Mickaël Ohana1, Stephanie L Sellers2, John Mooney2, Shaw-Hua Kueh2, Rominder Grover2, Chesnal D Arepalli2, Kapilan Selvakumar2, Ung Kim2, Philipp Blanke2, Jonathon A Leipsic2. 1. Radiology Department, St Paul's Hospital, St. Paul's Hospital, 1081 Burrard St., Vancouver, British Columbia, V6Z 1Y6 Canada; Radiology Department, Nouvel Hôpital Civil, Strasbourg University Hospital, 1place de l'Hôpital, 67000 Strasbourg, France; ICUBE Laboratory, 300bd Sébastien Brant, CS 10413, 67412 Illkirch, France. Electronic address: mickael.ohana@gmail.com. 2. Radiology Department, St Paul's Hospital, St. Paul's Hospital, 1081 Burrard St., Vancouver, British Columbia, V6Z 1Y6 Canada.
Abstract
BACKGROUND: Scanxiety, the anxiety/stress associated with an imaging test, has never been evaluated in relation to coronary CT angiography (Coronary CTA). As it could impact heart rate and thereby affect image quality of Coronary CTA, we aimed to evaluate the prevalence, severity, and impact of scanxiety on quality and interpretability of Coronary CTA. METHODS: 366 consecutive patients were prospectively presented with a clinical questionnaire comprising two tests to evaluate their scan-related anxiety: the Impact of Event IES-6 (6 questions, final score 0-24) and a visual stress-scale (1 question, score 1-10). Patient demographics, heart rate and final image quality scored by two readers were recorded. Potential independent correlations were sought between IES-6 scanxiety level and image quality, heart rate variability and demographics, using an ordinal logistic regression model. RESULTS: 344 patients (59.9% men, 57.6 ± 10.7yo) completed the questionnaire. 74.1% (255 patients) reported some scan-related distress, with a mean IES-6 score of 4.1 ± 4.3 (range 0-18). There was no significant difference in terms of age, sex or indications for Coronary CTA between the non-anxious (IES-6 = 0) and the anxious (IES-6>0) patients. There was no significant independent correlation between image quality and IES-6 score (OR = 0.98, p = 0.62), nor between IES-6 score and heart rate variability (effect = -0.005, p = 0.97). CONCLUSION: The prevalence of scan-related anxiety - aka scanxiety - in Coronary CTA patients is high (74.1%) but does not appear to impact image quality and interpretability.
BACKGROUND: Scanxiety, the anxiety/stress associated with an imaging test, has never been evaluated in relation to coronary CT angiography (Coronary CTA). As it could impact heart rate and thereby affect image quality of Coronary CTA, we aimed to evaluate the prevalence, severity, and impact of scanxiety on quality and interpretability of Coronary CTA. METHODS: 366 consecutive patients were prospectively presented with a clinical questionnaire comprising two tests to evaluate their scan-related anxiety: the Impact of Event IES-6 (6 questions, final score 0-24) and a visual stress-scale (1 question, score 1-10). Patient demographics, heart rate and final image quality scored by two readers were recorded. Potential independent correlations were sought between IES-6 scanxiety level and image quality, heart rate variability and demographics, using an ordinal logistic regression model. RESULTS: 344 patients (59.9% men, 57.6 ± 10.7yo) completed the questionnaire. 74.1% (255 patients) reported some scan-related distress, with a mean IES-6 score of 4.1 ± 4.3 (range 0-18). There was no significant difference in terms of age, sex or indications for Coronary CTA between the non-anxious (IES-6 = 0) and the anxious (IES-6>0) patients. There was no significant independent correlation between image quality and IES-6 score (OR = 0.98, p = 0.62), nor between IES-6 score and heart rate variability (effect = -0.005, p = 0.97). CONCLUSION: The prevalence of scan-related anxiety - aka scanxiety - in Coronary CTA patients is high (74.1%) but does not appear to impact image quality and interpretability.
Authors: Giuseppe Rovere; Agostino Meduri; Giancarlo Savino; Francesco Ciriaco Flammia; Francesca Lo Piccolo; Maria Rachele Pia Carafa; Anna Rita Larici; Luigi Natale; Biagio Merlino; Riccardo Marano Journal: Radiol Med Date: 2020-08-24 Impact factor: 3.469
Authors: Soudabeh Fazeli; Bradley S Snyder; Ilana F Gareen; Constance D Lehman; Seema A Khan; Justin Romanoff; Constantine A Gatsonis; Kathy D Miller; Joseph A Sparano; Christopher E Comstock; Lynne I Wagner; Ruth C Carlos Journal: JAMA Netw Open Date: 2021-11-01