Studio dinamico della deglutizione e dose radiante al paziente

Moro, Luca; Cazzani, Claudio

doi:10.1007/s11547-006-0013-8

Cited by 9 publications

(10 citation statements)

References 4 publications

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“…Table 2 summarizes MBSS fluoroscopy exposure times reported in the ten identified published studies [10–17, 21–23]. Overall, average radiation exposure time using MBSImP©™ was 2.9 min with a 95% confidence interval of 2.8 to 3.0 min (range = 0.4 to 8.0 min), well within the range of exposure times reported in the literature.…”

Section: Resultssupporting

confidence: 52%

“…From interviewing the novice clinicians, we learned that their standardized training in swallowing physiology and impairment and using a standardized protocol increased their confidence and efficiency in execution of the exam. Interpolating from Moro’s results, an increase in fluoroscopy time of 12 sec relates to an increase of between 0.024 and 0.036 mSv [10]. While this related increase in radiation dose is small, according to the linear, no-threshold dose response for assessing stochastic effects of radiation exposure and the “As Low As Reasonably Achievable” (ALARA) principle, even small increases in radiation exposure are meaningful [18].…”

Section: Discussionmentioning

confidence: 99%

“…Although the patient radiation dose from a MBSS is relatively low, between 0.2 and 0.85mSv [10–17], any radiation from medical tests must be minimized to comply with the As Low As Reasonably Achievable (ALARA) principle [18]. The total radiation exposure time is one of the most important factors influencing patient doses in fluoroscopy examinations [19].…”

Section: Introductionmentioning

confidence: 99%

“…In a review of the literature, we identified 11 peer-reviewed manuscripts that reported fluoroscopy times or fluoroscopy time guidelines for MBSSs. [10–17, 21–23] The literature reports radiation exposure times for MBSSs ranging from 150 seconds (sec) to 1080 sec. These studies show that factors influencing radiation exposure time in MBSSs include: medical diagnosis category, swallowing impairment severity, clinician experience, and use of a standardized protocol.…”

Section: Introductionmentioning

confidence: 99%

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Radiation Exposure Time during MBSS: Influence of Swallowing Impairment Severity, Medical Diagnosis, Clinician Experience, and Standardized Protocol Use

et al. 2012

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Purpose Guidelines and preventive measures have been established to limit radiation exposure time during modified barium swallow studies (MBSS) but multiple variables may influence exam duration. This study examines the influence of clinician experience, medical diagnosis category, swallowing impairment severity and use of a standardized protocol on fluoroscopy time. Methods A retrospective review was completed on 739 MBSSs performed on 612 patients (342 males/270 females; age range = 18 to 96 years) completed in one year at the Medical University of South Carolina with IRB approval. All studies were completed by speech-language pathologists trained in the data collection protocol, interpretation, and scoring of the MBSImP™©. Medical diagnosis category, swallowing impairment severity (MBSImP™© score), clinician experience, and fluoroscopy time were the variables recorded for analysis. Results Fluoroscopy time was not significantly associated with medical diagnosis category (p=0.10). The severity of the MBSImP©™ Oral Total and Pharyngeal Total resulted in statistically significant increases in fluoroscopy time (p<0.05). Studies by novice clinicians had longer exposure times when compared to experienced clinicians (p=0.037). Average radiation exposure time using the MBSImP©™ approach was 2.9 minutes, with a 95% confidence interval of 2.8 minutes to 3.0 minutes, which was well within the range of exposure times reported in the literature. Conclusions This study provides preliminary information regarding the impact of medical diagnosis category, swallowing impairment severity and clinician experience on fluoroscopy time. These findings also suggest that a thorough, standardized protocol for MBSSs did not cause unnecessary radiation exposure time during the MBSS.

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Section: Resultssupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Radiation Exposure Time during MBSS: Influence of Swallowing Impairment Severity, Medical Diagnosis, Clinician Experience, and Standardized Protocol Use

et al. 2012

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“…Our case was given speech therapy too. And instruction and exercise therapy of the positioning that, in addition, was appropriate were provided in addition, and a deglutition function improved it.It is reported that VE and VF is useful for a deglutition usability test [12,13]. In our case, we could confirm the paralytic pattern and deglutition situation in VE, VF, and there was training without pneumonia being caused.…”

supporting

confidence: 71%

The Importance of Rehabilitation of Varicella Zoster Virus Neuropathy with Dysphagia: A Case Report and Literature Review

Nagai¹,

Ito²,

Nishizaka³

et al. 2017

Int J Phys Med Rehabil

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Dysphagia due to the varicella zoster virus (VZV) infection has the type of the main constituent Hunt syndrome and dysphagia of the main constituent a facial paralysis. The difference is considered to be the thing due to the ganglionic site which a virus reactivated. We report a case of the rehabilitation for dysphagia due to the VZV viral infection. Keywords: Rehabilitation; Varicella zoster virus; Dysphagia Case ReportA 76-year-old-female patient came to a nearby hospital with a sore throat and hoarseness in August, 2016. In acknowledgement of laryngeal edema, she was admitted to other hospital and did tracheotomy. There was the remaining, but the remaining was able to be eliminated by adding deglutition in the videofluorography at admission.VZV IgG rose by a blood test, and VZV virus neuropathy with dysphagia was diagnosed. She was admitted to the hospital for rehabilitation 65 days later. The Barthel index (BI) was 80 point and she had diabetes, hypertension, a gastric ulcer, but the control was good. The soft palate and lingual were normal. Left vocal cord paralysis was detected in swallowing videoendoscopy (VE) at admission, and the left vocal cord was fixed in a cadaveric position (Figure 1). Also, a larynx had remaining swallowing videofluorography (VF), but the remaining removal was possible in additional deglutition and compensation movement (Figure 2).There was a larynx invasion and a diet was paste foods and ate in 60 degrees reclining position, cervical rotation rank. The rehabilitation program trained her for dysphagia directly and conducted muscular strength reinforcement for muscle weakness. The diet was ingested by tube feeding two weeks before she was admitted, and she continued a paste meal after admission. There was not the aspiration in 90 degrees She removed a cannula 109 days after the onset, and became calm and finally became able to almost take in general diet with nothing. The ADL became independent, and the FIM became 126 points and became the home discharge 131 days after the onset. In VE at discharge, pharyngeal paralysis was improved and there was not the velopharyngeal insufficiency (Figures 3 and 4). Figure 4: There was the remaining, but the larynx movement was improved in the videofluorography at discharge. International Journal of PhysicalMedicine & Rehabilitation Nagai et al., Int J Phys Med Rehabil 2017, 5:In VF at discharge, a larynx had the remaining, but the movement was improved. Because a little larynx invasion was found when we consumed water, we taught it to drink by small quantity. DiscussionThe cause of the mixed laryngeal nerve paralysis is vascular and is neoplastic, and there is postoperative infectivity. The reports of the viral mixed laryngeal nerve paralysis increased [1][2][3][4][5][6][7].The diagnosis is confirmed by demonstration of VZV-DNA or VZV-antibodies in the CSF [8,9]. If there is unilateral herpes zoster infection of the larynx, insilateral LCN may be affected [10]. Our case had a diagnosis in VZV antibody in the CSF similarly.As for the tr...

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Radiation Exposure to Staff and Patient During Videofluoroscopic Swallowing Studies and Recommended Protection Strategies

Earl

Badawy

2018

Dysphagia

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Studio dinamico della deglutizione e dose radiante al paziente

Cited by 9 publications

References 4 publications

Radiation Exposure Time during MBSS: Influence of Swallowing Impairment Severity, Medical Diagnosis, Clinician Experience, and Standardized Protocol Use

Radiation Exposure Time during MBSS: Influence of Swallowing Impairment Severity, Medical Diagnosis, Clinician Experience, and Standardized Protocol Use

The Importance of Rehabilitation of Varicella Zoster Virus Neuropathy with Dysphagia: A Case Report and Literature Review

Radiation Exposure to Staff and Patient During Videofluoroscopic Swallowing Studies and Recommended Protection Strategies

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