Scharitzer Martina, Schima Wolfgang, Walshe Margaret, Verin Eric, Doratiotto Stefano, Ekberg Olle, Farneti Daniele, Pokieser Peter, Quaia Emilio, Woisard Virginie, Xinou Ekaterini, Speyer Renée
Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Department of Diagnostic and Interventional Radiology, Goettlicher Heiland Krankenhaus, Vienna, Austria.
Eur Radiol. 2025 Jun;35(6):3169-3180. doi: 10.1007/s00330-024-11241-1. Epub 2024 Dec 5.
Videofluoroscopic swallowing studies (VFSS) remain the gold standard for the instrumental assessment of oropharyngeal swallowing disorders alongside flexible endoscopic evaluation of swallowing (FEES), requiring a high standard of quality and correct implementation. The current best practice position statements aim to guide the clinical practice of VFSS in individuals experiencing swallowing disorders.
An international expert consensus panel with expertise in oropharyngeal dysphagia, comprised of radiologists, speech-language therapists, otolaryngologists, and other professionals in the field, convened by the European Society of Swallowing Disorders (ESSD) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), developed best practice position statements. They were established using an online Delphi methodology involving an online panel discussion and item preparation and three consecutive rounds. Consensus was reached when ≥ 80% of the participants agreed on a specific recommendation.
Eighteen best practice position statements were formulated, thereby establishing standard recommendations on the technical performance of VFSS. They cover VFSS planning, correct implementation, documentation, radiation protection, equipment and maintenance, and education and training.
These position statements summarise the panel's deliberations and recommendations in performing VFSS, representing the agreed consensus of experts from ESSD and ESGAR. They provide a structured framework for optimising and standardising the performance of VFSS in patients with swallowing disorders.
Question Significant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care. Findings Eighteen statements were developed by representatives of the ESSD and the ESGAR. Clinical relevance These best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service.
视频荧光吞咽造影检查（VFSS）仍是口咽吞咽障碍仪器评估的金标准，与吞咽功能的纤维内镜评估（FEES）一样，需要高标准的质量和正确实施。当前的最佳实践立场声明旨在指导吞咽障碍患者的VFSS临床实践。
由欧洲吞咽障碍学会（ESSD）和欧洲胃肠与腹部放射学会（ESGAR）召集，一个由放射科医生、言语治疗师、耳鼻喉科医生和该领域其他专业人员组成的具有口咽吞咽困难专业知识的国际专家共识小组制定了最佳实践立场声明。这些声明是通过在线德尔菲法制定的，包括在线小组讨论、项目准备和连续三轮。当≥80%的参与者就一项具体建议达成一致时，即达成共识。
制定了18条最佳实践立场声明，从而确立了关于VFSS技术操作的标准建议。它们涵盖VFSS规划、正确实施、记录、辐射防护、设备与维护以及教育与培训。
这些立场声明总结了专家小组在进行VFSS时的审议和建议，代表了ESSD和ESGAR专家的一致共识。它们为优化和规范吞咽障碍患者的VFSS操作提供了一个结构化框架。
问题 在进行VFSS时，临床实践存在显著的地区和国家差异，这凸显了跨学科建议以优化患者护理的必要性。 发现 ESSD和ESGAR的代表制定了18条声明。 临床意义 这些关于VFSS技术操作的最佳实践立场声明可作为规范该程序和确保高质量服务的基础。
