Evidence map›Paper›PMID 33891192›Full record

ArticleDysphagia2022

Radiation Effective Doses to Adults Undergoing Modified Barium Swallow Studies.

Sameer V Tipnis, Walter Huda, Janina Wilmskoetter, Bonnie Martin-Harris, Heather Shaw Bonilha

Open access · greenAbstract read
In one paragraph

Article in Dysphagia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Review
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

5 authors at 3 institutions in 1 country.

Sameer V TipnisDepartment of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, USA.
Walter HudaDepartment of Radiology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH, 03766, USA.
Janina WilmskoetterDepartment of Health Science and Research, College of Health Professions, Medical University of South Carolina, 77 President St. MSC 700 office 311, Charleston, SC, 29425, USA.
Bonnie Martin-HarrisRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA.
Heather Shaw BonilhaDepartment of Health Science and Research, College of Health Professions, Medical University of South Carolina, 77 President St. MSC 700 office 311, Charleston, SC, 29425, USA. bonilhah@musc.edu.ORCID 0000-0002-3581-4202
Medical University of South Carolina · USDartmouth–Hitchcock Medical Center · USNorthwestern University · US

Funding

Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ZHI ZHONG · 2020 to 2026
$8.8M
Research and Mentoring on Swallowing Impairment and Respiratory-Swallow CoordinatK24DC012801 · NIDCD · NORTHWESTERN UNIVERSITY · PI MARTIN-HARRIS, BONNIE J · 2013 to 2024
$1.8M
Impact of Pulse Rate on Swallowing Impairment Assessment and Radiation ExposureR01DK098222 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BONILHA, HEATHER SHAW · 2013 to 2017
$1.6M
NIDCD NIH HHS K24 DC012801NIDDK NIH HHS R01 DK098222
6 · The paper itself

Abstract

Modified Barium Swallow Studies (MBSSs) are important tests to aid the diagnosis of swallowing impairment and guide treatment planning. Since MBSSs use ionizing radiation, it is important to understand the radiation exposure associated with the exam. This study reports the average radiation dose in routine clinical MBSSs, to aid the evidence-based decision-making of clinical providers and patients. We examined the MBSSs of 200 consecutive adult patients undergoing clinically indicated exams and used kilovoltage (kV) and Kerma Area Product to calculate the effective dose. While 100% of patients underwent the exam in the lateral projection, 72% were imaged in the upper posterior-anterior (PA) projection and approximately 25% were imaged in the middle and lower PA projection. Average kVs were 63 kV, 77 kV, 78.3 kV, and 94.3 kV, for the lateral, upper, middle, and lower PA projections, respectively. The average effective dose per exam was 0.32 ± 0.23 mSv. These results categorize a typical adult MBSS as a low dose examination. This value serves as a general estimate for adults undergoing MBSSs and can be used to compare other sources of radiation (environmental and medical) to help clinicians and patients assess the risks of conducting an MBSS. The distinction of MBSS as a low dose exam will assuage most clinician's fears, allowing them to utilize this tool to gather clinically significant information about swallow function. However, as an X-ray exam that uses ionizing radiation, the principles of ALARA and radiation safety must still be applied.

Indexed as

Barium SulfateRadiation ExposureAdultBariumFluoroscopyHumansRadiation DosageBariumBarium SulfateDeglutition disordersFluoroscopyRadiation

Identifiers

PMID33891192
PMCPMC9671140
OpenAlexW3156445528

What OpenQuestion holds

Textmetadata
LicenceTDM
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.