Evidence map›Paper›PMID 31165922›Full record

ArticleDysphagia2020

Can We Reduce Frame Rate to 15 Images per Second in Pediatric Videofluoroscopic Swallow Studies?

Julie Layly, Franck Marmouset, Guillaume Chassagnon, Philippe Bertrand, Dominique Sirinelli, Jean-Philippe Cottier, Baptiste Morel

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Dysphagia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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  17. Radiation exposure in modified barium swallow studies.Current opinion in otolaryngology & head and neck surgery · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Julie LaylyPediatric Radiology Department, Clocheville Hospital, CHRU Tours, 49 Boulevard Beranger, 37000, Tours, France.
Franck MarmousetOtorhinolaryngology Department, Clocheville Hospital, CHRU Tours, 49 Boulevard Beranger, Tours, France.
Guillaume ChassagnonPediatric Radiology Department, Clocheville Hospital, CHRU Tours, 49 Boulevard Beranger, 37000, Tours, France.
Philippe BertrandRadiology Department, Bretonneau Hospital, CHRU Tours, 10 Boulevard Tonnellé, Tours, France.
Dominique SirinelliPediatric Radiology Department, Clocheville Hospital, CHRU Tours, 49 Boulevard Beranger, 37000, Tours, France.
Jean-Philippe CottierRadiology Department, Bretonneau Hospital, CHRU Tours, 10 Boulevard Tonnellé, Tours, France.
Baptiste MorelPediatric Radiology Department, Clocheville Hospital, CHRU Tours, 49 Boulevard Beranger, 37000, Tours, France. baptiste.morel@univ-tours.fr.ORCID 0000-0003-4747-3393
Université de Tours · FRCentre Hospitalier Universitaire de Tours · FRCentre de Recherche en Neurosciences de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Videofluoroscopic Swallow studies (VFSS) are useful radiological examinations to explore swallowing disorders but which require ionizing radiation. The aim of our study was to evaluate the comparability of pediatric VFSS at 15 frames per second (fps) with 30 fps. Fifty-five loops including 190 swallowings of VFSS at 30 fps performed on 32 consecutive pediatric patients in a University Hospital Center were retrospectively modified by a software to delete one image out of two to obtain secondary loops with a frame rate of 15 fps. An otorhinolaryngologist-phonatrician and a radiologist reviewed all swallowings blindly and randomly using the penetration and aspiration scale (PAS). In case of discordance, they concluded a consensual interpretation. Fifteen girls and seventeen boys were included. The median age was 4 years and 8 months (range = 4 months-16 yr.). 144 swallowings were normal. Swallowing disorder was confirmed in 46 swallowings, (23 supraglottic penetrations and 23 aspirations). Considering each swallowing at 15 fps, sensitivity and specificity were, respectively, 93% (CI 0.82-0.98) and 98% (CI 0.94-0.99). The Cohen'Kappa coefficient between each interpretation at 15 and 30 fps was "almost perfect" (κ = 0.95; CI 0.88-0.99). Considering each loop, conclusion was identical. Reducing frame rate at 15 fps during pediatric VFSS seemed to be acceptable with comparable diagnostic performances without clinical impact compared to 30 fps, while being an efficient way to reduce the ionizing radiation exposition in children. We would suggest reconsidering the possibility of using VFSS with a 15 fps in a pediatric population.

Indexed as

AdolescentChildChild, PreschoolCineradiographyDeglutitionDeglutition DisordersFemaleHumansImage Processing, Computer-AssistedMalePediatricsReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityALARAChildrenDeglutitionDeglutition disordersDysphagiaIonizing radiationPediatric radiologyVideo Fluoroscopic swallow study

Identifiers

PMID31165922
OpenAlexW2948844904

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.