Patient experience and perceived acceptability of whole-body magnetic resonance imaging for staging colorectal and lung cancer compared with current staging scans: a qualitative study

BMJ Open - Tập 7 Số 9 - Trang e016391 - 2017
Ruth Evans1, Stuart A. Taylor2, Sam M. Janes3, Steve Halligan2, Alison J. Morton4, Neal Navani3, Alf Oliver4, Andrea Rockall5,6, Jonathan Teague7, Anne Miles1
1Department of Psychological Sciences, Birkbeck, University of London, London, United Kingdom
2Division of Medicine, Centre for Medical Imaging, University College London, London, United Kingdom
3Division of Medicine, Lungs for Living Research Centre, University College London, London, United Kingdom
4C/O National Cancer Research Institute, London, United Kingdom
5Department of Radiology, Royal Marsden NHS Foundation Trust, London, United Kingdom
6Department of Surgery and Cancer, Imperial College London, United Kingdom
7Cancer Research UK & UCL Clinical Trials Centre, London, United Kingdom

Tóm tắt

ObjectiveTo describe the experience and acceptability of whole-body magnetic resonance imaging (WB-MRI) staging compared with standard scans among patients with highly suspected or known colorectal or lung cancer.DesignQualitative study using one-to-one interviews with thematic analysis.SettingPatients recruited from 10 hospitals in London, East and South East England between March 2013 and July 2014.Participants51 patients (31 male, age range 40–89 years), with varying levels of social deprivation, were recruited consecutively from two parallel clinical trials comparing the diagnostic accuracy and cost-effectiveness of WB-MRI with standard scans for staging colorectal and lung cancer (‘Streamline-C’ and ‘Streamline-L’). WB-MRI was offered as an additional scan as part of the trials.ResultsIn general WB-MRI presented a greater challenge than standard scans, although all but four patients completed the WB-MRI. Key challenges were enclosed space, noise and scan duration; reduced patient tolerance was associated with claustrophobia, pulmonary symptoms and existing comorbidities. Coping strategies facilitated scan tolerance and were grouped into (1) those intended to help with physical and emotional challenges, and (2) those focused on motivation to complete the scan, for example focusing on health benefit. Our study suggests that good staff communication could reduce anxiety and boost coping strategies.ConclusionsAlthough WB-MRI was perceived as more challenging than standard scans, it was sufficiently acceptable and tolerated by most patients to potentially replace them if appropriate.Trial registration numberISRCTN43958015 andISRCTN50436483.

Từ khóa


Tài liệu tham khảo

10.1002/pon.1929

Brocken, 2015, Distress in suspected lung cancer patients following rapid and standard diagnostic programs: a prospective observational study, Psychooncology, 24, 433, 10.1002/pon.3660

Risberg, 1996, Diagnostic delay causes more psychological distress in female than in male Cancer patients, Anticancer Res, 16, 995

Ciliberto, 2013, Comparison between whole-body MRI and Fluorine-18-Fluorodeoxyglucose PET or PET/CT in oncology: a systematic review, Radiol Oncol, 47, 206, 10.2478/raon-2013-0007

10.1016/0005-7916(94)90005-1

10.1016/S0009-9260(05)83042-9

10.1023/A:1018717016680

10.1001/jama.1993.03510060091039

van Minde, 2014, Pinpointing moments of high anxiety during an MRI examination, Int J Behav Med, 21, 487

10.1002/jmri.21147

10.1002/jmri.21012

10.1207/s15327558ijbm1101_1

10.1007/BF00844886

10.1016/S0005-7916(97)00006-2

Wiljer, 2013, Understanding the needs of colorectal cancer patients during the pre-diagnosis phase, J Cancer Educ, 28, 402, 10.1007/s13187-013-0465-1

10.1188/11.ONF.440-447

Robb, 2014, Public perceptions of cancer: a qualitative study of the balance of positive and negative beliefs, BMJ Open, 4, 10.1136/bmjopen-2014-005434

10.1007/s00520-013-1958-5

Carlsson, 2013, 'The situation and the uncertainty about the coming result scared me but interaction with the radiographers helped me through': a qualitative study on patients' experiences of magnetic resonance imaging examinations, J Clin Nurs, 22, 3225, 10.1111/jocn.12416

10.1111/j.1365-2702.2006.01499.x

Taylor, 2017, Streamlining staging of lung and colorectal cancer with whole body MRI; study protocols for two multicentre, non-randomised, single-arm, prospective diagnostic accuracy studies (Streamline C and Streamline L), BMC Cancer, 17, 10.1186/s12885-017-3281-x

Evans, 2010, Public perceptions of the harms and benefits of testicular cancer education: a qualitative study, Cancer Epidemiol, 34, 212, 10.1016/j.canep.2009.12.008

Miles, 2003, Receiving a screen-detected diagnosis of cancer: the experience of participants in the UK flexible sigmoidoscopy trial, Psychooncology, 12, 784, 10.1002/pon.705

McLennan D , Barnes H , Noble M , et al . The English Indices of Deprivation 2010. London: Department for Communities and Local Government, 2011.

10.1191/1478088706qp063oa

Mohlman, 2012, Predictors of unsuccessful magnetic resonance imaging scanning in older generalized anxiety disorder patients and controls, J Behav Med, 35, 19, 10.1007/s10865-011-9326-8

10.1016/j.mri.2008.01.022

Lang, 2012, A better patient experience through better communication, J Radiol Nurs, 31, 114, 10.1016/j.jradnu.2012.08.001

10.1016/j.acra.2009.07.002

10.1016/j.radi.2007.09.007

Thông tin
Thông tin xuất bản

BMJ Open

Tập 7 Số 9

e016391

Thông tin tác giả