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Normal and Abnormal Swallowing pp 119–146Cite as

Integrated Approach to Cross-Sectional Imaging and Dysphagia

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Abstract

Imaging of patients with clinical dysphagia is performed for two main reasons. First, cinepharyngography is used to identify pharyngeal masses and/or document physiological swallowing abnormalities. This test includes efforts to differentiate intrinsic from extrinsic pharyngeal lesions and categorize the physiological type of swallowing disorder. The pharyngogram is a relatively sensitive physiological technique, but is often anatomically insensitive and physiologically nonspecific. Smaller pathological lesions elude detection by this technique and only gross anatomical localization of larger lesions is usually possible. Furthermore, demonstration of the precise neuroanatomical substrate of a physiological swallowing disorder requires other imaging techniques. Until the last 15 years, actual identification and delineation of pathological lesions accounting for dysphagia was difficult and relatively unusual.

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Authors
  1. Stuart W. Point
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  2. R. Nick Bryan
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  3. S. James Zinreich
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  4. Emmett T. Cunningham Jr.
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Editor information

Editors and Affiliations

  1. The Johns Hopkins Medical Institutions, 21205, Baltimore, Maryland, USA

    Bronwyn Jones F.R.A.C.P., F.R.C.R. (Associate Professor of Radiology, Director) & Martin W. Donner M.D. (Professor of Radiology, Director Emeritus, Founder) (Associate Professor of Radiology, Director) &  (Professor of Radiology, Director Emeritus, Founder)

  2. The Johns Hopkins Swallowing Center, 21205, Baltimore, Maryland, USA

    Bronwyn Jones F.R.A.C.P., F.R.C.R. (Associate Professor of Radiology, Director) (Associate Professor of Radiology, Director)

  3. The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Swallowing Center, 21205, Baltimore, Maryland, USA

    Martin W. Donner M.D. (Professor of Radiology, Director Emeritus, Founder) (Professor of Radiology, Director Emeritus, Founder)

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© 1991 Springer Science+Business Media New York

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Point, S.W., Bryan, R.N., Zinreich, S.J., Cunningham, E.T. (1991). Integrated Approach to Cross-Sectional Imaging and Dysphagia. In: Jones, B., Donner, M.W. (eds) Normal and Abnormal Swallowing. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4150-6_9

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  • DOI: https://doi.org/10.1007/978-1-4757-4150-6_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-4152-0

  • Online ISBN: 978-1-4757-4150-6

  • eBook Packages: Springer Book Archive

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