Novel description on esophageal timed barium swallow: the correlation between advanced parametrization and esophageal X-ray images advanced parametrization and esophageal x-ray images
Gastroenterology and Hepatology from Bed to Bench,
Vol. 15 No. 4 (2022),
3 October 2022
Aim: The TBS-derived image processing method, based on the observer's diagnosis, has been developed in the current investigation. Image parametrization is proposed for both novel description and convergent shreds of evidence.
Background: Condensed X-ray images of the esophageal timed barium swallow (TBS) provide substantial implications for elucidating the pathophysiological dimensions of esophageal motility disorders.
Methods: Through the simultaneous study on TBS and high-resolution manometry (HRM) findings, we performed a retrospective cohort study on 252 patients from March 2018 to October 2019. Interventions, irrelevant information, and insufficient patient data were excluded. Only subjects with adequate data and acceptable test accuracy were considered for participation. We reviewed 117 Dicom (digital imaging and communications in medicine) X-ray images from patients with confirmed diagnoses of achalasia type II, esophagogastric junction outflow obstruction (EGJOO), or non-achalasia.
Results: The results suggested a cut-off level of 47% in DDi (dilated diameter index) as a sign of the dilated body. In achalasia type II patients (n=66 images), the mean DDi was 55.6%. Our method presented a sensitivity of 95% and a specificity of 93% compared to images of the non-achalasia findings. The mean DDi in EGJOO patients was 50.4%, according to the 27 images. Moreover, results from EGJOO patients provided a sensitivity of 85% and specificity of 87%.
Conclusion: TBS is an efficacious method and a prominent component in the process of achalasia diagnosis. Standard parametrization might develop radiological exports proposed by DDi. Our method could assist in obtaining a non-invasive medical diagnosis and help advance diagnostic reports to identify achalasia subtypes somewhat earlier. To the best of our knowledge, this interface is an innovative parametrization for TBS image review.
- High-resolution Esophageal Manometry. Esophageal Barium Time Swallow. Image ProcessingAchalasia
How to Cite
Malagelada JR, Bazzoli F, Boeckxstaens G, De Looze D, Fried M, Kahrilas P, et al. World gastroenterology organisation global guidelines: dysphagia--global guidelines and cascades update September 2014. J Clin Gastroenterol 2015;49:370-8.
Gasiorowska A, Fass R Current approach to dysphagia. Gastroenterol Hepatol 2009;5:269-279.
Clouse R, Richter J, Heading R, Janssens J, Wilson J. Functional esophageal disorders. Gut 1999;45:31-36.
Vantrappen G, Janssens J, Hellemans J, Coremans G. Achalasia, diffuse esophageal spasm, and related motility disorders. Gastroenterology 1979;76:450-457.
Kahrilas P, Bredenoord A, Fox M, Gyawali C, Roman S, Smout A, Pandolfino J, Group IHRMW. The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil 2015;27:160-174.
Andersson M, Kostic S, Ruth M, Lönroth H, Kjellin A, Hellström M, et al. Characteristics of timed barium esophagogram in newly diagnosed idiopathic achalasia: clinical and manometric correlates. Acta Radiol 2007;48:2-9.
de Oliveira J, Birgisson S, Doinoff C, Einstein D, Herts B, Davros W, Obuchowski N, Koehler R, Richter J, Baker M. Timed barium swallow: a simple technique for evaluating esophageal emptying in patients with achalasia. AJR Am J Roentgenol 1997;169:473-479.
Pandolfino JE, Gawron AJ. Achalasia: a systematic review. Jama 2015;313:1841-1852.
(!!! INVALID CITATION !!! [9-11]).
El-Takli I, O’Brien P, Paterson W. Clinical diagnosis of achalasia: how reliable is the barium x-ray? Can J Gastroenterol Hepatol 2006;20:335-337.
Blonski W, Kumar A, Feldman J, Richter JE. Timed barium swallow: diagnostic role and predictive value in untreated achalasia, esophagogastric junction outflow obstruction, and non-achalasia dysphagia. Am J Gastroenterol 2018;113:196
Schima W, Ryan J, Harisinghani M, Schober E, Pokieser P, Denk D-M, et al. Radiographic detection of achalasia: diagnostic accuracy of videofluoroscopy. Clin Radiol 1998;53:372-375
Forootan M, Firozjah AMT, Amini S, Zali MR, Darvishi M. Classification of Esophageal Motility Disorders in Patients Referring to Hospital Manometric Unit. J Int Transl Med 2018;6:181-184.
Pouderoux P, Lin S, Kahrilas PJ. Timing, propagation, coordination, and effect of esophageal shortening during peristalsis. Gastroenterology 1997;112:1147-1154.
Palmer JB, Kuhlemeier KV, Tippett DC, Lynch C. A protocol for the videofluorographic swallowing study. Dysphagia 1993;8:209-214.
Martin-Harris B, Logemann JA, McMahon S, Schleicher M, Sandidge J. Clinical utility of the modified barium swallow. Dysphagia 2000;15:136-141.
Neyaz Z, Gupta M, Ghoshal UC. How to perform and interpret timed barium esophagogram. Journal of neurogastroenterology and motility 2013;19:251-256.
Pandolfino JE, Kwiatek MA, Nealis T, Bulsiewicz W, Post J, Kahrilas PJ. Achalasia: a new clinically relevant classification by high-resolution manometry. Gastroenterology 2008;135:1526-1533.
Fox MR, Bredenoord AJ. Oesophageal high-resolution manometry: moving from research into clinical practice. Gut 2008;57:405-423.
Vaezi MF, Pandolfino JE, Vela MF. ACG clinical guideline: diagnosis and management of achalasia. Am J Gastroenterol 2013;108:1238-1249.
Zaninotto G, Bennett C, Boeckxstaens G, Costantini M, Ferguson M, Pandolfino J, et al. The 2018 ISDE achalasia guidelines. Dis Esophagus 2018;31.
Kazubek M. Wavelet domain image denoising by thresholding and Wiener filtering. IEEE Signal Process Lett 2003;10:324-326.
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