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Cross-Sectional Imaging of Dysphagia

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Normal and Abnormal Swallowing

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Abstract

For the past 30 years, videopharyngography has been successfully utilized for evaluation of patients with a variety of swallowing abnormalities. However, this radiological examination has two major limitations. First, although the videopharyngogram is a sensitive physiological technique that provides valuable functional information, it is limited in its ability to assess structure and detailed anatomy. Small pathological lesions may easily elude detection by this technique. In addition, owing to limited resolution, poor soft tissue contrast, and the inability to visualize extraluminal extension of tumors, only gross anatomical localization of larger lesions is possible. Second, the functional abnormalities identified with videopharynography are often nonspecific. Many conditions can produce the same symptoms and the same abnormalities on videopharyngography. Therefore, these patients often require additional imaging techniques (i.e., CT or MR) to demonstrate the precise neuroanatomical cause of the physiological swallowing abnormalities.

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Authors
  1. Stuart W. Point
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  2. Karen M. Horton
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  3. R. Nick Bryan
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  4. Emmett T. Cunningham Jr.
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  5. S. James Zinreich
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Editor information

Editors and Affiliations

  1. The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, 21287, Baltimore, MD, USA

    Bronwyn Jones MD, FRACP, FRCR (Professor of Radiology, Director) (Professor of Radiology, Director)

  2. The Johns Hopkins Swallowing Center, 21287, Baltimore, MD, USA

    Bronwyn Jones MD, FRACP, FRCR (Professor of Radiology, Director) (Professor of Radiology, Director)

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© 2003 Springer Science+Business Media New York

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Point, S.W., Horton, K.M., Bryan, R.N., Cunningham, E.T., Zinreich, S.J. (2003). Cross-Sectional Imaging of Dysphagia. In: Jones, B. (eds) Normal and Abnormal Swallowing. Springer, New York, NY. https://doi.org/10.1007/978-0-387-22434-3_9

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  • DOI: https://doi.org/10.1007/978-0-387-22434-3_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-2904-4

  • Online ISBN: 978-0-387-22434-3

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