Modified Barium Swallow Study ACR-SPR Practice Parameter 2023 Update

This document is a technical report detailing the updated Practice Parameter for the Modified Barium Swallow Study (MBSS) as established by the American College of Radiology (ACR) in collaboration with the Society of Pediatric Radiology (SPR). The MBSS is a videofluoroscopic imaging procedure aimed at evaluating oral and pharyngeal swallowing function and airway protection. The report outlines the objectives of the MBSS, including identifying swallowing impairments, assessing safety and efficiency of oral intake, and developing management plans. The 2023 update introduces new indications for the MBSS, expanding the criteria for its use, and includes specific contraindications. Additionally, the document describes the protocol for conducting the MBSS, emphasizing the importance of using standardized techniques and validated protocols to ensure quality and consistency in practice. The report serves as a comprehensive guide for radiologists and speech-language pathologists involved in the performance of the MBSS.