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

Objective

To 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.

Design

Qualitative study using one-to-one interviews with thematic analysis.

Setting

Patients recruited from 10 hospitals in London, East and South East England between March 2013 and July 2014.

Participants

51 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.

Results

In 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.

Conclusions

Although 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 number

ISRCTN43958015 andISRCTN50436483.

Từ khóa


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