降低光镜脉冲率对成年修饰巴里吞研究的影响
Heather Shaw Bonilha1,2,3, Erin L Reedy4,5,6, Janina Wilmskoetter4,7
1Health Sciences and Research, College of Health Professions, Medical University of South Carolina, 77 President Street, MSC 700, Charleston, SC, 29425-2503, USA. hbonilha@mailbox.sc.edu.
在修改巴吞研究 (MBSS) 中,降低光脉冲率至每秒30脉冲以下,显著影响了吞障碍的诊断准确性. 较低的速率会损害评估,与辐射暴露的ALARA原则相矛盾.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 语音语言病理学 语言病理学
背景情况:
- 修改的吞研究 (MBSS) 对于诊断和管理吞障碍至关重要.
- 临床医生通过在MBSS期间降低光镜脉冲率来减少辐射暴露.
- 较低的脉冲率降低时间分辨率,可能降低诊断准确度.
研究的目的:
- 研究光镜脉冲减速对MBSS诊断准确度的影响.
- 为了确定是否降低脉冲率低于每秒30脉冲 (pps),会影响吞生理学和透-吸收得分.
主要方法:
- 200个MBSS记录在30 pps下降了样本到15,7.5和4 pps.
- 记录被分析使用修改的海研究损伤概况 (MBSImP) 和透-吸收量表 (PAS).
- 使用最小二次法进行的统计分析评估了玻尿酸类型和体积的得分变化.
主要成果:
- 当脉冲率降低到30 pps以下时,观察到吞生理学和透/吸收得分的统计学意义和临床意义上的变化.
- 这些变化在不同的玻尿酸类型和体积中是一致的.
- 低于30pps的脉率会对诊断准确性产生负面影响.
结论:
- 在MBSS中将光学脉冲率降低到30pps以下,会损害吞障碍的诊断准确性.
- 观察到对诊断准确性的影响超过了减少辐射暴露的好处.
- 将脉率降低到15 pps或以下对于MBSS是不建议的,并且与ALARA原则相矛盾.
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