{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T15:06:08Z","timestamp":1783177568138,"version":"3.54.6"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019779","name":"Qatar National Library","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Videofluoroscopic swallowing studies (VFSSs) are fluoroscopic examinations performed by speech and language pathologists (SLPs), for the evaluation of the oral and pharyngeal phases of swallowing, in patients who are diagnosed with symptoms like dysphagia and speech impairment. The study was focused on the evaluation of the patient doses from VFSS performed at Hamad Medical Corporation hospitals. Data on the patient exposure and examination parameters were extracted from the Radiation Dose Monitoring system, statistically analysed and compared with literature. For adult patients, the mean (median) values for fluoroscopy time and kerma-air product were 2.8 (2.7) min and 181 (144) cGycm2, respectively. For children, the respective mean (median) values were 2.6 (2.4) min and 15.3 (9.2) cGycm2. The results of the study indicate that the VFSS are performed by well-trained health professionals, and as a result, image quality sufficient for a confident diagnosis is obtained at relatively low dose levels.<\/jats:p>","DOI":"10.1093\/rpd\/ncad181","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T20:47:35Z","timestamp":1687639655000},"page":"1301-1309","source":"Crossref","is-referenced-by-count":2,"title":["Patient exposure during videofluoroscopic swallowing studies performed by speech-language pathologists"],"prefix":"10.1093","volume":"199","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8007-1682","authenticated-orcid":false,"given":"Ioannis A","family":"Tsalafoutas","sequence":"first","affiliation":[{"name":"Medical Physics Section , OHS Department, , PO Box 3050, Doha , Qatar"},{"name":"Hamad Medical Corporation , OHS Department, , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shady","family":"AlKhazzam","sequence":"additional","affiliation":[{"name":"Medical Physics Section , OHS Department, , PO Box 3050, Doha , Qatar"},{"name":"Hamad Medical Corporation , OHS Department, , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed S","family":"Hussain","sequence":"additional","affiliation":[{"name":"Speech and Language Pathology Department, Qatar Rehabilitation Institute , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed J","family":"Omar","sequence":"additional","affiliation":[{"name":"Clinical Imaging Department, Hamad General Hospital , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salwa S","family":"Bawazir","sequence":"additional","affiliation":[{"name":"Clinical Imaging Department, Hamad General Hospital , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suad A","family":"AlHamad","sequence":"additional","affiliation":[{"name":"Clinical Imaging Department, Hamad General Hospital , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huda","family":"AlNaemi","sequence":"additional","affiliation":[{"name":"Medical Physics Section , OHS Department, , PO Box 3050, Doha , Qatar"},{"name":"Hamad Medical Corporation , OHS Department, , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad H","family":"Kharita","sequence":"additional","affiliation":[{"name":"Medical Physics Section , OHS Department, , PO Box 3050, Doha , Qatar"},{"name":"Hamad Medical Corporation , OHS Department, , PO Box 3050, Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"issue":"12","key":"2023072115123124900_ref1","doi-asserted-by":"crossref","first-page":"2756","DOI":"10.1161\/01.STR.0000190056.76543.eb","article-title":"Dysphagia after stroke: incidence, diagnosis, and pulmonary complications","volume":"36","author":"Martino","year":"2005","journal-title":"Stroke"},{"issue":"4","key":"2023072115123124900_ref2","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1007\/PL00009535","article-title":"The natural history of dysphagia following a stroke","volume":"2","author":"Smithard","year":"1997","journal-title":"Dysphagia"},{"issue":"4","key":"2023072115123124900_ref3","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1161\/01.STR.30.4.744","article-title":"Swallowing function after stroke: prognosis and prognostic factors at 6 months","volume":"30","author":"Mann","year":"1999","journal-title":"Stroke"},{"issue":"3","key":"2023072115123124900_ref4","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/S0967-5868(03)00022-5","article-title":"Predictors of prolonged dysphagia following acute stroke","volume":"10","author":"Broadley","year":"2003","journal-title":"J. Clin. Neurosci."},{"issue":"2","key":"2023072115123124900_ref5","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s00455-001-0113-5","article-title":"Social and psychological burden of dysphagia: its impact on diagnosis and treatment","volume":"17","author":"Ekberg","year":"2002","journal-title":"Dysphagia"},{"issue":"3","key":"2023072115123124900_ref6","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/BF02408041","article-title":"How I do it: examination of the patient with dysphagia","volume":"4","author":"Jones","year":"1989","journal-title":"Dysphagia"},{"issue":"3","key":"2023072115123124900_ref7","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1007\/BF01354540","article-title":"A protocol for the videofluorographic swallowing study","volume":"8","author":"Palmer","year":"1993","journal-title":"Dysphagia"},{"issue":"4","key":"2023072115123124900_ref8","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.pmr.2008.06.004","article-title":"The videofluorographic swallowing study","volume":"19","author":"Martin-Harris","year":"2008","journal-title":"Phys. Med. Rehabil. Clin. N. Am."},{"issue":"3","key":"2023072115123124900_ref9","first-page":"216","article-title":"Technical aspects of a videofluoroscopic swallowing study","volume":"37","author":"Peladeau-Pigeon","year":"2013","journal-title":"Can. J. Speech-Lang. Pathol. Audiol."},{"issue":"2","key":"2023072115123124900_ref10","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.radi.2019.10.011","article-title":"Clinical practice guidelines for videofluoroscopic swallowing studies: a systematic review","volume":"26","author":"Boaden","year":"2020","journal-title":"Radiography (Lond)."},{"key":"2023072115123124900_ref11","volume-title":"Belgian Protocol for Annual Quality Control of X-ray Equipment: Fluoroscopy Devices","author":"BHPA","year":"2019"},{"key":"2023072115123124900_ref12","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/PL00009554","article-title":"Radiation doses to patients during pharyngeal videofluoroscopy","volume":"13","author":"Wright","year":"1998","journal-title":"Dysphagia"},{"issue":"7","key":"2023072115123124900_ref13","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1053\/crad.2001.0904","article-title":"Scattered radiation level during videofluoroscopy for swallowing study","volume":"57","author":"Chan","year":"2002","journal-title":"Clin. Radiol."},{"issue":"920","key":"2023072115123124900_ref14","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1259\/bjr\/22832251","article-title":"Patient and operator dose during fluoroscopic examination of swallow mechanism","volume":"77","author":"Crawley","year":"2004","journal-title":"Br. J. Radiol."},{"key":"2023072115123124900_ref15","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s11547-006-0013-8","article-title":"Dynamic swallowing study and radiation dose to patients","volume":"111","author":"Moro","year":"2006","journal-title":"La Radiologia Medica."},{"issue":"1","key":"2023072115123124900_ref16","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s00455-006-9031-x","article-title":"Radiation dose in videofluoroscopic swallow studies","volume":"22","author":"Zammit-Maempel","year":"2007","journal-title":"Dysphagia"},{"issue":"4","key":"2023072115123124900_ref17","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s00455-009-9214-3","article-title":"Patient dose during videofluoroscopy swallowing studies in a Hong Kong public hospital","volume":"24","author":"Chau","year":"2009","journal-title":"Dysphagia"},{"issue":"2","key":"2023072115123124900_ref18","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s00455-012-9424-y","article-title":"Patients' radiation dose during videofluoroscopic swallowing studies according to underlying characteristics","volume":"28","author":"Kim","year":"2013","journal-title":"Dysphagia"},{"issue":"3","key":"2023072115123124900_ref19","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1044\/2019_AJSLP-18-0271","article-title":"Relationships between radiation exposure dose, time, and projection in videofluoroscopic swallowing studies","volume":"28","author":"Bonilha","year":"2019","journal-title":"Am. J. Speech. Lang. Pathol."},{"key":"2023072115123124900_ref20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijporl.2019.02.038","article-title":"Radiation exposure during videofluoroscopic swallowing studies in young children","volume":"121","author":"Ko","year":"2019","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"issue":"1","key":"2023072115123124900_ref21","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1007\/s00455-020-10112-3","article-title":"Radiation safety in videofluoroscopic swallowing study: systematic review","volume":"36","author":"Hong","year":"2021","journal-title":"Dysphagia"},{"issue":"1","key":"2023072115123124900_ref22","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/01.HP.0000174812.97049.0e","article-title":"Thyroid dose measurements for staff involved in modified barium swallow exams","volume":"90","author":"McLean","year":"2006","journal-title":"Health Phys."}],"container-title":["Radiation Protection Dosimetry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/rpd\/article-pdf\/199\/12\/1301\/50926041\/ncad181.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/rpd\/article-pdf\/199\/12\/1301\/50926041\/ncad181.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T15:14:06Z","timestamp":1689952446000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/rpd\/article\/199\/12\/1301\/7204584"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,21]]},"references-count":22,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,6,21]]},"published-print":{"date-parts":[[2023,7,21]]}},"URL":"https:\/\/doi.org\/10.1093\/rpd\/ncad181","relation":{},"ISSN":["0144-8420","1742-3406"],"issn-type":[{"value":"0144-8420","type":"print"},{"value":"1742-3406","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7]]},"published":{"date-parts":[[2023,6,21]]}}}