Can we use pulsed fluoroscopy to decrease the radiation dose during video fluoroscopic feeding studies in children?

Abstract:

AIM:To investigate whether it is possible to reduce the radiation dose during video fluoroscopic feeding studies below the current 30 frames/s (continuous fluoroscopy). METHODS:Ten consecutive children who had supraglottic penetration while swallowing barium were evaluated as part of a video fluoroscopic feeding study. All fluoroscopic studies were performed with a pulse rate of 30 frames/s. Frame by frame analysis was performed of the first episode of penetration in each patient to determine on how many image frames the penetration could be detected. RESULTS:Supraglottic penetration occurred very rapidly. In seven of the 10 patients, full-depth penetration was only seen on one image frame. In no patient was the full-depth penetration seen in greater than two imaging frames. CONCLUSION:Decreasing the fluoroscopic pulse rate cannot be used as a method of decreasing radiation dose during performance of video fluoroscopic studies because it will potentially result in non-detection of episodes of supraglottic penetration of liquid barium.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Cohen MD

doi

10.1016/j.crad.2008.07.011

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

70-3

issue

1

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(08)00330-9

journal_volume

64

pub_type

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