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Simultaneous X-ray Video-Fluoroscopy and Pulsed Ultrasound Velocimetry Analyses of the Pharyngeal Phase of Swallowing of Boluses with Different Rheological Properties

Qazi, Waqas M. ; Ekberg, Olle LU ; Wiklund, Johan ; Mansoor, Rashid and Stading, Mats (2020) In Dysphagia 35(6). p.898-906
Abstract

The Ultrasound Velocity Profiling (UVP) technique allows real-time, non-invasive flow mapping of a fluid along a 1D-measuring line. This study explores the possibility of using the UVP technique and X-ray video-fluoroscopy (XVF) to elucidate the deglutition process with the focus on bolus rheology. By positioning the UVP probe so that the pulsed ultrasonic beam passes behind the air-filled trachea, the bolus flow in the pharynx can be measured. Healthy subjects in a clinical study swallowed fluids with different rheological properties: Newtonian (constant shear viscosity and non-elastic); Boger (constant shear viscosity and elastic); and shear thinning (shear rate-dependent shear viscosity and elastic). The results from both the UVP and... (More)

The Ultrasound Velocity Profiling (UVP) technique allows real-time, non-invasive flow mapping of a fluid along a 1D-measuring line. This study explores the possibility of using the UVP technique and X-ray video-fluoroscopy (XVF) to elucidate the deglutition process with the focus on bolus rheology. By positioning the UVP probe so that the pulsed ultrasonic beam passes behind the air-filled trachea, the bolus flow in the pharynx can be measured. Healthy subjects in a clinical study swallowed fluids with different rheological properties: Newtonian (constant shear viscosity and non-elastic); Boger (constant shear viscosity and elastic); and shear thinning (shear rate-dependent shear viscosity and elastic). The results from both the UVP and XVF reveal higher velocities for the shear thinning fluid, followed by the Boger and the Newtonian fluids, demonstrating that the UVP method has equivalent sensitivities for detecting the velocities of fluids with different rheological properties. The velocity of the contraction wave that clears the pharynx was measured in the UVP and found to be independent of bolus rheology. The results show that UVP not only assesses accurately the fluid velocity in a bolus flow, but it can also monitor the structural changes that take place in response to a bolus flow, with the added advantage of being a completely non-invasive technique that does not require the introduction of contrast media.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Deglutition, Deglutition disorders, Fluids, Rheology, Ultrasound, Video-fluoroscopy
in
Dysphagia
volume
35
issue
6
pages
898 - 906
publisher
Springer
external identifiers
  • pmid:32048021
  • scopus:85079402478
ISSN
0179-051X
DOI
10.1007/s00455-020-10092-4
language
English
LU publication?
no
id
b7465988-0f11-43c3-bcfb-4aa1ab8ee7a0
date added to LUP
2020-02-25 15:33:45
date last changed
2024-03-04 14:20:20
@article{b7465988-0f11-43c3-bcfb-4aa1ab8ee7a0,
  abstract     = {{<p>The Ultrasound Velocity Profiling (UVP) technique allows real-time, non-invasive flow mapping of a fluid along a 1D-measuring line. This study explores the possibility of using the UVP technique and X-ray video-fluoroscopy (XVF) to elucidate the deglutition process with the focus on bolus rheology. By positioning the UVP probe so that the pulsed ultrasonic beam passes behind the air-filled trachea, the bolus flow in the pharynx can be measured. Healthy subjects in a clinical study swallowed fluids with different rheological properties: Newtonian (constant shear viscosity and non-elastic); Boger (constant shear viscosity and elastic); and shear thinning (shear rate-dependent shear viscosity and elastic). The results from both the UVP and XVF reveal higher velocities for the shear thinning fluid, followed by the Boger and the Newtonian fluids, demonstrating that the UVP method has equivalent sensitivities for detecting the velocities of fluids with different rheological properties. The velocity of the contraction wave that clears the pharynx was measured in the UVP and found to be independent of bolus rheology. The results show that UVP not only assesses accurately the fluid velocity in a bolus flow, but it can also monitor the structural changes that take place in response to a bolus flow, with the added advantage of being a completely non-invasive technique that does not require the introduction of contrast media.</p>}},
  author       = {{Qazi, Waqas M. and Ekberg, Olle and Wiklund, Johan and Mansoor, Rashid and Stading, Mats}},
  issn         = {{0179-051X}},
  keywords     = {{Deglutition; Deglutition disorders; Fluids; Rheology; Ultrasound; Video-fluoroscopy}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{898--906}},
  publisher    = {{Springer}},
  series       = {{Dysphagia}},
  title        = {{Simultaneous X-ray Video-Fluoroscopy and Pulsed Ultrasound Velocimetry Analyses of the Pharyngeal Phase of Swallowing of Boluses with Different Rheological Properties}},
  url          = {{http://dx.doi.org/10.1007/s00455-020-10092-4}},
  doi          = {{10.1007/s00455-020-10092-4}},
  volume       = {{35}},
  year         = {{2020}},
}