Towards Non-Invasive Swallowing Assessment: an AI-Powered Interface for Swallowing Kinematic Analysis using High-Resolution Cervical Auscultation
Bibliographic record
Abstract
Swallowing is a pivotal physiological function for human sustenance and hydration. Dysfunctions, termed dysphagia, necessitate prompt and precise diagnosis. Videofluoroscopic swallowing studies (VFSS) remain the gold standard for swallowing assessment but pose accessibility and radiation exposure concerns. High-resolution cervical auscultation (HRCA) presents a non-invasive alternative with comparable accuracy. Yet, existing studies have only assessed HRCA in tandem with VFSS, without applying it to clinical settings. We propose an AI-enhanced PC software deploying HRCA for real-time bedside swallowing screening. This software proficiently detects abnormalities and precisely measures key kinematic events, including upper esophageal sphincter opening and laryngeal vestibule closure duration. The system was evaluated through two studies, encompassing a VFSS comparative analysis and a usability study. Our findings underscored the software's superior operational efficiency and diagnostic accuracy, positioning our HRCA-based system as a refined and pragmatic alternative for dysphagia assessment.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".