Radiographic Magnification on Videofluoroscopy: An Important Variable to Consider for Scaled Analyses of Swallowing.

Purpose: Traditionally, kinematic measures on videofluoroscopy require the use of an external scalar (such as a penny) to transform pixels to absolute distances. Videofluoroscopy is subject to image magnification based on the distance of the feature of interest to the X-ray source. However, the impa...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 1; pp. 126 - 132
Autores principales: Molfenter, Sonja M., Jones-Rastelli, Rebecca Brynn, Balou, Matina
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jan2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2024
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-23-00430
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        atl: Radiographic Magnification on Videofluoroscopy: An Important Variable to Consider for Scaled Analyses of Swallowing.
      aug:
        au:
          Molfenter, Sonja M.
          Jones-Rastelli, Rebecca Brynn
          Balou, Matina
        affil:
          Department of Communicative Sciences and Disorders, New York University Steinhardt, New York City.
          Rusk Rehabilitation, NYU Langone Health, New York City.
          Department of Otolaryngology—Head & Neck Surgery, NYU Langone Health, New York City.
      su:
        Reliability (Personality trait)
        Radiographic magnification
        Disease progression
        Deglutition
        Confidence intervals
        Fluoroscopy
        Comparative studies
        Intraclass correlation
        Neck
        Computed tomography
        Kinematics
      sug:
        subj:
          Reliability (Personality trait)
          Irradiation Apparatus Manufacturing
          Radiographic magnification
          Disease progression
          Deglutition
          Confidence intervals
          Fluoroscopy
          Comparative studies
          Intraclass correlation
          Neck
          Computed tomography
          Kinematics
      ab: Purpose: Traditionally, kinematic measures on videofluoroscopy require the use of an external scalar (such as a penny) to transform pixels to absolute distances. Videofluoroscopy is subject to image magnification based on the distance of the feature of interest to the X-ray source. However, the impact of the position/location of the external scalar on swallowing measures is unknown. Our goal was to systematically investigate the accuracy of various common external scalar locations in lateral and anterior–posterior (A-P) view. Method: U.S. pennies were taped to a styrofoam head in three positions (on the left and right lateral neck and in midline submentally). Locations were measured to ensure equal left and right, as well as midline, placement. A metal screwdriver (6 mm in diameter) was inserted into the premanufactured hole that is centrally located at the bottom of the styrofoam head. The head was centered on a medical tray and placed in the middle of a Siemens Alpha C-arm Fluoroscope field. ImageJ was used to measure penny length in pixels (three locations) in both lateral and A-P views. Penny length was known (19.05 mm), and, therefore, used to derive screwdriver size (for each location) for comparison to the actual screwdriver size. Results: All scalars overestimated the screwdriver size ranging from 6.55 to 7.87 mm, representing a 9%–31% inflation. Scalars closer to the X-ray source had the largest magnification. Conclusions: Our results confirm that image magnification of external scalars is a significant source of variability that is currently unaccounted for in the swallowing literature. Recommendations for future research design/measurement methods are provided.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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