Sleep magnetic resonance imaging: Dynamic characteristics of the airway during sleep in obstructive sleep apnea syndrome.

Source

Division of Sleep Surgery, Department of Otolaryngology, Wilford Hall Medical Center, Lackland Air Force Base, Texas; Division of Sleep Surgery, Stanford University School of Medicine, Stanford, California, U.S.A.. jose.barrera@us.af.mil.

Abstract

OBJECTIVES/HYPOTHESIS:

To determine the dynamic characteristics of airway obstruction in subjects with obstructive sleep apnea (OSA) syndrome.

STUDY DESIGN:

A prospective cohort study of 20 OSA patients and 19 control subjects who underwent real-time magnetic resonance imaging (MRI) evaluation between 2006 and 2008.

METHODS:

The dynamics of the upper airway were visualized using real-time MRI (RTHawk system, Stanford, CA) during natural sleep. Respiratory and desaturation events were correlated to polysomnogram results, and anatomic site of obstruction was determined from the real-time MRI sequences. The relation between visually observed airway obstructions and autonomic system changes was quantified and reliability calculated (Cronbach α, Aabel 2009; Gigawiz, Ltd., Tulsa, OK). An automated analysis tool was developed to determine which respiratory event is associated with the longest duration and location of obstruction in the posterior airway space (Matlab 2009; Mathworks, Inc., Natick, MA).

RESULTS:

Airway obstructions visualized on Sleep MRI during natural sleep included retropalatal, retroglossal, and combined obstruction. Respiratory events (mean rate of 31.9 per hour per subject) and desaturations (mean rate of 19.4 per hour per subject) temporally coincided with airway obstructive events. Intrarater reliability coefficients ranged from a low of 0.95 to a high of 1.0 for each rater. Inter-rater reliability coefficients ranged from a low of 0.85 to a high of 1.0.

CONCLUSIONS:

Sleep MRI is a novel and reliable approach to simultaneously evaluate airway obstructions and respiratory events in real time during natural sleep. Sleep MRI can define the dynamic characteristics of airway obstruction in both surgically naive and postsurgical OSA patients.

 

Laryngoscope. 2011 Jun;121(6):1327-35.

Randy Clare

Randy Clare

Randy Clare brings to The Sleep and Respiratory Scholar more than 25 years of extensive knowledge and experience in the sleep and pulmonary function field. He has held numerous management positions throughout his career and has demonstrated a unique view of the alternate care diagnostic and therapy model. He is considered by many an expert in the use of a Sleep Bruxism Monitor in a dental office. Mr. Clare's extensive sleep industry experience assists Sleepandrespiratoryscholar in providing current, relevant, data-proven information on sleep diagnostics and sleep therapies that are effective for the treatment of sleep disorders. Mr Clare is a senior brand manager for Glidewell Dental Laboratory his focus is on dental treatment for sleep disordered breathing.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInGoogle Plus

Leave a Reply

CAPTCHA *