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Research ArticleImaging

Assessment of Whether Patients’ Knowledge, Satisfaction, and Experience Regarding Their 18F-Fluoride PET/CT Examination Affects Image Quality

Camilla Andersson, Birgitta Johansson, Cecilia Wassberg, Silvia Johansson, Anders Sundin and Håkan Ahlström
Journal of Nuclear Medicine Technology March 2016, 44 (1) 21-25; DOI: https://doi.org/10.2967/jnmt.115.167536
Camilla Andersson
1Section of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and
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Birgitta Johansson
2Section of Oncology, Department of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden
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Cecilia Wassberg
1Section of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and
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Silvia Johansson
2Section of Oncology, Department of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden
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Anders Sundin
1Section of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and
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Håkan Ahlström
1Section of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and
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  • Article
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Article Figures & Data

Tables

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    TABLE 1

    Characteristics of the 46 Patients

    Characteristicn%
    Marital status
     Married/cohabitant3780
     Single715
     Widow/widower24
    Education
     Compulsory school1636
     Upper secondary school1329
     University 0–4 y511
     University > 4 y1124
    Occupation
     Working1533
     Sick leave12
     Studies00
     Home work00
     Unemployed00
     Other2964
    Monthly income (Swedish Krona)
     0–4,99912
     5,000–9,99900
     10,000–14,999614
     15,000–19,999819
     20,000–24,999819
     25,000–29,999717
     30,000–34,999512
     35,000717
    • Mean age was 69 y; range was 59–83 y.

    • View popup
    TABLE 2

    Patients’ Previous Knowledge About and Discomfort During 18F-Fluoride PET/CT

    Questionn
    Did you know before the examination what a PET-fluoride examination was?
     Not at all12 (26%)
     Some16 (35%)
     Quite a lot18 (39%)
     I knew very much0
    Did you know before the procedure how a PET-fluoride examination was conducted?
     Not at all11 (24%)
     Some18 (39%)
     Quite a lot15 (33%)
     I knew very much2 (4%)
    Did you feel trapped during the examination?
     Not at all33 (73%)
     Some12 (27%)
     Much0
     Very much0
    How exhausting was the examination?
     Not at all33 (73%)
     Some9 (20%)
     Much3 (7%)
     Very much0
    Was the examination as you had expected it to be?
     Much easier10 (22%)
     A bit easier10 (22%)
     Just as I expected24 (53%)
     A bit worse1 (2%)
     Much worse0
    • View popup
    TABLE 3

    Patient Satisfaction with the 18F-Fluoride PET/CT Examination

    QuestionNot at allTo low degreeTo some degreeTo high degreeTo very high degree
    Are you satisfied with the information you received before the examination?01 (2%)9 (20%)18 (39%)18 (39%)
    Are you satisfied with the information you received when you came to the examination?003 (7%)19 (41%)24 (52%)
    Are you satisfied with the interaction with the nursing staff during the examination?001 (2%)13 (28%)32 (70%)
    Did the nursing staff communicate in an understandable way?00016 (35%)30 (65%)
    Did the nursing staff convey a caring attitude?00015 (33%)31 (67%)
    Did you feel confident in the professional skills of the nursing staff?00015 (33%)31 (67%)
    Did the nursing staff have adequate time for you when you needed them?00017 (37%)29 (63%)
    Did you get the impression that the work of the hospital was well organized?005 (11%)20 (46%)19 (43%)
    • Data are from Patient Experiences Questionnaire and from questions designed for this study.

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    TABLE 4

    Relation Between Imaging Results, Previous Knowledge and Discomfort, and Pain During Procedure

    ClaustrophobiaExhaustionPainKnowledge
    CategorySome too much (n = 12)Not at all (n = 33)Some too much (n = 12)Not at all (n = 33)Any level of pain (n = 17)Not at all (n = 29)Some to very much (n = 34)Not at all (n = 12)
    Artifacts
     No1232113316293312
     Minor01101010
     Major00000000
    Lesion conspicuity
     Excellent1233123317293412
     Intermediate00000000
     Poor00000000
    Extent of image impairment
     All anatomic regions fully diagnostic1233123317293412
     Occasional regions impaired00000000
     Several regions impaired00000000
    Overall diagnostic accuracy
     Fully diagnostic1233123317293412
     Minor impairment00000000
     Major impairment00000000
    Image findings
     No metastases415415613136
     Occasional (1–5)714615813156
     Many (≥6)14233360
    • View popup
    TABLE 5

    HRQoL of Patients Scheduled for 18F-Fluoride PET/CT

    EORTC-QLQ typenMeanSD
    EORTC-QLQ-C30
     Global health status457422
     Function scales
      Physical functioning459115
      Role functioning459218
      Emotional functioning468717
      Cognitive functioning469015
      Social functioning469016
     Symptom scales/items
      Fatigue451618
      Nausea and vomiting4516
      Pain461320
      Dyspnea451319
      Insomnia452128
      Appetite loss4528
      Constipation45718
      Diarrhea46717
      Financial difficulties46826
    EORTC-QLQ-PR25
     Urinary symptoms452015
     Incontinence aid8815
     Bowel symptoms4357
     Treatment-related symptoms461616
     Sexual activity462427
     Sexual functioning175631
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Journal of Nuclear Medicine Technology: 44 (1)
Journal of Nuclear Medicine Technology
Vol. 44, Issue 1
March 1, 2016
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Assessment of Whether Patients’ Knowledge, Satisfaction, and Experience Regarding Their 18F-Fluoride PET/CT Examination Affects Image Quality
Camilla Andersson, Birgitta Johansson, Cecilia Wassberg, Silvia Johansson, Anders Sundin, Håkan Ahlström
Journal of Nuclear Medicine Technology Mar 2016, 44 (1) 21-25; DOI: 10.2967/jnmt.115.167536

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Assessment of Whether Patients’ Knowledge, Satisfaction, and Experience Regarding Their 18F-Fluoride PET/CT Examination Affects Image Quality
Camilla Andersson, Birgitta Johansson, Cecilia Wassberg, Silvia Johansson, Anders Sundin, Håkan Ahlström
Journal of Nuclear Medicine Technology Mar 2016, 44 (1) 21-25; DOI: 10.2967/jnmt.115.167536
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