 10.1111/j.1742-1241.1981.tb08226.x

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Dysphagia in the Adult: Its Clinical Significance, Diagnosis and Management: Part II

James A. Shaw

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Cited by 5 publications

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Simultaneous estimation of tongue volume and fat fraction using IDEAL‐FSE

Humbert

Reeder

Porcaro

et al. 2008

Magnetic Resonance Imaging

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Purpose: To determine whether high-resolution, high signal-to-noise ratio (SNR) images of the tongue acquired with IDEAL-FSE (iterative decomposition of water and fat with echo asymmetry and least squares estimation) will provide comparable volumetric measures to conventional nonfatsuppressed FSE imaging and to determine the feasibility of estimating the proportion of lingual fat in adults using IDEAL-FSE imaging. Materials and Methods:Healthy volunteers underwent magnetic resonance imaging of the tongue using both IDEAL-FSE and conventional FSE sequences. The tongue was manually outlined to derive both volumetric and fat fraction measures. Intraclass correlation coefficients (ICCs) were computed for intrarater measurement reliability and Spearman's rank correlation tested the relationship between IDEAL-FSE and conventional volumetric measures of the tongue. ; r ϭ 0.988, P Յ 0.01). The average fat signal fraction across participants was 26.5%. Intrarater reliability was excellent for all measures (ICC Ն 0.92). Conclusion:Our results indicate that IDEAL-FSE provided similar lingual volume estimates to conventional FSE imaging obtained in both the current and previous studies. IDEAL-FSE measures of lingual fat composition may be useful in studies that aim to increase lingual muscle strength and volume in swallowing and speech-disordered populations.

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Simultaneous estimation of tongue volume and fat fraction using IDEAL‐FSE

Humbert

Reeder

Porcaro

et al. 2008

Magnetic Resonance Imaging

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Durational aspects of the oral-pharyngeal phase of swallow in normal adults

et al. 1988

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Abstract. We present durational data on normal oral-pharyngeal swallows in adults obtained using ultrasound imaging, The effects of normal aging on the oral-pharyngeal phase of swallowing were studied in 47 healthy adults. Timing of the oralpharyngeal phase of swallow was determined from frame-by-flame analysis of ultrasound videos of the motion of the tongue and hyoid bone from initial rest to final resting position. Duration of unstimulated (dry) swallows was compared to stimulated (wet) swallows across four age groups and by sex and age. For most subjects, dry swallows were longer than wet swallows; moreover, swallow duration was longest for older women than any other group. As age increased (55+), oral swallows were accompanied by extralingual gestures. Ability to produce a timed series of continuously dry swallows was somewhat influenced by age. Findings are suggestive of an age change more typical in women, with a pattern of multiple lingual gestures commonly seen after age 55 in both sexes. We suggest that subtle, subclinical, oral neuromotor changes occur with normal aging to cause these findings.

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Oropharyngeal swallowing in normal adults of different ages

Robbins¹,

Hamilton²,

Lof³

et al. 1992

Gastroenterology

599

469

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Dysphagia in the Adult: Its Clinical Significance, Diagnosis and Management: Part II

Cited by 5 publications

References 11 publications

Simultaneous estimation of tongue volume and fat fraction using IDEAL‐FSE

Simultaneous estimation of tongue volume and fat fraction using IDEAL‐FSE

Durational aspects of the oral-pharyngeal phase of swallow in normal adults

Oropharyngeal swallowing in normal adults of different ages

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