Best Practices in Modified Barium Swallow Studies

Purpose The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that permits visualization of bolus flow throughout the upper aerodigestive tract in real time. The information gained from the examination is critica...

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Published in:American journal of speech-language pathology Vol. 29; no. 2S; pp. 1078 - 1093
Main Authors: Martin-Harris, Bonnie, Canon, Cheri L., Bonilha, Heather Shaw, Murray, Joseph, Davidson, Kate, Lefton-Greif, Maureen A.
Format: Journal Article
Language:English
Published: United States American Speech-Language-Hearing Association 01.07.2020
Subjects:
Analysis
Anatomy & physiology
Aspiration
Barium
Best practice
Best Practices
Child
Children
Cineradiography
Clinical research
Clinical standards
Collaboration
Deglutition
Deglutition Disorders - diagnostic imaging
Efficiency
Evidence
Evidence-based medicine
Fluoroscopy
Humans
Interdisciplinary Approach
Interdisciplinary aspects
Measurement Techniques
Patient safety
Physicians
Physiological aspects
Physiology
Public Schools
Radiation
Radiation Exposure
Radiologists
Robbins, J
Special Issue: Select Papers From the 2018 Charleston Swallowing Conference at Northwestern University
Speech
Speech Language Pathology
Speech therapists
Speech therapy
Speech-language pathologists
Standardization
Swallowing
Visualization
ISSN:1058-0360, 1558-9110, 1558-9110
Online Access:Get full text
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Abstract Purpose The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that permits visualization of bolus flow throughout the upper aerodigestive tract in real time. The information gained from the examination is critical for identifying and distinguishing the type and severity of swallowing impairment, determining the safety of oral intake, testing the effect of evidence-based frontline interventions, and formulating oral intake recommendations and treatment planning. The goal of this review article is to provide the state of the science and best practices related to MBSS. Method State of the science and best practices for MBSS are reviewed from the perspectives of speech-language pathologists (SLPs) and radiologists who clinically practice and conduct research in this area. Current quandaries and emerging clinical and research trends are also considered. Results This document provides an overview of the MBSS and standards for conducting, interpreting, and reporting the exam; the SLPs' and radiologist's perspectives on standardization of the exam; radiation exposure; technical parameters for recording and reviewing the exam; the importance of an interdisciplinary approach with engaged radiologists and SLPs; and special considerations for examinations in children. Conclusions The MBSS is the primary swallowing examination that permits visualization of bolus flow and swallowing movement throughout the upper aerodigestive tract in real time. The clinical validity of the study has been established when conducted using reproducible and validated protocols and metrics applied according to best practices to provide accurate and reliable information necessary to direct treatment planning and limit radiation exposure. Standards and quandaries discussed in this review article, as well as references, provide a basis for understanding the current best practices for MBSS.
AbstractList Purpose: The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that permits visualization of bolus flow throughout the upper aerodigestive tract in real time. The information gained from the examination is critical for identifying and distinguishing the type and severity of swallowing impairment, determining the safety of oral intake, testing the effect of evidence-based frontline interventions, and formulating oral intake recommendations and treatment planning. The goal of this review article is to provide the state of the science and best practices related to MBSS. Method: State of the science and best practices for MBSS are reviewed from the perspectives of speech-language pathologists (SLPs) and radiologists who clinically practice and conduct research in this area. Current quandaries and emerging clinical and research trends are also considered. Results: This document provides an overview of the MBSS and standards for conducting, interpreting, and reporting the exam; the SLPs' and radiologist's perspectives on standardization of the exam; radiation exposure; technical parameters for recording and reviewing the exam; the importance of an interdisciplinary approach with engaged radiologists and SLPs; and special considerations for examinations in children. Conclusions: The MBSS is the primary swallowing examination that permits visualization of bolus flow and swallowing movement throughout the upper aerodigestive tract in real time. The clinical validity of the study has been established when conducted using reproducible and validated protocols and metrics applied according to best practices to provide accurate and reliable information necessary to direct treatment planning and limit radiation exposure. Standards and quandaries discussed in this review article, as well as references, provide a basis for understanding the current best practices for MBSS.
Purpose The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that permits visualization of bolus flow throughout the upper aerodigestive tract in real time. The information gained from the examination is critical for identifying and distinguishing the type and severity of swallowing impairment, determining the safety of oral intake, testing the effect of evidence-based frontline interventions, and formulating oral intake recommendations and treatment planning. The goal of this review article is to provide the state of the science and best practices related to MBSS. Method State of the science and best practices for MBSS are reviewed from the perspectives of speech-language pathologists (SLPs) and radiologists who clinically practice and conduct research in this area. Current quandaries and emerging clinical and research trends are also considered. Results This document provides an overview of the MBSS and standards for conducting, interpreting, and reporting the exam; the SLPs' and radiologist's perspectives on standardization of the exam; radiation exposure; technical parameters for recording and reviewing the exam; the importance of an interdisciplinary approach with engaged radiologists and SLPs; and special considerations for examinations in children. Conclusions The MBSS is the primary swallowing examination that permits visualization of bolus flow and swallowing movement throughout the upper aerodigestive tract in real time. The clinical validity of the study has been established when conducted using reproducible and validated protocols and metrics applied according to best practices to provide accurate and reliable information necessary to direct treatment planning and limit radiation exposure. Standards and quandaries discussed in this review article, as well as references, provide a basis for understanding the current best practices for MBSS.Purpose The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that permits visualization of bolus flow throughout the upper aerodigestive tract in real time. The information gained from the examination is critical for identifying and distinguishing the type and severity of swallowing impairment, determining the safety of oral intake, testing the effect of evidence-based frontline interventions, and formulating oral intake recommendations and treatment planning. The goal of this review article is to provide the state of the science and best practices related to MBSS. Method State of the science and best practices for MBSS are reviewed from the perspectives of speech-language pathologists (SLPs) and radiologists who clinically practice and conduct research in this area. Current quandaries and emerging clinical and research trends are also considered. Results This document provides an overview of the MBSS and standards for conducting, interpreting, and reporting the exam; the SLPs' and radiologist's perspectives on standardization of the exam; radiation exposure; technical parameters for recording and reviewing the exam; the importance of an interdisciplinary approach with engaged radiologists and SLPs; and special considerations for examinations in children. Conclusions The MBSS is the primary swallowing examination that permits visualization of bolus flow and swallowing movement throughout the upper aerodigestive tract in real time. The clinical validity of the study has been established when conducted using reproducible and validated protocols and metrics applied according to best practices to provide accurate and reliable information necessary to direct treatment planning and limit radiation exposure. Standards and quandaries discussed in this review article, as well as references, provide a basis for understanding the current best practices for MBSS.
Audience Academic
Author Martin-Harris, Bonnie
Bonilha, Heather Shaw
Davidson, Kate
Murray, Joseph
Canon, Cheri L.
Lefton-Greif, Maureen A.
AuthorAffiliation e Audiology and Speech-Language Pathology Service, VA Ann Arbor Healthcare System, MI
f Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD
c Department of Health Science and Research, Medical University of South Carolina, Charleston
d Department of Otolaryngology—Head & Neck Surgery, Medical University of South Carolina, Charleston
g Department of Otolaryngology—Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD
a Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
b Department of Radiology, The University of Alabama at Birmingham School of Medicine
h Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD
AuthorAffiliation_xml – name: f Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD
– name: c Department of Health Science and Research, Medical University of South Carolina, Charleston
– name: h Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD
– name: a Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
– name: e Audiology and Speech-Language Pathology Service, VA Ann Arbor Healthcare System, MI
– name: d Department of Otolaryngology—Head & Neck Surgery, Medical University of South Carolina, Charleston
– name: b Department of Radiology, The University of Alabama at Birmingham School of Medicine
– name: g Department of Otolaryngology—Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD
Author_xml – sequence: 1
  givenname: Bonnie
  orcidid: 0000-0001-7840-3764
  surname: Martin-Harris
  fullname: Martin-Harris, Bonnie
  organization: Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
– sequence: 2
  givenname: Cheri L.
  surname: Canon
  fullname: Canon, Cheri L.
  organization: Department of Radiology, The University of Alabama at Birmingham School of Medicine
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  givenname: Heather Shaw
  orcidid: 0000-0002-3581-4202
  surname: Bonilha
  fullname: Bonilha, Heather Shaw
  organization: Department of Health Science and Research, Medical University of South Carolina, Charleston, Department of Otolaryngology—Head & Neck Surgery, Medical University of South Carolina, Charleston
– sequence: 4
  givenname: Joseph
  surname: Murray
  fullname: Murray, Joseph
  organization: Audiology and Speech-Language Pathology Service, VA Ann Arbor Healthcare System, MI
– sequence: 5
  givenname: Kate
  surname: Davidson
  fullname: Davidson, Kate
  organization: Department of Otolaryngology—Head & Neck Surgery, Medical University of South Carolina, Charleston
– sequence: 6
  givenname: Maureen A.
  surname: Lefton-Greif
  fullname: Lefton-Greif, Maureen A.
  organization: Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, Department of Otolaryngology—Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32650657$$D View this record in MEDLINE/PubMed
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Copyright COPYRIGHT 2020 American Speech-Language-Hearing Association
Copyright American Speech-Language-Hearing Association Jul 2020
Copyright © 2020 American Speech-Language-Hearing Association
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Editor-in-Chief: Julie Barkmeier-Kraemer
Editor: Nancy Pearl Solomo
Publisher Note: This article is part of the Special Issue: Select Papers From the 2018 Charleston Swallowing Conference at Northwestern University.
Disclosure: Bonnie Martin-Harris and Kate Davidson receive MBSImP copyright royalties from Northern Speech Services through agreement with Medical University of South Carolina and Northern Speech Services (MUSC Foundation for Research Development: Royalties). Bonnie Martin-Harris receives fees as a Continuing Education Speaker (Northern Speech Services: Speaking Fee).
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PublicationTitle American journal of speech-language pathology
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RelatedPersons Robbins, J
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Snippet Purpose The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that...
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SubjectTerms Analysis
Anatomy & physiology
Aspiration
Barium
Best practice
Best Practices
Child
Children
Cineradiography
Clinical research
Clinical standards
Collaboration
Deglutition
Deglutition Disorders - diagnostic imaging
Efficiency
Evidence
Evidence-based medicine
Fluoroscopy
Humans
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Interdisciplinary aspects
Measurement Techniques
Patient safety
Physicians
Physiological aspects
Physiology
Public Schools
Radiation
Radiation Exposure
Radiologists
Robbins, J
Special Issue: Select Papers From the 2018 Charleston Swallowing Conference at Northwestern University
Speech
Speech Language Pathology
Speech therapists
Speech therapy
Speech-language pathologists
Standardization
Swallowing
Visualization
Title Best Practices in Modified Barium Swallow Studies
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Volume 29
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