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doi: 10.1597/03-007.1
The Cleft Palate-Craniofacial Journal: Vol. 42, No. 3, pp. 225–230.

Dynamic Analysis of Articulatory Movement Using Magnetic Resonance Imaging Movies: Methods and Implications in Cleft Lip and Palate

Hideo Shinagawa, D.D.S., Ph.D.
Takashi Ono, D.D.S., Ph.D.
Ei-Ichi Honda, D.D.S., Ph.D.
Shinobu Masaki, Ph.D.
Yasuhiro Shimada
Ichiro Fujimoto
Takehito Sasaki, D.D.S., Ph.D.
Atsushi Iriki, D.D.S., D.M.Sc., Ph.D.
Kimie Ohyama, D.D.S., Ph.D.

Dr. Shinagawa is Research Associate, Maxillofacial Orthognathics, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Research Associate, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan. Dr. Ono is Lecturer, Maxillofacial Orthognathics, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. Dr. Honda is Lecturer, Oral–Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan, and Professor, Department of Oral and Maxillofacial Radiology, The University of Tokushima, Tokushima, Japan. Dr. Masaki is Center Head, Brain Activity Imaging Center, Advanced Telecommunications Research Institute International, Kyoto, Japan. Yasuhiro Shimada and Ichiro Fujimoto are Visiting Researchers, Brain Activity Imaging Center, Advanced Telecommunications Research Institute International, Kyoto, Japan. Dr. Sasaki is Professor Emeritus, Tokyo Medical and Dental University, Tokyo, Japan. Dr. Iriki is Professor, Cognitive Neurobiology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. Dr. Ohyama is Professor, Maxillofacial Orthognathics, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan

Submitted January 2003; Accepted May 2004.

Objectives: To visualize articulatory movement using a magnetic resonance imaging (MRI) movie of a subject with cleft lip and palate (CLP) and to demonstrate the usefulness of this method for studying oropharyngeal function.

Material and Methods: Dynamic changes in oropharyngeal structures were assessed with an MRI movie of a man with cleft lip and palate and in a normal adult male volunteer during the articulation of /pa/, /ta/, and /ka/.

Results and Conclusions: Different movement patterns were observed during articulation in the subject with CLP compared with the normal volunteer. Posterosuperior movement of the tongue and the anterior movement of the posterior pharyngeal wall were clearly visualized in the subject with CLP. Thus, MRI movies appear to be a promising tool for evaluating speech function in patients with CLP because of their noninvasive and nonradiation nature.

KEY WORDS:articulation, cleft lip and palate, MRI movie


© 2005, The American Cleft Palate-Craniofacial Association