Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study
Abstract Background The purpose of our retrospective study was to assess the termination rate and the image quality of MR exams performed in claustrophobic patients under medical hypnosis, as compared to patients undergoing MR under spontaneous breathing general anesthesia. Methods Our study was app...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-06-01
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| Series: | Insights into Imaging |
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| Online Access: | https://doi.org/10.1186/s13244-021-01020-7 |
| _version_ | 1819083564936855552 |
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| author | Stefania Rizzo Nicole Ferrera Emanuele Pravatà Roman Guggenberger Steven Stern Filippo Del Grande |
| author_facet | Stefania Rizzo Nicole Ferrera Emanuele Pravatà Roman Guggenberger Steven Stern Filippo Del Grande |
| author_sort | Stefania Rizzo |
| collection | DOAJ |
| description | Abstract Background The purpose of our retrospective study was to assess the termination rate and the image quality of MR exams performed in claustrophobic patients under medical hypnosis, as compared to patients undergoing MR under spontaneous breathing general anesthesia. Methods Our study was approved by the ethics committee. The “hypnosis group” included consecutive patients that had previously interrupted an MR exam because of claustrophobia. The “control group” included patients undergoing MR under pharmacologic sedation. Two experienced radiologists assessed, randomly, independently and blinded the image quality of the two groups using a symmetrical Likert scale: 0 = non-diagnostic images; 1 = bad image quality; 2 = fair image quality; 3 = good image quality; 4 = very good image quality. Descriptive statistics was performed. Results Eighty patients were included, equally distributed between the two groups. Every patient was able to complete the MR exam. Ratings 3 and 4 represented the majority of ratings. Both readers rated the MR exams with score 3 or 4 in 66.25% (53/80) of MR exams. Only 5% (4/80) of MR exams were rated below score 2. The majority of the MR exams showed good or very good image quality. No significant difference was found in image quality between the two (p = 0.06) groups. The agreement between the two readers according to the k score was 0.105. Conclusions Medical hypnosis is a valid alternative to spontaneous breathing general anesthesia in patients unable to undergo MR due to claustrophobia, allowing good quality images. |
| first_indexed | 2024-12-21T20:34:35Z |
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| id | doaj.art-4eb4327f4ffb4415b1a4f68cc9ed04aa |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-12-21T20:34:35Z |
| publishDate | 2021-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-4eb4327f4ffb4415b1a4f68cc9ed04aa2022-12-21T18:51:08ZengSpringerOpenInsights into Imaging1869-41012021-06-011211610.1186/s13244-021-01020-7Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective studyStefania Rizzo0Nicole Ferrera1Emanuele Pravatà2Roman Guggenberger3Steven Stern4Filippo Del Grande5Facoltà Di Scienze Biomediche, Università Della Svizzera italiana (USI)Medico Indipendente, FMH Medicina Interna Generale, AFC Ipnosi Medica SMSH (Societé Médicale Suisse D’Hypnose)Istituto Di Neuroscienze Cliniche Della Svizzera Italiana, Ente Ospedaliero CantonaleInstitut Für Diagnostische Und Interventionnelle Radiologie, Universitäts Spital ZürichCentre of Data Analytics, Bond UniversityFacoltà Di Scienze Biomediche, Università Della Svizzera italiana (USI)Abstract Background The purpose of our retrospective study was to assess the termination rate and the image quality of MR exams performed in claustrophobic patients under medical hypnosis, as compared to patients undergoing MR under spontaneous breathing general anesthesia. Methods Our study was approved by the ethics committee. The “hypnosis group” included consecutive patients that had previously interrupted an MR exam because of claustrophobia. The “control group” included patients undergoing MR under pharmacologic sedation. Two experienced radiologists assessed, randomly, independently and blinded the image quality of the two groups using a symmetrical Likert scale: 0 = non-diagnostic images; 1 = bad image quality; 2 = fair image quality; 3 = good image quality; 4 = very good image quality. Descriptive statistics was performed. Results Eighty patients were included, equally distributed between the two groups. Every patient was able to complete the MR exam. Ratings 3 and 4 represented the majority of ratings. Both readers rated the MR exams with score 3 or 4 in 66.25% (53/80) of MR exams. Only 5% (4/80) of MR exams were rated below score 2. The majority of the MR exams showed good or very good image quality. No significant difference was found in image quality between the two (p = 0.06) groups. The agreement between the two readers according to the k score was 0.105. Conclusions Medical hypnosis is a valid alternative to spontaneous breathing general anesthesia in patients unable to undergo MR due to claustrophobia, allowing good quality images.https://doi.org/10.1186/s13244-021-01020-7MRIHypnosisClaustrophobiaSedation |
| spellingShingle | Stefania Rizzo Nicole Ferrera Emanuele Pravatà Roman Guggenberger Steven Stern Filippo Del Grande Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study Insights into Imaging MRI Hypnosis Claustrophobia Sedation |
| title | Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study |
| title_full | Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study |
| title_fullStr | Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study |
| title_full_unstemmed | Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study |
| title_short | Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study |
| title_sort | is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing mr exams a preliminary retrospective study |
| topic | MRI Hypnosis Claustrophobia Sedation |
| url | https://doi.org/10.1186/s13244-021-01020-7 |
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