The use of the salivagram in the evaluation of severe and chronic aspiration

Cook, Steven P.; Lawless, Stephen; Mandell, Gerald A.; Reilly, James S.

doi:10.1016/s0165-5876(97)00102-x

Cited by 38 publications

(17 citation statements)

References 11 publications

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“…VF and/or Fiberoptic Endoscopic Evaluation of Swallowing (FEES) are the gold standards to evaluate swallowing in dysphagic patients. Scintigraphic assessment of swallowing, such as oropharyngoesophageal scintigraphy, salivagram, etc., is also available for the analysis of swallowing, especially to detect silent aspiration [5][6][7][8][9][10][11]. However, simple assessment methods, such as a bedside clinical test to predict aspiration, will be useful if available.…”

Section: Discussionmentioning

confidence: 99%

Videofluoroscopic assessment of swallowing function in patients with myasthenia gravis

Higo

Nito

Tayama

2005

Journal of the Neurological Sciences

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Section: Discussionmentioning

confidence: 99%

Videofluoroscopic assessment of swallowing function in patients with myasthenia gravis

Higo

Nito

Tayama

2005

Journal of the Neurological Sciences

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“…The radionuclide salivagram has proven to be a sensitive and simple method for detecting pulmonary aspiration of oral contents (46)(47)(48). No patient preparation is required for the salivagram.…”

Section: Pulmonary Aspirationmentioning

confidence: 99%

“…Aspiration into the distal airways suggests a more worrisome outcome than proximal aspiration. The whole-body radiation dose to the patient is approximately 0.05 mSv (5 mrem), whereas barium swallow delivers a higher radiation dose (46)(47)(48).…”

Section: Pulmonary Aspirationmentioning

confidence: 99%

Nuclear Medicine in the First Year of Life

Treves¹,

Baker²,

Fahey³

et al. 2011

J Nucl Med

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Learning Objectives: On successful completion of this activity, participants should be able to describe, for children less than 1 y old, (1) the wide variety of nuclear medicine indications; (2) the nuclear medicine studies, relative to other imaging methods, that can provide the highest diagnostic yield; (3) how to obtain high-quality nuclear medicine examinations at the lowest radiation exposures; (4) how growth and development affect the appearance, and therefore the interpretation, of nuclear medicine images; and (5) special care needed, such as patient preparation, immobilization, distraction techniques, environment, sedation or general anesthesia, imaging techniques, image processing, and presentation of results.Financial Disclosure: The authors of this article have indicated no relevant relationships that could be perceived as a real or apparent conflict of interest. CME Credit: SNM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing education for physicians. SNM designates each JNM continuing education article for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only credit commensurate with the extent of their participation in the activity.For CE credit, participants can access this activity through the SNM Web site (http://www.snm.org/ce_online) through June 2012.Nuclear medicine has an important role in the care of newborns and children less than 1 y old. Patients in this age group present with a spectrum of diseases different from those of older children or adults. These patients can benefit from the full range of nuclear medicine studies. In these young children, nuclear medicine studies are more likely to be used to evaluate a wide range of congenital conditions but also can be helpful for evaluating acquired conditions such as infection, cancer, and trauma. This review first will cover the general aspects of nuclear medicine practice with these patients, including the special considerations that can help achieve successful diagnostic imaging. These topics will include clinical indications, imaging technology, instrumentation, software, positioning and immobilization, sedation, local and general anesthesia, radiopharmaceutical doses, radiation risk, and dose reduction. The review then will discuss the specific nuclear medicine studies that typically are obtained in patients in this age group. With extra care and attention to the special needs of this population, nuclear medicine departments can successfully study patients less than 1 y old.

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“…Three retrospective reports [67][68][69] have shown a 26-28% prevalence of positive salivagrams in children suspected of aspiration, but no other confirmatory tests were performed. In one study evaluating the ability of salivagrams to predict the need for laryngotracheal separation, no correlation was found between salivagram result and days hospitalised owing to respiratory symptoms [70]. Radionuclide salivagrams show poor agreement with other tests for aspiration [66].…”

Section: Diagnosis Of Salivary Aspirationmentioning

confidence: 99%

Advances in the diagnosis and management of chronic pulmonary aspiration in children

Boesch

Daines

Willging

et al. 2006

European Respiratory Journal

154

141

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Chronic pulmonary aspiration (CPA) in children is an important cause of recurrent pneumonia, progressive lung injury, respiratory disability and death. It is sporadic, intermittent and variable, and often occurs in children with complicated underlying medical conditions and syndromes that produce symptoms indistinguishable from CPA. For most types of aspiration there is no gold-standard diagnostic test. The diagnosis of CPA is currently made clinically with some supporting diagnostic evaluations, but often not until significant lung injury has been sustained. Despite multiple diagnostic techniques, the diagnosis or exclusion of CPA in children is challenging. This is of particular concern given the outcome of unrecognised progressive lung injury and the invasiveness of definitive therapies.Although new techniques have been introduced since the 1990s and significant advances in the understanding of dysphagia and gastro-oesophageal reflux have been made, characterisation of the aspirating child remains elusive.

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The use of the salivagram in the evaluation of severe and chronic aspiration

Cited by 38 publications

References 11 publications

Videofluoroscopic assessment of swallowing function in patients with myasthenia gravis

Videofluoroscopic assessment of swallowing function in patients with myasthenia gravis

Nuclear Medicine in the First Year of Life

Advances in the diagnosis and management of chronic pulmonary aspiration in children

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