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Videofluoroscopy Part 4: Equipment and Pulse Rate

presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

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Disclosure Statement:

Financial: Catriona Steele is a Tier 1 Canada Research Chair in Swallowing and Food Oral Processing. She receives a salary from the University Health Network, Toronto, and research funding from the National Institute on Aging. She receives industry research funding from Benitec Biopharma Ltd. and former industry research funding and current consulting and speaker fees from Nestlé Health Science. She also receives former educational grant and speaker fees from Bracco Canada and speaker fees and royalties from the American Board of Swallowing and Swallowing Disorders, the American Speech-Language-Hearing Association, and Northern Speech Services. She receives compensation from MedBridge for the production of this course. She has no other relevant financial relationships.

Nonfinancial: Catriona Steele is a member of the board of directors for the Dysphagia Research Society and International Dysphagia Diet Standardisation Initiative (IDDSI). She is an associate editor of the Dysphagia journal and is an editorial board member for the Journal of Texture Studies. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
Video Runtime: 34 Minutes; Learning Assessment Time: 34 Minutes

This course explores the technical aspects of videofluoroscopy, including continuous versus pulsed fluoroscopy, frame rate, and loops. In particular, we will discuss how reductions in frame rate impact the information that is obtained and the relationship between frame rate, radiation exposure, exam length, and diagnostic accuracy.

Meet Your Instructor

Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Dr. Catriona M. Steele is the director of the Swallowing Rehabilitation Research Laboratory at the Toronto Rehabilitation Institute. She also teaches in the graduate department of speech-language pathology at the University of Toronto. Prior to completing her PhD, Dr. Steele worked as a medical speech-language pathologist for 10 years. Dr. Steele is known for her…

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Chapters & Learning Objectives

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1. How Does Fluoroscopy Work?

We will review how fluoroscopic images are generated and explain the difference between continuous fluoroscopy and pulsed fluoroscopy.

2. What Is the Impact of Lower Pulse Rates on Diagnostic Information?

In this chapter, we will explore the trade-off between fluoroscopy pulse rate and diagnostic information. We will illustrate how reducing pulse rate impacts the information that is available to the clinician.

3. The Relationship Between Pulse Rate and Radiation Dose

In this chapter, we will explore the trade-off between pulse rate and radiation dose. We will discuss the ALARA principle and explore issues of examination length (and associated radiation dose) related to pulse rate. We will provide a list of points that clinicians can present to colleagues in radiology when determining optimal settings and protocols for VFSS in their facilities.

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