Early MRI termination with major impact on the radiological interpretation: the experience of a large university hospital

Article Article scientifique Article Early MRI termination with major impact on the radiological interpretation: the experience of a large university hospital eng 2023-02-23 2023-04 author Platon Alexandra 554893 Département de radiologie et informatique médicale (RADIO) author Constantin Christophe 135592 author Bianchi Zamorani Maria Pia 133455 author Becker Minerva 134255 Département de radiologie et informatique médicale (RADIO) author Vallée Jean-Paul 0000-0001-7546-2013 29185 Département de radiologie et informatique médicale (RADIO) author Challande Pascal 948054 author Rubbia-Brandt Laura 31809 Département de pathologie et immunologie (PATIM) author Poletti Pierre-Alexandre Alois 34563 Département de radiologie et informatique médicale (RADIO) 110751 10.1016/j.ejrad.2023.110751 36893680 0720-048X https://linkinghub.elsevier.com/retrieve/pii/S0720048X23000657 Purpose: To report the incidence of early magnetic resonance imaging (MRI) terminations and analyse their risk factors in a large university hospital. Method: All consecutive patients aged > 16 years who underwent an MRI over a 14-month period were included. The following parameters were collected: demographics, in- or outpatient, history of claustrophobia, anatomical region investigated, and early MRI termination along with its cause. The potential link between these parameters and early MRI termination was statistically analysed. Results: Overall, 22,566MRIs were performed (10,792 [48%] men and 11,774[52%] women, mean age: 57 [range: 16-103] years). Early MRI termination was reported in 183 (0.8%) patients (99 men and 84 women, mean age: 63 years). Of these early terminations, 103 (56%) were due to claustrophobia and 80 (44%) to other causes. Early terminations were more common in inpatients than outpatients (1.2% vs. 0.6%, p < 0.001), for both claustrophobia- and non-claustrophobia-related reasons. A prior history of claustrophobia was strongly associated with claustrophobia-related early termination (6.6% vs. 0.2%, p = 0.0001). Non-claustrophobia-related early terminations were significantly more common (0.6% vs. 0.2%) in elderly patients (>65 years old) than in younger ones. No other parameter was significantly associated with early termination. Conclusions: Early MRI termination is currently rare. The main risk factors for claustrophobia-related terminations comprised a prior history of claustrophobia, and examinations in inpatients. Non-claustrophobia-related early terminations were more common in both elderly patients and inpatients. Keywords: Claustrophobia; Inpatients; MRI; Outpatients; Termination; Unanticipated event. Aged Female Hospitals Humans Magnetic Resonance Imaging / methods Male Middle Aged Phobic Disorders / complications Radiography Risk Factors Dewey 616.0757 Dewey 616 62 Département de radiologie et informatique médicale 227 56 Département de médecine 221 false 411 Groupe Becker Minerva (imagerie ORL) 683 469 Radiologie des urgences 800 286 Imagerie cardiaque fonctionnelle 541 European journal of radiology 161 2ef40aa8-2d55-4eac-b15d-f980c43a02d9 Article (Published version) Public 1-s2.0-S0720048X23000657-main.pdf 354906 application/pdf CC BY-4.0 c539bac7c8d6d1ffcd2df2c28b37ec519fa0bdc7b3cf6b85ca36eec02e2af4fc openAccess Faculté de médecine / Section de médecine clinique / Département de radiologie et informatique médicale Faculté de médecine / Section de médecine clinique / Département de médecine

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Early MRI termination with major impact on the radiological interpretation: the experience of a large university hospital	European journal of radiology			2023	170	357

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Challande, Pascal