Influence of spatial camera resolution in high-speed videoendoscopy on laryngeal parameters.

In laryngeal high-speed videoendoscopy (HSV) the area between the vibrating vocal folds during phonation is of interest, being referred to as glottal area waveform (GAW). Varying camera resolution may influence parameters computed on the GAW and hence hinder the comparability between examinations. This study investigates the influence of spatial camera resolution on quantitative vocal fold vibratory function parameters obtained from the GAW. In total 40 HSV recordings during sustained phonation (20 healthy males and 20 healthy females) were investigated. A clinically used Photron Fastcam MC2 camera with a frame rate of 4000 fps and a spatial resolution of 512×256 pixels was applied. This initial resolution was reduced by pixel averaging to (1) a resolution of 256×128 and (2) to a resolution of 128×64 pixels, yielding three sets of recordings. The GAW was extracted and in total 50 vocal fold vibratory parameters representing different features of the GAW were computed. Statistical analyses using SPSS Statistics, version 21, was performed. 15 Parameters showing strong mathematical dependencies with other parameters were excluded from the main analysis but are given in the Supporting Information. Data analysis revealed clear influence of spatial resolution on GAW parameters. Fundamental period measures and period perturbation measures were the least affected. Amplitude perturbation measures and mechanical measures were most strongly influenced. Most glottal dynamic characteristics and symmetry measures deviated significantly. Most energy perturbation measures changed significantly in males but were mostly unaffected in females. In females 18 of 35 remaining parameters (51%) and in males 22 parameters (63%) changed significantly between spatial resolutions. This work represents the first step in studying the impact of video resolution on quantitative HSV parameters. Clear influences of spatial camera resolution on computed parameters were found. The study results suggest avoiding the use of the most strongly affected parameters. Further, the use of cameras with high resolution is recommended to analyze GAW measures in HSV data.