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Updated: Sep 26, 2025

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Stakeholder Perspectives on Radiation Use and Interdisciplinary Collaboration in Adult Modified Barium Swallow
Heather Shaw Bonilha1, Cheri L Canon2, Ashli O'Rourke3
1Departments of Rehabilitation Sciences, Health Science and Research, and Otolaryngology - Head and Neck Surgery, College of Health Professions, Medical University of South Carolina, Charleston, SC, 29425, USA. bonilhah@musc.edu.
The Modified Barium Swallow Study (MBSS) balances diagnostic benefits against radiation risks. This editorial examines stakeholder perspectives and barriers to evidence-based MBSS practices for improved radiation safety.
Area of Science:
- Radiology
- Speech-Language Pathology
- Medical Physics
Background:
- Modified Barium Swallow Study (MBSS) is a videofluoroscopic examination assessing swallowing.
- MBSS involves ionizing radiation, posing inherent risks.
- Balancing diagnostic yield with radiation exposure is crucial.
Purpose of the Study:
- To present stakeholder perspectives on radiation use in adult MBSS.
- To identify barriers to evidence-based MBSS protocols.
- To suggest improvements for radiation safety in MBSS.
Main Methods:
- Editorial review of stakeholder perspectives.
- Analysis of interprofessional collaboration in MBSS.
- Identification of challenges in evidence-based radiation use.
Main Results:
- Complex decision-making is required due to interprofessional involvement (speech-language pathologists, radiologists, medical physicists, referring physicians).
- Barriers exist in implementing evidence-based practices for radiation safety.
- Varied perspectives among stakeholders impact protocol standardization.
Conclusions:
- Optimizing radiation use in MBSS requires addressing interprofessional communication and collaboration.
- Standardizing evidence-based protocols can mitigate radiation risks.
- Further research and guideline development are needed for safer MBSS procedures.
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