University of Virginia and Imaging & Communication Outcomes Lab
Our Research

Connecting anatomy to clinical decisions.

Our approach

Our work combines clinical imaging, speech assessment, quantitative anatomic analysis, and collaborative technology development to understand how anatomy shapes speech physiology and to improve how treatment decisions are made.

We aim to translate research into clinical tools, share new knowledge with the scientific community, and contribute to the broader conversations that are shaping the future of speech and craniofacial care.

Across our projects, we are working toward connected workflows in which anatomy is measured consistently, function can be tested computationally, treatment options can be evaluated more deliberately, and the resulting information can be communicated in a form that a craniofacial team can actually use.

  1. VISUALIZE & MEASURE

    Quantify anatomy.

    Measure anatomy consistently with clinical imaging and quantitative analysis.

    Explore imaging
  2. SIMULATE

    Test function.

    Use computational models to test function and explore how anatomy shapes speech physiology.

    Explore modeling
  3. EVALUATE

    Advance treatment.

    Evaluate treatment options more deliberately using patient-specific information.

    Explore treatment planning
  4. TRANSLATE

    Communicate results.

    Translate the results into clear, clinically useful information for craniofacial teams.

    Explore clinical translation

Research Themes

Defining and visualizing anatomy

MRI, measurement, and pediatric imaging

We use high-resolution MRI to measure the muscles, soft tissues, and airway involved in speech production. We study how anatomy varies with growth, diagnosis, and different surgical interventions and we develop fully awake, child friendly MRI protocols that young children can complete.

What this work produces

Consistent anatomic measurements, reference data, and pediatric imaging protocols.

Questions we study

  • How does velopharyngeal anatomy vary with age, diagnosis, and surgical history?
  • Which anatomic measurements distinguish typical from atypical function?
  • How can we obtain reliable MRI data in awake young children?
Related publications and research
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Connecting structure to function

Speech physiology and computational models

We pair imaging with speech assessment to study how anatomy affects resonance and velopharyngeal function. MRI-informed computational models let us test how muscle activation and anatomic differences impact velopharyngeal function.

What this work produces

Relationships between anatomy and speech outcomes, and novel alternative models for testing velopharyngeal function.

Questions we study

  • Which anatomic features are associated with hypernasality and velopharyngeal dysfunction?
  • How does muscle activation change velopharyngeal closure?
  • Which anatomic factors may predict surgical need or outcome?
Related publications and research
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Advancing treatment

Surgical planning and treatment development

We use patient-specific simulations to examine surgical options. With surgeons, engineers, and materials scientists, we are also investigating biomaterial technologies for velopharyngeal dysfunction.

What this work produces

Simulated treatment scenarios and preclinical evaluation of new interventions.

Questions we study

  • How do variations in surgical procedure and technique impact velopharyngeal closure?
  • Can patient-specific models help evaluate treatment options before intervention?
  • Can biomaterials for tissue augmentation be tailored to individual anatomy and functional needs?
Related publications and research
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Clinical translation & technology development

Automated analysis and clinical tools

We are developing automated image analysis, patient-specific models, and standardized reporting to make research findings usable by craniofacial teams.

What this work produces

Segmentation and measurement tools, clinically useful reports, and practical imaging methods for use across clinical sites.

Questions we study

  • How can automated image analysis make anatomic measurements more consistent?
  • How can patient-specific information support diagnosis and treatment planning?
  • How can imaging findings be communicated clearly and integrated into clinical workflows?
View all publications →
Beyond velopharyngeal dysfunction

A broad translational focus across clinical domains.

Although velopharyngeal dysfunction and cleft/craniofacial conditions are central to the lab, many of the methods we develop are applicable across communication and swallowing disorders as well as surgical innovation. Our imaging and analytic approaches increasingly support research and clinical applications across the lifespan in areas including:

  • Voice and laryngeal function
  • Speech production
  • Dysphagia
  • Upper airway function
  • Head and neck conditions

How we work

Clinical questions. Collaborative methods.

We work across speech-language pathology, surgery, biomedical engineering, imaging science, data science, computational modeling, materials science, and related fields. Our research is intentionally interdisciplinary.

These collaborations allow us to approach the same clinical problem from multiple directions, combining patient data, imaging, biomechanics, computation, and technology development to build a more complete understanding of function and treatment response.

Learn more about the team →
Get involved

Bring your clinical question.
Build your research skills.

For collaborators

We work across speech-language pathology, surgery, imaging science, engineering, data science, and materials science. Contact us about a clinical question, method, or technology you would like to investigate together.

Discuss a collaboration →

For students

Interested in speech imaging, anatomy, computational modeling, or clinical research? Tell us about your interests and the skills you would like to develop.

Explore joining the lab →