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Correcting nonsquare pixels (Larsen et al., 2023)

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posted on 2023-01-30, 20:36 authored by Deirdre Larsen, Takeshi Ikuma, Luisa Neubig, Andreas KistAndreas Kist, Rebecca Leonard, Andrew J. McWhorter, Melda Kunduk

Purpose: This research note illustrates the effects of video data with nonsquare pixels on the pixel-based measures obtained from videofluoroscopic swallow studies (VFSS).

Method: Six pixel-based distance and area measures were obtained from two different videoflouroscopic study units; both yielding videos with nonsquare pixels with different pixel aspect ratios (PARs). The swallowing measures were obtained from the original VFSS videos and from the videos after their pixels were squared.

Results: The results demonstrated significant multivariate effects both in video type (original vs. squared) and in the interaction between video type and sample (two video recordings of different patients, different PARs, and opposing tilt angles of the external reference). A wide range of variabilities was observed on the pixel-based measures between original and squared videos with the percent deviation ranging from 0.1% to 9.1% with the maximum effect size of 7.43.

Conclusions: This research note demonstrates the effect of disregarding PAR to distance and area pixel-based parameters. In addition, we present a multilevel roadmap to prevent possible measurement errors that could occur. At the planning stage, the PAR of video source should be identified, and, at the analyses stage, video data should be prescaled prior to analysis with PAR-unaware software. No methodology in prior absolute or relative pixel-based studies reports adjustment to the PAR prior to measurements nor identify the PAR as a possible source of variation within the literature. Addressing PAR will improve the precision and stability of pixel-based VFSS findings and improve comparability within and across clinical and research settings.

Supplemental Material S1. Obtain pixel aspect ratio (PAR) using MediaInfo (v22.03).

Supplemental Material S2. Estimating pixel aspect ratio (PAR) using ImageJ (v1.53p).

Supplemental Material S3. Setting up video scaling to square pixels in HandBrake (v1.5.1). 

Supplemental Material S4. Premeasurement image scaling in ImageJ (v1.53p).

Larsen, D., Ikuma, T., Neubig, L., Kist, A. M., Leonard, R., McWhorter, A. J., & Kunduk, M. (2023). Pixel-based swallow measurements: Correcting nonsquare pixels. Journal of Speech, Language, and Hearing Research. Advance online publication. https://doi.org/10.1044/2022_JSLHR-22-00306