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Designing a Software for Qualitative and Quantitative Analysis of Oropharyngeal Swallowing by Videofluoroscopy

机译:设计用于视频荧光检查对口咽吞咽进行定性和定量分析的软件

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Swallowing is a dynamic, complex and synergistic process, composed of three phases with a refined neuromotor control. A malfunction of this process, denominated dysphasia, can occur in any age like a result of congenital, structural, functional and/or medical problems. The quantitative analysis of this process is crucial to understand the temporal relations between the mechanisms of the oropharyngeal deglutition. Designing a software to support the qualitative and quantitative analysis of the swallowing process through dynamic images obtained by videofluoroscopy is the main motivation and objective of this work. First, a survey of requirements for such a software was made, consisting in a research protocol for assessing dysphagia by videofluoroscopy. Secondly, best practices in humancomputer interaction were used to design a conceptual model for the proposed software. Two protocols were selected for the assessment of dysphagia by videofluoroscopy: the Protocol of Boston and the Protocol used in the Hospital Privado da Trofa. These protocols allowed the identification of several events that are evaluated in the swallowing process and that can be recorded, measured and quantified during ingestion of the bolus. The second phase resulted in a conceptual model for an interactive system embodying the evaluation protocol selected and contemplates the integration of automatic algorithms for qualitative and quantitative evaluation of the parameters of swallowing. The proposed software model has a high potential to be a useful tool for assessing parameters of swallowing.
机译:吞咽是一个动态,复杂和协同的过程,由三个阶段组成,具有精细的神经运动控制。这种过程的功能异常,称为吞咽困难,可以在任何年龄发生,例如由于先天性,结构性,功能性和/或医学问题。该过程的定量分析对于理解口咽粘连机制之间的时间关系至关重要。设计软件以支持通过视频荧光检查获得的动态图像对吞咽过程进行定性和定量分析是这项工作的主要动机和目标。首先,对这种软件的需求进行了调查,其中包括一项研究规程,用于通过视频荧光检查评估吞咽困难。其次,使用人机交互的最佳实践来为所建议的软件设计概念模型。选择了两种方案通过视频荧光镜检查进行吞咽困难评估:波士顿方案和Privado da Trofa医院使用的方案。这些协议允许识别吞咽过程中评估的几个事件,并且可以在推注大剂量期间对其进行记录,测量和定量。第二阶段产生了一个交互式系统的概念模型,其中体现了所选的评估协议,并考虑了对吞咽参数进行定性和定量评估的自动算法的集成。所提出的软件模型具有很高的潜力,可以用作评估吞咽参数的有用工具。

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