Does Reducing Videofluoroscopy Frame Rate Affect DIGEST Grades in Modified Barium Swallow Studies?

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY

Dysphagia Pub Date : 2025-05-16 DOI:10.1007/s00455-025-10840-4

Shitong Mao, Carla L Warneke, Sheila N Buoy, Ariana J Sahli, Brinda Rao Korivi, Carly E A Barbon, Kristy K Brock, Katherine A Hutcheson

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引用次数: 0

Abstract

Understanding the effects of reduced frame rates on the reliability of Modified Barium Swallow (MBS) ratings for swallowing safety and efficiency is essential for clinical practice. While previous research has examined frame rate (simulated pulse rates) implications concerning penetration, aspiration, and residue ratings, the impact on summary grading systems like the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) remains unclear. This study analyzed a total of 315 full MBS videos collected from 278 patients, and 76.25% of patients were diagnosed with head and neck cancer (mean age 62.51 years, SD 8.53; 12.23% female). We performed pairwise comparisons of DIGEST grades and DIGEST grade components (Safety and Efficiency) derived independently across studies with 30, 15, and 7.5 frames per second (FPS). Weighted Cohen's kappa values consistently exceeded 0.84 across all assessments, indicating "almost perfect" agreement among the different simulated pulse rates. Exact agreement for all comparisons surpassed 85%. These findings suggest that the DIGEST grading system is robust to variations in frame rate, allowing for reliable assessments even under reduced pulse rate conditions.

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在改良的钡餐研究中，降低显像透视帧率会影响消化分级吗？

了解帧率降低对改良吞钡（MBS）吞咽安全性和效率评级可靠性的影响对临床实践至关重要。虽然先前的研究已经检查了帧速率（模拟脉冲速率）对渗透、吸入和残留评级的影响，但对吞咽毒性动态成像分级（DIGEST）等综合分级系统的影响仍不清楚。本研究共分析了278例患者的315个完整MBS视频，76.25%的患者被诊断为头颈癌(平均年龄62.51岁，SD 8.53；12.23%的女性)。我们两两比较了30、15和7.5帧/秒（FPS）的研究中独立得出的DIGEST分级和DIGEST分级成分（安全性和效率）。加权科恩kappa值在所有评估中始终超过0.84，表明不同模拟脉搏率之间“几乎完美”一致。所有比较的精确一致性超过85%。这些发现表明DIGEST分级系统对帧速率的变化具有鲁棒性，即使在降低脉冲速率的条件下也可以进行可靠的评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dysphagia 医学-耳鼻喉科学

CiteScore

4.90

自引率

15.40%

发文量

149

审稿时长

6-12 weeks

期刊介绍： Dysphagia aims to serve as a voice for the benefit of the patient. The journal is devoted exclusively to swallowing and its disorders. The purpose of the journal is to provide a source of information to the flourishing dysphagia community. Over the past years, the field of dysphagia has grown rapidly, and the community of dysphagia researchers have galvanized with ambition to represent dysphagia patients. In addition to covering a myriad of disciplines in medicine and speech pathology, the following topics are also covered, but are not limited to: bio-engineering, deglutition, esophageal motility, immunology, and neuro-gastroenterology. The journal aims to foster a growing need for further dysphagia investigation, to disseminate knowledge through research, and to stimulate communication among interested professionals. The journal publishes original papers, technical and instrumental notes, letters to the editor, and review articles.