Radiation dose in videofluoroscopic swallow studies.

Abstract:

:Videofluoroscopy has become an increasingly important armament in the investigation and assessment of swallowing disorders. However, very little work has been published on the radiation dose used in such examinations and currently there is no national diagnostic reference level in the United Kingdom. Videofluoroscopy in our hospital is performed predominantly by one radiologist (IZM) in a single fluoroscopy room. We recorded the screening times of 230 patients over a 45-month period. Screening time ranged from 18 to 564 s (median = 171 s) associated with a median dose-area product of 1.4 Gy cm(2). This is below the third quartile level of 2.7 Gy cm(2) for all such examinations performed across the northern England. The effective dose associated with a typical videofluoroscopy dose-area product is 0.2 mSv. Videofluoroscopy is the most appropriate instrumental examination for assessing oropharyngeal swallow biomechanics and intervention strategies. This data set is based on the largest number of videofluoroscopy swallow studies published to date. Our results show that videofluoroscopy can be performed using minimal radiation doses.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Zammit-Maempel I,Chapple CL,Leslie P

doi

10.1007/s00455-006-9031-x

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

13-5

issue

1

eissn

0179-051X

issn

1432-0460

journal_volume

22

pub_type

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