ArticleLaryngoscope investigative otolaryngology2020
Imaging the breastfeeding swallow: Pilot study utilizing real-time MRI.
Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- Prevalence of Ankyloglossia in Portuguese Newborns and Its Effect on Exclusive Breastfeeding and Maternal Nipple Pain During Postpartum Hospitalization.Journal of pediatrics. Clinical practice · 2026Article
- An open-source toolbox for measuring vocal tract shape from real-time magnetic resonance images.Behavior research methods · 2024Article
- [Latest Findings on the Suck-Swallow-Breathe Mechanism of Direct Breastfeeding From the Breast to an Infant].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023Article
- Complications and misdiagnoses associated with infant frenotomy: results of a healthcare professional survey.International breastfeeding journal · 2022Article
- A brief gestalt intervention changes ultrasound measures of tongue movement during breastfeeding: case series.BMC pregnancy and childbirth · 2022Article
- Quantitative imaging of tongue kinematics during infant feeding and adult swallowing reveals highly conserved patterns.Physiological reports · 2021Article
- Realistic Dynamic Numerical Phantom for MRI of the Upper Vocal Tract.Journal of imaging · 2020Article
- Imaging the breastfeeding swallow: Pilot study utilizing real-time MRI.Laryngoscope investigative otolaryngology · 2020Article
- Re-thinking benign inflammation of the lactating breast: Classification, prevention, and management.Women's health (London, England)Article
- Re-thinking lactation-related nipple pain and damage.Women's health (London, England)Review
- Overdiagnosis and overtreatment of nipple and breast candidiasis: A review of the relationship between diagnoses of mammary candidiasis andWomen's health (London, England)Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveKnowledge of the breastfeeding swallow is limited by practical challenges. Radiation exposure to both mother and infant and the radiolucent properties of breastmilk make videofluoroscopy an unsuitable imaging modality. Furthermore, ultrasound is not ideal for capturing the complex 3-dimensional functional anatomy of swallowing. In this study we explore the feasibility of using real-time MRI to capture the breastfeeding swallow.
methodsProspective observational study: Review of imaging from 12 normal infants (<5 months of age) and their mothers while breastfeeding using real-time MRI.
resultsStatic images were successfully captured in 11 infants and dynamic images in nine infants. This imaging modality confirms the dorsal surface of the infant's tongue elevates the maternal nipple to the hard palate, closing the space around the nipple with no air visible in the oral cavity during sucking and swallowing. We obtained dynamic imaging of mandibular movement with sucking, palatal elevation and pharyngeal constriction with swallowing, diaphragm movement with breathing and milk entering the stomach. Breastmilk was easily visualized, being high intensity on T2 sequences. Technical challenges were encountered secondary to infant movement and difficulties acquiring and maintaining midsagittal orientation. The similarity in tissue densities of the lips, tongue, nipple and hard palate limited definition between these structures.
conclusionReal-time MRI imaging was successful in capturing dynamic images of the breastfeeding swallow. However, technical and practical challenges make real-time MRI unlikely at present to be suitable for swallow assessment in clinical practice. Advances in technology and expertise in dynamic image capture may improve the feasibility of using MRI to understand and assess the breastfeeding swallow in the near future. LEVEL OF EVIDENCE:
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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.