초음파를 이용한 연하 장애의 진단과 시술
Ultrasound Utilization in the Diagnosis and Management of Dysphagia
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초록
Dysphagia, prevalent in stroke (51%-78%), Parkinson’s disease (80%-95%), ALS (80% in advanced stages), multiple sclerosis (31.3%), and dementia (13%-57%) patients, presents significant diagnostic challenges. Standard evaluation methods, such as VFSS and FEES, have limitations, including radiation exposure and patient discomfort. Ultrasound (US) offers a non-invasive, radiation-free alternative that allows a detailed observation of the airway, vocal cord movements, and cricopharyngeus, oral and submental muscles. This paper reviews the current research on US use in dysphagia, detailing anatomical landmarks and sonographic images for clinical applications. Key areas include the basic anatomy for US, hyolaryngeal movement, evaluation of aspiration and residue, an assessment and interventions of the upper esophageal sphincter, and an evaluation of the tongue and submental muscles. US can predict the severity of dysphagia by evaluating hyolaryngeal movement and identifying residue and aspiration, but precise quantification remains challenging. Observing the cricopharyngeal muscle with US enhances the accuracy of botulinum toxin injections. In addition, US measurements of the tongue and submental muscles aid in diagnosing conditions such as ALS. Standardizing US scanning and measurement protocols is crucial, and future advances in AI and 3D imaging technologies promise to improve accuracy in measuring complex movements and localizing anatomical structures.
Abstract
Dysphagia, prevalent in stroke (51%-78%), Parkinson’s disease (80%-95%), ALS (80% in advanced stages), multiple sclerosis (31.3%), and dementia (13%-57%) patients, presents significant diagnostic challenges. Standard evaluation methods, such as VFSS and FEES, have limitations, including radiation exposure and patient discomfort. Ultrasound (US) offers a non-invasive, radiation-free alternative that allows a detailed observation of the airway, vocal cord movements, and cricopharyngeus, oral and submental muscles. This paper reviews the current research on US use in dysphagia, detailing anatomical landmarks and sonographic images for clinical applications. Key areas include the basic anatomy for US, hyolaryngeal movement, evaluation of aspiration and residue, an assessment and interventions of the upper esophageal sphincter, and an evaluation of the tongue and submental muscles. US can predict the severity of dysphagia by evaluating hyolaryngeal movement and identifying residue and aspiration, but precise quantification remains challenging. Observing the cricopharyngeal muscle with US enhances the accuracy of botulinum toxin injections. In addition, US measurements of the tongue and submental muscles aid in diagnosing conditions such as ALS. Standardizing US scanning and measurement protocols is crucial, and future advances in AI and 3D imaging technologies promise to improve accuracy in measuring complex movements and localizing anatomical structures.
참고문헌 (30)
- Potente P, "Application of ultrasonography in neurogenic dysphagia : a systematic review", Dysphagia, 38, pp.65~75 (2023)[DOI]
- Hsiao MY, "Emerging role of ultrasound in dysphagia assessment and intervention : a narrative review", Front Rehabil Sci, 2, pp.708102~ (2021)[DOI]
- de Andrade RA, "Methodological procedures to acquire and analyze ultrasound images of swallowing : a scoping review", Dysphagia (2024)[DOI]
- Maeda K, "Ultrasonography for eating and swallowing assessment : a narrative review of integrated insights for noninvasive clinical practice", Nutrients, 15, pp.3560~ (2023)[DOI]
- Allen JE, "Ultrasound : an emerging modality for the dysphagia assessment toolkit?", Curr Opin Otolaryngol Head Neck Surg, 29, pp.213~218 (2021)[DOI]
- Parmar SB, "Ultrasound : a novel tool for airway imaging", J Emerg Trauma Shock, 7, pp.155~159 (2014)[DOI]
- Badshah M, "Surface anatomy of major anatomical landmarks of the neck in an adult population : a CT evaluation of vertebral level", Clin Anat, 30, pp.781~787 (2017)[DOI]
- Huang YL, "Ultrasonographic evaluation of hyoid-larynx approximation in dysphagic stroke patients", Ultrasound Med Biol, 35, pp.1103~1108 (2009)[DOI]
- Matsuo T, "Evaluation of swallowing movement using ultrasonography", Radiol Phys Technol, 13, pp.62~68 (2020)[DOI]
- Matsuo T, "Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography", PLoS One, 16, pp.e0248770~ (2021)[DOI]
- Hsiao MY, "Application of ultrasonography in assessing oropharyngeal dysphagia in stroke patients", Ultrasound Med Biol, 38, pp.1522~1528 (2012)[DOI]
- Lee YS, "Usefulness of submental ultrasonographic evaluation for dysphagia patients", Ann Rehabil Med, 40, pp.197~205 (2016)[DOI]
- Chen YC, "Reliability of ultrasonography in evaluating hyoid bone movement", J Med Ultrasound, 25, pp.90~95 (2017)[DOI]
- Miura Y, "Method for detection of aspiration based on B-mode video ultrasonography", Radiol Phys Technol, 7, pp.290~295 (2014)[DOI]
- Miura Y, "Establishing a methodology for ultrasound evaluation of pharyngeal residue in the pyriform sinus and epiglottic vallecula", Respir Care, 65, pp.304~313 (2020)[DOI]
- Miller LS, "Evaluation of the upper esophageal sphincter(UES)using simultaneous high-resolution endoluminal sonography(HRES)and manometry", Dig Dis Sci, 49, pp.703~709 (2004)[DOI]
- Schneider I, "Treatment of dysfunction of the cricopharyngeal muscle with botulinum A toxin : introduction of a new, noninvasive method", Ann Otol Rhinol Laryngol, 103, pp.31~35 (1994)[DOI]
- Wang YC, "Ultrasound-guided injection of botulinum toxin for cricopharyngeal dysphagia", Am J Phys Med Rehabil, 97, pp.e102~e103 (2018)[DOI]
- Wang YC, "Ultrasonography-guided botulinum toxin injection to the cricopharyngeus muscle : a case report and technical notes", Med Ultrason, 22, pp.345~355 (2020)[DOI]
- Xie M, "The effect of combined guidance of botulinum toxin injection with ultrasound, catheter balloon, and electromyography on neurogenic cricopharyngeal dysfunction : a prospective study", Dysphagia, 37, pp.601~611 (2022)[DOI]
- Wei P, "Botulinum toxin injection for the treatment of upper esophageal sphincter dysfunction", Toxins(Basel), 14, pp.321~ (2022)[DOI]
- Shawker TH, "Real-time ultrasound visualization of tongue movement during swallowing", J Clin Ultrasound, 11, pp.485~490 (1983)[DOI]
- Gritzmann N, "Sonographic anatomy of tongue and floor of the mouth", Dysphagia, 2, pp.196~202 (1988)[DOI]
- Stone M, "A guide to analysing tongue motion from ultrasound images", Clin Linguist Phon, 19, pp.455~501 (2005)[DOI]
- Ogawa N, "Ultrasonography to measure swallowing muscle mass and quality in older patients with sarcopenic dysphagia", J Am Med Dir Assoc, 19, pp.516~522 (2018)[DOI]
- Peng CL, "Ultrasonographic measurement of tongue movement during swallowing", J Ultrasound Med, 19, pp.15~20 (2000)[DOI]
- Peng CL, "Investigation of tongue movements during swallowing with M-mode ultrasonography", J Orofac Orthop, 68, pp.17~25 (2007)[DOI]
- Van Den Engel-Hoek L, "Quantitative ultrasound of the tongue and submental muscles in children and young adults", Muscle Nerve, 46, pp.31~37 (2012)[DOI]
- Yabunaka K, "Ultrasonographic evaluation of geniohyoid muscle movement during swallowing : a study on healthy adults of various ages", Radiol Phys Technol, 5, pp.34~39 (2012)[DOI]
- Chen KC, "Sarcopenic dysphagia : a narrative review from diagnosis to intervention", Nutrients, 13, pp.4043~ (2021)[DOI]