Reliability of an online analysis platform for pharyngeal high-resolution impedance manometry recordings

Maartje Singendonk; Charles Cock; Luc Bieckmann; Michal Szczesniak; Lara Ferris; Marc Benninga; Taher Omari

doi:10.1080/2050571X.2018.1535564

Reliability of an online analysis platform for pharyngeal high-resolution impedance manometry recordings

Maartje Singendonk, Charles Cock, Luc Bieckmann, Michal Szczesniak, Lara Ferris, Marc Benninga, Taher Omari

College of Medicine and Public Health

Research output: Contribution to journal › Article › peer-review

21 Citations (Scopus)

84 Downloads (Pure)

Abstract

Objectives: Pharyngeal high-resolution impedance manometry (HRIM) studies can be analysed by automated impedance manometry (AIM)-analysis to objectively asses swallowing. The aim of this study was to evaluate the reliability of a recently developed online AIM analysis portal.

Methods: A database of 24 pharyngeal HRIM and videofluoroscopy studies (n = 18 oropharyngeal dysphagia patients and n = 6 controls; mean age 66, range 58–71 years) was established. Five observers of varying expertise analysed the database twice using AIMplot-online. Two experienced observers also performed the analysis using original AIMplot. Intra- and inter-rater reliability was determined by the intra-class correlation coefficient (ICC). Results from AIMplot and AIMplot-online and their relation to penetration aspiration scale (PAS) scores were compared.

Results: The expert analysis confirmed that both analysis platforms differentiated patients from controls and, amongst patients, significant swallowing dysfunction. Intra- and inter-rater reliability were substantial to excellent; however, expertise and the inclusion of highly aberrant cases influenced the reliability of some measures.

Conclusion: In conclusion, swallow function variables can be reliably derived using online software-based analysis and are altered in relation to increasing levels of swallowing dysfunction. By making the AIM analysis widely available via the Internet, the diagnostic potential of pharyngeal HRIM recordings can be fully and independently assessed.

Original language	English
Pages (from-to)	195-203
Number of pages	9
Journal	Speech, Language and Hearing
Volume	22
Issue number	4
Early online date	8 Nov 2018
DOIs	https://doi.org/10.1080/2050571X.2018.1535564
Publication status	Published - 2 Oct 2019

Bibliographical note

© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

Keywords

aspiration
dysphagia
High-resolution impedance manometry
online analysis
pharynx

Access to Document

10.1080/2050571X.2018.1535564Licence: CC BY-NC-ND

Published versionFinal published version, 1.9 MBLicence: CC BY-NC-ND

Cite this

@article{6b2790c8e8c1406f8b10f5b089f67107,

title = "Reliability of an online analysis platform for pharyngeal high-resolution impedance manometry recordings",

abstract = "Objectives: Pharyngeal high-resolution impedance manometry (HRIM) studies can be analysed by automated impedance manometry (AIM)-analysis to objectively asses swallowing. The aim of this study was to evaluate the reliability of a recently developed online AIM analysis portal. Methods: A database of 24 pharyngeal HRIM and videofluoroscopy studies (n = 18 oropharyngeal dysphagia patients and n = 6 controls; mean age 66, range 58–71 years) was established. Five observers of varying expertise analysed the database twice using AIMplot-online. Two experienced observers also performed the analysis using original AIMplot. Intra- and inter-rater reliability was determined by the intra-class correlation coefficient (ICC). Results from AIMplot and AIMplot-online and their relation to penetration aspiration scale (PAS) scores were compared. Results: The expert analysis confirmed that both analysis platforms differentiated patients from controls and, amongst patients, significant swallowing dysfunction. Intra- and inter-rater reliability were substantial to excellent; however, expertise and the inclusion of highly aberrant cases influenced the reliability of some measures. Conclusion: In conclusion, swallow function variables can be reliably derived using online software-based analysis and are altered in relation to increasing levels of swallowing dysfunction. By making the AIM analysis widely available via the Internet, the diagnostic potential of pharyngeal HRIM recordings can be fully and independently assessed.",

keywords = "aspiration, dysphagia, High-resolution impedance manometry, online analysis, pharynx",

author = "Maartje Singendonk and Charles Cock and Luc Bieckmann and Michal Szczesniak and Lara Ferris and Marc Benninga and Taher Omari",

note = "{\textcopyright} 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.",

year = "2019",

month = oct,

day = "2",

doi = "10.1080/2050571X.2018.1535564",

language = "English",

volume = "22",

pages = "195--203",

journal = "Speech, Language and Hearing",

issn = "2050-571X",

publisher = "Taylor & Francis",

number = "4",

}

TY - JOUR

T1 - Reliability of an online analysis platform for pharyngeal high-resolution impedance manometry recordings

AU - Singendonk, Maartje

AU - Cock, Charles

AU - Bieckmann, Luc

AU - Szczesniak, Michal

AU - Ferris, Lara

AU - Benninga, Marc

AU - Omari, Taher

N1 - © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

PY - 2019/10/2

Y1 - 2019/10/2

N2 - Objectives: Pharyngeal high-resolution impedance manometry (HRIM) studies can be analysed by automated impedance manometry (AIM)-analysis to objectively asses swallowing. The aim of this study was to evaluate the reliability of a recently developed online AIM analysis portal. Methods: A database of 24 pharyngeal HRIM and videofluoroscopy studies (n = 18 oropharyngeal dysphagia patients and n = 6 controls; mean age 66, range 58–71 years) was established. Five observers of varying expertise analysed the database twice using AIMplot-online. Two experienced observers also performed the analysis using original AIMplot. Intra- and inter-rater reliability was determined by the intra-class correlation coefficient (ICC). Results from AIMplot and AIMplot-online and their relation to penetration aspiration scale (PAS) scores were compared. Results: The expert analysis confirmed that both analysis platforms differentiated patients from controls and, amongst patients, significant swallowing dysfunction. Intra- and inter-rater reliability were substantial to excellent; however, expertise and the inclusion of highly aberrant cases influenced the reliability of some measures. Conclusion: In conclusion, swallow function variables can be reliably derived using online software-based analysis and are altered in relation to increasing levels of swallowing dysfunction. By making the AIM analysis widely available via the Internet, the diagnostic potential of pharyngeal HRIM recordings can be fully and independently assessed.

AB - Objectives: Pharyngeal high-resolution impedance manometry (HRIM) studies can be analysed by automated impedance manometry (AIM)-analysis to objectively asses swallowing. The aim of this study was to evaluate the reliability of a recently developed online AIM analysis portal. Methods: A database of 24 pharyngeal HRIM and videofluoroscopy studies (n = 18 oropharyngeal dysphagia patients and n = 6 controls; mean age 66, range 58–71 years) was established. Five observers of varying expertise analysed the database twice using AIMplot-online. Two experienced observers also performed the analysis using original AIMplot. Intra- and inter-rater reliability was determined by the intra-class correlation coefficient (ICC). Results from AIMplot and AIMplot-online and their relation to penetration aspiration scale (PAS) scores were compared. Results: The expert analysis confirmed that both analysis platforms differentiated patients from controls and, amongst patients, significant swallowing dysfunction. Intra- and inter-rater reliability were substantial to excellent; however, expertise and the inclusion of highly aberrant cases influenced the reliability of some measures. Conclusion: In conclusion, swallow function variables can be reliably derived using online software-based analysis and are altered in relation to increasing levels of swallowing dysfunction. By making the AIM analysis widely available via the Internet, the diagnostic potential of pharyngeal HRIM recordings can be fully and independently assessed.

KW - aspiration

KW - dysphagia

KW - High-resolution impedance manometry

KW - online analysis

KW - pharynx

UR - http://www.scopus.com/inward/record.url?scp=85057560003&partnerID=8YFLogxK

U2 - 10.1080/2050571X.2018.1535564

DO - 10.1080/2050571X.2018.1535564

M3 - Article

AN - SCOPUS:85057560003

SN - 2050-571X

VL - 22

SP - 195

EP - 203

JO - Speech, Language and Hearing

JF - Speech, Language and Hearing

IS - 4

ER -

Reliability of an online analysis platform for pharyngeal high-resolution impedance manometry recordings

Abstract

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Cite this