{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:14:53Z","timestamp":1778868893535,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the feasibility and utility of a dual-imaging protocol integrating speech magnetic resonance imaging (MRI) and carotid magnetic resonance angiography (MRA) for assessment of velopharyngeal dysfunction (VPD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single tertiary care institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Six pediatric patients with VPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Image quality, velopharyngeal and vascular assessment, and impact on surgical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Speech MRI consistently provided key velopharyngeal metrics, including levator veli palatini orientation and velopharyngeal gap size. Carotid MRA successfully mapped the vascular course, identifying one case of carotid medialization. Integration of both studies streamlined preoperative planning, influencing surgical technique selection and posterior pharyngeal flap design in cases with vascular anomalies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A dual-imaging VPD protocol provides comprehensive anatomical and vascular data in a single nonsedated session. This approach enhances diagnostic accuracy, improves surgical planning, and reduces patient burden by eliminating the need for separate imaging sessions and repeated anesthesia exposure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251338964","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T03:07:28Z","timestamp":1746673648000},"page":"1796-1803","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Streamlined Preoperative Evaluation of Velopharyngeal Dysfunction: A Single-Session Protocol for Speech MRI and Carotid MRA"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3632-4205","authenticated-orcid":false,"given":"Molly F.","family":"MacIsaac","sequence":"first","affiliation":[{"name":"Johns Hopkins All Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier F.","family":"Quintana","sequence":"additional","affiliation":[{"name":"Department of Radiology, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamilla","family":"Vieux","sequence":"additional","affiliation":[{"name":"Johns Hopkins All Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JoAnn C.","family":"DeRosa","sequence":"additional","affiliation":[{"name":"Johns Hopkins All Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7209-1966","authenticated-orcid":false,"given":"S. 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