Development and evaluation of a training program for implementation of velopharyngeal MRI in the clinical setting

Taylor D Snodgrass ¹, Jamie L Perry ², Thomas J Sitzman ^3,4

⁰Department of Communication Sciences and Disorders, College of Allied Health Sciences, East Carolina University, 2310C, Mail Stop 668, Greenville, 27834, NC, USA. snodgrasst20@students.ecu.edu.

Pediatric Radiology +

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February 14, 2025

View abstract on PubMed

Summary

A new training program successfully enabled clinical implementation of velopharyngeal magnetic resonance imaging (MRI) for velopharyngeal insufficiency (VPI). Key factors for success include speech-language pathologist involvement and consistent staff, improving MRI scan success rates.

Area Of Science

Medical Imaging
Pediatric Surgery
Speech-Language Pathology

Background

Craniofacial teams seek to use velopharyngeal magnetic resonance imaging (MRI) for surgical planning in velopharyngeal insufficiency (VPI).
Implementation barriers include lack of training and resources for velopharyngeal MRI.

Purpose Of The Study

Describe a velopharyngeal MRI training program for clinical use.
Assess the training program's effectiveness.
Identify factors for successful velopharyngeal MRI implementation.

Main Methods

Prospective observational study across 11 hospitals with craniofacial clinics.
53 pediatric patients (3-21 years) with VPI underwent velopharyngeal MRI.
Training program developed and modified during implementation.

Main Results

10 of 11 hospitals achieved competence in velopharyngeal MRI.
Overall MRI success rate was 81%, improving to 89% post-competence.
Competence achieved in an average of 1.5 scans; success factors included SLP presence, consistent staff, and video conferencing.

Conclusions

The training program facilitated successful clinical implementation of velopharyngeal MRI.
User-friendly resources and experienced support (SLP, consistent staff, video conferencing) enhance MRI success.
Velopharyngeal MRI is a viable tool for VPI management with appropriate training and support.

Keywords:

Craniofacial clinics Velopharyngeal MRI Velopharyngeal insufficiency