Radiation exposure time during MBSS: Influence of swallowing impairment severity, medical diagnosis, clinician experience, and standardized protocol use

Heather Shaw Bonilha*, Kate Humphries, Julie Blair, Elizabeth G. Hill, Katlyn McGrattan, Brittni Carnes, Walter Huda, Bonnie Martin-Harris

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

63 Scopus citations

Abstract

Guidelines and preventive measures have been established to limit radiation exposure time during modified barium swallow studies (MBSS) but multiple variables may influence the duration of the exam. This study examined the influence of clinician experience, medical diagnosis category, swallowing impairment severity, and use of a standardized protocol on fluoroscopy time. A retrospective review of 739 MBSSs performed on 612 patients (342 males/270 females; age range = 18-96 years) completed in 1 year at the Medical University of South Carolina was performed with IRB approval. All studies were completed by speech-language pathologists trained in the data collection protocol, interpretation, and scoring of the MBSImP™

Original languageEnglish (US)
Pages (from-to)77-85
Number of pages9
JournalDysphagia
Volume28
Issue number1
DOIs
StatePublished - Mar 2013

Funding

This work was supported by Grants K23 DC005764-05 NIH/NIDCD, KL2 UL1 RR029880 NIH/NCRR, and Bracco Diagnostics. This work was also supported in part by the Biostatistics and Clinical Trials Shared Resource, Hollings Cancer Center, Medical University of South Carolina (P30 CA138313). Other financial or material support was provided by Evelyn Trammell Voice and Swallowing Institute and Northern Speech Services.

Keywords

  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Fluoroscopy
  • MBSImP™©
  • Modified barium swallow study
  • Radiation
  • Radiation exposure
  • Swallowing

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

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