What is the role of the radiologist in conducting the videofluoroscopic swallowing function study, commonly referred to as the “modified barium swallow?
Typically, the radiographic study is conducted by a speech-language pathologist, in conjunction with a radiologist or another physician who is knowledgeable regarding radiation safety and techniques. The speech-language pathologist’s responsibilities usually include administration and modification of the bolus material, positioning of the patient, examining compensatory swallow maneuvers, and interpretation of the physiology of the swallow. The speech-language pathologist should identify the causes and symptoms of dysphagia, make decisions about the safety of oral feeding, and recommend a plan of treatment for the dysphagia. The physician has primary responsibility for making a medical diagnosis and for identifying masses and structural deviations.
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