Artificial Intelligence in the Interpretation of Videofluoroscopic Swallow Studies: Implications and Advances for Speech–Language Pathologists

Article


Girardi, Anna M., Cardell, Elizabeth A. and Bird, Stephen P.. 2023. "Artificial Intelligence in the Interpretation of Videofluoroscopic Swallow Studies: Implications and Advances for Speech–Language Pathologists ." Big Data and Cognitive Computing. 7 (4). https://doi.org/10.3390/bdcc7040178
Article Title

Artificial Intelligence in the Interpretation of Videofluoroscopic Swallow Studies: Implications and Advances for Speech–Language Pathologists

ERA Journal ID211865
Article CategoryArticle
AuthorsGirardi, Anna M., Cardell, Elizabeth A. and Bird, Stephen P.
Journal TitleBig Data and Cognitive Computing
Journal Citation7 (4)
Article Number178
Number of Pages13
Year2023
PublisherMDPI AG
Place of PublicationSwitzerland
ISSN2504-2289
Digital Object Identifier (DOI)https://doi.org/10.3390/bdcc7040178
Web Address (URL)https://www.mdpi.com/2504-2289/7/4/178
Abstract

Radiological imaging is an essential component of a swallowing assessment. Artificial intelligence (AI), and especially deep learning (DL) models, have enhanced the efficiency and efficacy through which imaging is interpreted, and subsequently have important implications for swallow diagnostics and intervention planning. However, the application of AI for the interpretation of videofluoroscopic swallowing studies (VFSS) is still emerging. This review showcases recent literature in the use of AI to interpret VFSS and highlights clinical implications for speech pathologists (SPs). With a surge in AI research, there have been advances made in dysphagia assessment. Several studies have demonstrated successful implementation of DL algorithms to analyze VFSS. Notably, convolutional neural networks (CNNs) have been used to detect pertinent aspects of the swallowing process with high levels of precision. DL algorithms have the potential to streamline VFSS interpretation, improve efficiency and accuracy, and enable precise interpretation of instrumental dysphagia evaluation, which is especially advantageous when access to skilled clinicians is not ubiquitous. By enhancing precision, speed, and depth of VFSS interpretation, SPs can obtain a more comprehensive understanding of swallow physiology and deliver targeted and timely intervention that is tailored towards the individual. This has practical applications for both clinical practice and dysphagia research. As this research area grows and AI technologies progress, the application of DL in the field of VFSS interpretation is clinically beneficial and has the potential to transform dysphagia assessment and management. With broader validation and inter-disciplinary collaborations, AI-augmented VFSS interpretation is likely to transform swallow evaluation and ultimately improve outcomes for individuals with dysphagia.

Keywordsspeech pathology; dysphagia; artificial intelligence; videofluoroscopic swallowing study; deep learning; videofluoroscopic swallowing study; deep learning; imaging; machine learning
Article Publishing Charge (APC) FundingOther
ANZSRC Field of Research 20204602. Artificial intelligence
4201. Allied health and rehabilitation science
Byline AffiliationsSchool of Health and Medical Sciences
Centre for Health Research
Griffith University
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King, Leonard, Osborne, Hamish, Bird, Stephen P. and Huyghe, Thomas. 2020. Basketball New Zealand COVID-19 return to training and competition framework: guidelines for safe return to training and competition for coaches and players. Wellington, New Zealand. Basketball New Zealand.
Season suspension and summer extension: Unique opportunity for professional team-sport athletes and support staff during and following the COVID-19 crisis
Huyghe, Thomas G., Bird, Stephen P., Calleja-Gonzalez, Julio and Alcaraz, Pedro E.. 2020. "Season suspension and summer extension: Unique opportunity for professional team-sport athletes and support staff during and following the COVID-19 crisis." Frontiers in Sports and Active Living. 2 (98). https://doi.org/10.3389/fspor.2020.00098
Welcome to the International Universities Strength and Conditioning Association Journal: publishing research with a view to the future
Bird, Stephen P.. 2020. "Welcome to the International Universities Strength and Conditioning Association Journal: publishing research with a view to the future." International Universities Strength and Conditioning Association Journal. 1 (1).
Bridging the gap: why strength and conditioning practitioners and researchers should collaborate
Langford, Andrew and Bird, Stephen P.. 2020. "Bridging the gap: why strength and conditioning practitioners and researchers should collaborate." International Universities Strength and Conditioning Association Journal. 1 (1).
Dysphagia progression and feeding skills following pediatric alkali ingestion injury: two case reports
Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Marshall, Jeanne, Dodrill, Pamela and Lewindonc, Peter. 2017. "Dysphagia progression and feeding skills following pediatric alkali ingestion injury: two case reports." Disability and Rehabilitation. 39 (23), pp. 2452-2459. https://doi.org/10.1080/09638288.2016.1231848
Dysphagia and feeding difficulties post-pediatric ingestion injury: Perspectives of the primary caregiver
Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Marshall, Jeanne, Dodrill, Pamela and Lewindonc, Peter. 2017. "Dysphagia and feeding difficulties post-pediatric ingestion injury: Perspectives of the primary caregiver." International Journal of Pediatric Otorhinolaryngology. 103, pp. 20-28. https://doi.org/10.1016/j.ijporl.2017.09.013
Speech-language Pathology in Acute Pediatric Chemical or Button Battery Ingestion Injury
Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Dodrill, Pamela and Lewindonc, Peter. 2017. "Speech-language Pathology in Acute Pediatric Chemical or Button Battery Ingestion Injury ." Journal of Pediatric Gastroenterology and Nutrition. 64 (1), pp. 42-46. https://doi.org/10.1097/MPG.0000000000001256
Speech-language pathology services in Australian and New Zealand pediatric burn units and chemical ingestion injury
Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Dodrill, Pamela and Clayton, Nicola A.. 2015. "Speech-language pathology services in Australian and New Zealand pediatric burn units and chemical ingestion injury." Speech, Language and Hearing. 18 (2), pp. 116-124. https://doi.org/10.1179/2050572814Y.0000000057
Voice movement therapy: evaluation of a group-based expressive arts therapy for nonsuicidal self-injury in young adults
Martin, Sophie, Martin, Graham, Lequertier, Belinda, Swannell, Sarah, Follent, Anna and Choe, Florence. 2013. "Voice movement therapy: evaluation of a group-based expressive arts therapy for nonsuicidal self-injury in young adults." Music and Medicine. 5, pp. 31-38. https://doi.org/10.1177/1943862112467649
Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates
Lyvers, Michael, Czerczyk, Cameron, Follent, Anna and Lodge, Phoebe. 2009. "Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates." Addiction Research and Theory. 17 (6), pp. 668-677. https://doi.org/10.3109/16066350802404158