We perform Modified Barium Swallow studies (MBS) at the patient's residence (home, SNF) using a DIA-SCAN video fluoroscopy system housed in a mobile van. The DIA-SCAN videofluroscopy unit has been designed to better serve the needs of patients and healthcare facilities.

The oral, pharyngeal and upper esophageal stages of the swallow are assessed. Lateral and anterior-posterior (A-P) radiographic views are completed. The standard procedures of MBS studies are utilized. Additional textures may be analyzed at the end of the study if requested.

A specially trained diagnostic team including a physician with fluoro-certification, and ASHA certified dysphagia specialty trained Speech-Language pathologist and a technician travel with the mobile van to ensure test accuracy and proper evaluation. Recommendations for patient care planning and a video copy of the study are left with the patient at the completion of the study. A full radiology report is available within 24 hours.

Our completion of the MBS study helps to determine:

• A patient's safety for oral intake of food and hydration.
• The ideal diet and liquid consistency for a patient.
• The occurence of aspiration before, during, and after the swallow.
• Appropriate swallowing therapy, including use of compensatory swallowing techniques.
• Anticipated benefits from swallowing therapy for a patient on enteral feeding
• The medical necessity of enteral feeding.

The benefits of the mobile video-fluoroscopy service are many, including the ability to set up the mobile unit at any location in a manner most comfortable for the patients and availability of immediate information about the patient's swallowing ability.