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

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Title: Radiographic Magnification on Videofluoroscopy: An Important Variable to Consider for Scaled Analyses of Swallowing.
Authors: Molfenter, Sonja M.1,2 smm16@nyu.edu, Jones-Rastelli, Rebecca Brynn1, Balou, Matina3
Source: Journal of Speech, Language & Hearing Research. Jan2024, Vol. 67 Issue 1, p126-131. 6p.
Subject Terms: *Comparative studies, Radiographic magnification, Disease progression, Reliability (Personality trait), Deglutition, Confidence intervals, Fluoroscopy, Intraclass correlation, Neck, Computed tomography, Kinematics
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Radiographic Magnification on Videofluoroscopy: An Important Variable to Consider for Scaled Analyses of Swallowing.
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  Data: <searchLink fieldCode="AR" term="%22Molfenter%2C+Sonja+M%2E%22">Molfenter, Sonja M.</searchLink><relatesTo>1,2</relatesTo><i> smm16@nyu.edu</i><br /><searchLink fieldCode="AR" term="%22Jones-Rastelli%2C+Rebecca+Brynn%22">Jones-Rastelli, Rebecca Brynn</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Balou%2C+Matina%22">Balou, Matina</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Jan2024, Vol. 67 Issue 1, p126-131. 6p.
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  Data: *<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Radiographic+magnification%22">Radiographic magnification</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+progression%22">Disease progression</searchLink><br /><searchLink fieldCode="DE" term="%22Reliability+%28Personality+trait%29%22">Reliability (Personality trait)</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition%22">Deglutition</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Fluoroscopy%22">Fluoroscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Intraclass+correlation%22">Intraclass correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Neck%22">Neck</searchLink><br /><searchLink fieldCode="DE" term="%22Computed+tomography%22">Computed tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Kinematics%22">Kinematics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2023_JSLHR-23-00430
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 126
    Subjects:
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Radiographic magnification
        Type: general
      – SubjectFull: Disease progression
        Type: general
      – SubjectFull: Reliability (Personality trait)
        Type: general
      – SubjectFull: Deglutition
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Fluoroscopy
        Type: general
      – SubjectFull: Intraclass correlation
        Type: general
      – SubjectFull: Neck
        Type: general
      – SubjectFull: Computed tomography
        Type: general
      – SubjectFull: Kinematics
        Type: general
    Titles:
      – TitleFull: Radiographic Magnification on Videofluoroscopy: An Important Variable to Consider for Scaled Analyses of Swallowing.
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            NameFull: Molfenter, Sonja M.
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            NameFull: Jones-Rastelli, Rebecca Brynn
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            NameFull: Balou, Matina
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            – D: 01
              M: 01
              Text: Jan2024
              Type: published
              Y: 2024
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