Establishing a Clinical Protocol for Velopharyngeal MRI and Interpreting Imaging Findings.

Autor:	Perry JL; Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC, USA., Snodgrass TD; Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC, USA., Gilbert IR; Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC, USA., Sutton BP; Bioengineering Department, University of Illinois at Urbana Champaign, Urbana, IL, USA., Baylis AL; Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, OH, USA., Weidler EM; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA., Tse RW; Division of Craniofacial and Plastic Surgery, Department of Surgery, Seattle Children's Hospital, University of Washington, Seattle, WA, USA., Ishman SL; Division of HealthVine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Sitzman TJ; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA.
Jazyk:	angličtina
Zdroj:	The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 May; Vol. 61 (5), pp. 748-758. Date of Electronic Publication: 2022 Nov 30.
DOI:	10.1177/10556656221141188
Abstrakt:	Traditional imaging modalities used to assess velopharyngeal insufficiency (VPI) do not allow for direct visualization of underlying velopharyngeal (VP) structures and musculature which could impact surgical planning. This limitation can be overcome via structural magnetic resonance imaging (MRI), the only current imaging tool that provides direct visualization of salient VP structures. MRI has been used extensively in research; however, it has had limited clinical use. Factors that restrict clinical use of VP MRI include limited access to optimized VP MRI protocols and uncertainty regarding how to interpret VP MRI findings. The purpose of this paper is to outline a framework for establishing a novel VP MRI scan protocol and to detail the process of interpreting scans of the velopharynx at rest and during speech tasks. Additionally, this paper includes common scan parameters needed to allow for visualization of velopharynx and techniques for the elicitation of speech during scans. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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