The diagnostic role of high-speed vocal fold vibratory imaging

Abie H. Mendelsohn, Marc Remacle, Mark S. Courey, Friedrich Gerhard, Gregory N. Postma

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: Although high-speed imaging (HSI) has been identified as a valuable tool in phonatory biomechanics research, to date, there have only been a selected number of reports investigating the clinical utility of HSI. We aim to elucidate the role of HSI in the diagnosis of the dysphonic patient. Methods: The video files from 28 consecutive dysphonic patients with concurrently acquired videostroboscopy and HSI were retrospectively collected. Stroboscopy video files were edited to include vibratory motion only. Videos were then anonymously and randomly presented to four academic laryngologists. Experts were asked to assign a single best diagnosis for each video file. Assigned diagnoses were then compared with treatment diagnoses conferred based on medical history, phonatory evaluation, laryngeal examination, and response to treatment. Results: Interrater analysis for the four laryngologists demonstrated significant and meaningful correlations for the diagnoses of polyps, cysts, nodules, and normal examination using stroboscopy (kappa > 0.40, P < 0.001). The experts demonstrated significant and meaningful correlations for the diagnoses of polyps, presbyphonia, and normal examination using HSI (kappa > 0.40, P < 0.001). Combined intrarater analysis performed by comparing single rater's diagnosis for single patient across both modalities resulted in poor correlation without statistical significance (kappa = 0.30, P = 0.07). Both stroboscopy- and HSI-assigned diagnoses matched the treatment diagnoses at equal predicted frequencies (32.3%), as demonstrated through multivariate logistic regression analysis (P < 0.001). Conclusion: Overall, HSI did not improve the diagnostic accuracy above stroboscopy alone. Although specific laryngeal states such as presbyphonia may be better diagnosed with HSI, further studies are required to define HSI's precise role in the clinical setting.

Original languageEnglish (US)
Pages (from-to)627-631
Number of pages5
JournalJournal of Voice
Volume27
Issue number5
DOIs
StatePublished - Sep 1 2013

Fingerprint

Vocal Cords
Stroboscopy
Polyps
Biomechanical Phenomena
Cysts
Therapeutics
Logistic Models
Regression Analysis
Research

Keywords

  • Diagnosis
  • High speed
  • Interrater reliability
  • Laryngeal examination
  • Laryngoscopy
  • Stroboscopy
  • Visual subjective evaluation
  • Vocal fold vibration
  • Voice diagnostics

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN

Cite this

The diagnostic role of high-speed vocal fold vibratory imaging. / Mendelsohn, Abie H.; Remacle, Marc; Courey, Mark S.; Gerhard, Friedrich; Postma, Gregory N.

In: Journal of Voice, Vol. 27, No. 5, 01.09.2013, p. 627-631.

Research output: Contribution to journalArticle

Mendelsohn, AH, Remacle, M, Courey, MS, Gerhard, F & Postma, GN 2013, 'The diagnostic role of high-speed vocal fold vibratory imaging', Journal of Voice, vol. 27, no. 5, pp. 627-631. https://doi.org/10.1016/j.jvoice.2013.04.011
Mendelsohn, Abie H. ; Remacle, Marc ; Courey, Mark S. ; Gerhard, Friedrich ; Postma, Gregory N. / The diagnostic role of high-speed vocal fold vibratory imaging. In: Journal of Voice. 2013 ; Vol. 27, No. 5. pp. 627-631.
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