High-speed digital imaging of the larynx

PURPOSE OF REVIEW: This review presents recent advances in high-speed digital imaging (HSDI) of the larynx including data acquisition, data analysis, and clinical applicability. RECENT FINDINGS: Software designed to summarize the large amounts of data captured with HSDI makes it possible to quantitatively analyze recordings from patients, improving the accuracy of the methodology. The new software has been used in studies of normal individuals, increasing our knowledge of normal vocal fold vibratory behavior. HSDI has also been used in patient populations and shows promise in distinguishing various laryngeal conditions that are difficult to distinguish with other imaging modalities. Studies of postoperative patients with HSDI demonstrate the return of some vibratory characteristics but not others, potentially leading the way to improvements in surgical technique. SUMMARY: Recent advances in HSDI technology have increased the clinical usefulness of the imaging technology and recent studies demonstrate the clinical applicability of HSDI. However, challenges to widespread clinical use of HSDI remain.