Evidence map›Paper›PMID 41046271›Full record

ArticleInternational journal of computer assisted radiology and surgery2026

Advancing modified barium swallow pre-sorting with deep learning: a new paradigm for the first step analysis in X-ray swallowing study.

Shitong Mao, Mohamed A Naser, Sheila Buoy, Kristy K Brock, Katherine A Hutcheson

Abstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Shitong MaoDepartment of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Mohamed A NaserDepartment of Radiation Oncology, Division of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Sheila BuoyDepartment of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Kristy K BrockDepartment of Imaging Physics, Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Katherine A HutchesonDepartment of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA. karnold@mdanderson.org.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Project 3: InHANCE: Fibrosis Imaging Biomarkers of Radiation: An Orphan Drug Study to Evaluate REduction of SeVERity of Symptoms in a Randomized Evaluative Trial (FIBRO2SE-REVERSE)P01CA278716 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kristy Brock, Clifton David Fuller · 2025 to 2026
$7.2M
Dissemination and implementation of DIGEST™ as an evidence-based measurement tool for dysphagia in cancerR01CA271223 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Katherine Arnold Hutcheson · 2023 to 2026
$2.6M
Harvard MD Anderson Collaborative to Reduce LyMphatic MOrbidity in Head and Neck Cancer with Artificial Intelligence (HARMONiC-AI)R01DE034780 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Clifton David Fuller, Katherine Arnold Hutcheson · 2025 to 2026
$1.4M
Image Guided Cancer Therapy Training ProgramT32CA261856 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kristy Brock, Clifton David Fuller · 2022 to 2026
$1.2M
NCI NIH HHS P01 CA278716NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA271223NCI NIH HHS T32 CA261856NIDCR NIH HHS R01 DE034780
6 · The paper itself

Abstract

purposeModified barium swallow (MBS) exams are pivotal for assessing swallowing function and include diagnostic video segments imaged in various planes, such as anteroposterior (AP or coronal plane) and lateral (or mid-sagittal plane), alongside non-diagnostic 'scout' image segments used for anatomic reference and image set-up that do not include bolus swallows. These variations in imaging files necessitate manual sorting and labeling, complicating the pre-analysis workflow.

methodsOur study introduces a deep learning approach to automate the categorization of swallow videos in MBS exams, distinguishing between the different types of diagnostic videos and identifying non-diagnostic scout videos to streamline the MBS review workflow. Our algorithms were developed on a dataset that included 3,740 video segments with a total of 986,808 frames from 285 MBS exams in 216 patients (average age 60 ± 9).

resultsOur model achieved an accuracy of 99.68% at the frame level and 100% at the video level in differentiating AP from lateral planes. For distinguishing scout from bolus swallowing videos, the model reached an accuracy of 90.26% at the frame level and 93.86% at the video level. Incorporating a multi-task learning approach notably enhanced the video-level accuracy to 96.35% for scout/bolus video differentiation.

conclusionOur analysis highlighted the importance of leveraging inter-frame connectivity for improving the model performance. These findings significantly boost MBS exam processing efficiency, minimizing manual sorting efforts and allowing raters to allocate greater focus to clinical interpretation and patient care.

Indexed as

Barium SulfateContrast MediaDeep LearningDeglutitionDeglutition DisordersRadiographic Image Interpretation, Computer-AssistedAgedAlgorithmsFemaleFluoroscopyHumansMaleMiddle AgedVideo RecordingBarium SulfateContrast MediaConvolutional neural networksDeep learningDysphagiaModified barium swallowSwallowing disordersVideofluoroscopy

Identifiers

PMID41046271
PMCPMC12551561

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LicenceCC BY
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Registered trials

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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.