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Diaphragm Fluoroscopy (Sniff Test)

Diaphragm fluoroscopy (also called a “Sniff Test”) is done to evaluate the function of your diaphragm. The diaphragm is a muscle shaped like a parachute that separates the chest cavity from the abdominal cavity. The diaphragm contracts to fill the lungs with air on inspiration (breathing in) and relaxes on expiration (breathing out).

The Sniff Test is performed using fluoroscopy, which uses a continuous beam of X-rays to see the diaphragm move up and down on inspiration and expiration. The test allows for real-time observation of the diaphragm movement. The sniffing maneuver activates the diaphragm and exaggerates its movement.


Preparing for the Test

There is nothing specific you need to do to prepare for this test.


During the Test

Before the study you will need to remove all clothing from the waist up. You will be given a hospital gown to wear. The study is completed in a radiology (x-ray/fluoroscopy) room. The radiologist or radiology practitioner assistant (RPA) operates the fluoroscopy equipment to take images of the diaphragm.  The radiologist provides a medical diagnosis for your doctor.

You will be asked to breathe in and out, hold your breath briefly, and sniff forcefully while images are acquired. This is done in a standing position and lying down. If you have any questions or don’t understand the instructions please ask.


Length of the Test

The test will take about 20 minutes. Most of that time is taken preparing and changing clothes.


Day of the Test

Your appointment is in Advanced Biomedical Imaging (Radiology). Radiology is on the third floor of the Smith Building. On the day of your test, first report to the Admissions Desk just inside the Main Entrance. Admissions will direct you to the appropriate location for your test. If you have questions, or will not be able to make your appointment, please call 303-398-1611.


This information has been approved by Will Cook, ARRT, MA (January 2012).

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