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Dysphagia

, Volume 21, Issue 3, pp 156–162 | Cite as

Cine Magnetic Resonance Imaging with Single-Shot Fast Spin Echo for Evaluation of Dysphagia and Aspiration

  • Dana M. HartlEmail author
  • Frédéric Kolb
  • Evelyne Bretagne
  • Patrick Marandas
  • Robert Sigal
Article

Abstract

The aim of this study was to determine the feasibility of and interest in evaluation of swallowing using dynamic magnetic resonance imaging (cine-MRI) in patients with dysphagia and aspiration caused by an abnormal pharyngeal phase of swallow. A cohort of six patients previously treated for head and neck cancer with persistent dysphagia and/or aspiration were evaluated an average of 47 months after treatment. The morphology and mobility of the oral, oropharyngeal, and laryngeal structures were analyzed using cine-MRI using single-shot fast spin echo technology. The qualitative observations were compared with a clinical fiberoptic swallowing evaluation. Swallowing physiology was analyzable for dry (saliva) swallow in all patients. MRI was well-tolerated by all six patients and no clinical aspiration occurred during the MRI. In five of six cases, further information on the cause of dysphagia was obtained using cine-MRI compared with the clinical evaluation alone. In the remaining case, cine-MRI confirmed the clinical evaluation. Cine-MRI using the dry swallow technique is feasible and without risk in patients with clinical aspiration. Cine-MRI is complementary to clinical evaluation of swallowing in patients with an abnormal pharyngeal phase of swallowing resulting from treatment of cancer.

Keywords

Dynamic MRI Cine-MRI Swallowing Dysphagia Aspiration Head and neck cancer Deglutition Deglutition disorders. 

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Dana M. Hartl
    • 1
    • 2
    Email author
  • Frédéric Kolb
    • 1
  • Evelyne Bretagne
    • 1
  • Patrick Marandas
    • 1
  • Robert Sigal
    • 1
  1. 1.Otolaryngology and Head and Neck SurgeryInstitut Gustave RoussyVillejuif CedexFrance
  2. 2.Otolaryngology and Head and Neck SurgeryInstitut Gustave RoussyVillejuif CedexFrance

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