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Research ArticleIMAGING

Intervention to Lower Anxiety of 18F-FDG PET/CT Patients by Use of Audiovisual Imagery During the Uptake Phase Before Imaging

Wouter V. Vogel, Renato A. Valdés Olmos, Tim J.W. Tijs, Murray F. Gillies, Gijs van Elswijk and Juergen Vogt
Journal of Nuclear Medicine Technology June 2012, 40 (2) 92-98; DOI: https://doi.org/10.2967/jnmt.111.097964
Wouter V. Vogel
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Renato A. Valdés Olmos
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Tim J.W. Tijs
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Murray F. Gillies
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Gijs van Elswijk
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Juergen Vogt
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  • FIGURE 1.
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    FIGURE 1.

    (Left) Uptake room without audiovisual installation (control). (Right) Uptake room with audiovisual installation (intervention).

  • FIGURE 2.
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    FIGURE 2.

    Changes in anxiety and physiology during uptake period for whole cohort, including both control and intervention groups. SE = SE of within-person differences.

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    FIGURE 3.

    Intervention significantly lowers patient anxiety.

Tables

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    TABLE 1

    Characteristics of the 101 Patients

    CharacteristicValue
    Sex
     Male49%
     Female51%
    Age (y)
     Median58
     Range18–81
    Body mass index
     Median24.5
     Range16.5–41.3
    First visit to a PET facility41%
    Return visit to a PET facility59%
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    TABLE 2

    Operation Modes of Audiovisual Installation Throughout PET Uptake Procedure

    Approximate timing (min)PET procedureOperation modeAudiovisual contentLight rimLight spots
    0–10Technologist installs patient in uptake roomPatient preparationNot shownBright lightOff
    10Technologist leaves uptake roomPreviewShownColors adapted to television contentOff
    12–15Physician enters uptake room and injects 18F-FDGInjectionNot shownOffOn
    15–45Patient rests in solitude in uptake roomVery low stimuliNot shownStatic monochrome lightOff
    45–75Patient rests in solitude in uptake roomLow stimuliShownColors adapted to audiovisual contentOff
    • View popup
    TABLE 3

    Measurements

    MeasurementFeatureStudy part*
    STAI questionnaireSTAI1 and 2
    Saliva samplingSalivary cortisol concentration1
    ElectrocardiographyHeart rate; heart rate variability1
    ElectromyographyMuscle activity1
    Electrodermal activitySkin conductance level1
    18F-FDG uptakeUptake in muscles; uptake in brown adipose tissue1 and 2
    • ↵* Total study comprised 2 consecutive parts, including 35 and 66 unique patients successively; not all measurements were done in both parts.

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    TABLE 4

    Overall Changes (i.e., “Delta” Values) Throughout the Uptake Period

    Variable (unit)MeanSDRangeP*
    STAI−1.703.7123<0.01
    Cortisol (μg/dL)−0.150.311.740.01
    Heart rate (Z)−0.751.003.700.01
    Skin conductance (Z)0.761.553.99<0.01
    • ↵* Paired-samples t test.

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    TABLE 5

    Effect of the Intervention

    ParameterInterventionControlP
    Change in STAI
     Mean−2.39−1.020.04†
     SD3.883.45
    18F-FDG uptake in muscles*
     Present1290.63‡
     Absent3940
    18F-FDG uptake in BAT*
     Present3120.01‡
     Absent4837
    • ↵* Values in cells for 18F-FDG uptake (in muscles and BAT) represent numbers of patients.

    • ↵† Independent-samples t test.

    • ↵‡ Fisher exact test.

    • Data of 1 patient were not evaluable (i.e., n = 100 instead of n = 101).

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Journal of Nuclear Medicine Technology: 40 (2)
Journal of Nuclear Medicine Technology
Vol. 40, Issue 2
June 1, 2012
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Intervention to Lower Anxiety of 18F-FDG PET/CT Patients by Use of Audiovisual Imagery During the Uptake Phase Before Imaging
Wouter V. Vogel, Renato A. Valdés Olmos, Tim J.W. Tijs, Murray F. Gillies, Gijs van Elswijk, Juergen Vogt
Journal of Nuclear Medicine Technology Jun 2012, 40 (2) 92-98; DOI: 10.2967/jnmt.111.097964

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Intervention to Lower Anxiety of 18F-FDG PET/CT Patients by Use of Audiovisual Imagery During the Uptake Phase Before Imaging
Wouter V. Vogel, Renato A. Valdés Olmos, Tim J.W. Tijs, Murray F. Gillies, Gijs van Elswijk, Juergen Vogt
Journal of Nuclear Medicine Technology Jun 2012, 40 (2) 92-98; DOI: 10.2967/jnmt.111.097964
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