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Research ArticleQuality & Practice Management

Cancer Patient Experience in a Nuclear Medicine Department: Comparison Between Bone Scintigraphy and 18F-FDG PET/CT

Ana M. Grilo, Lina Vieira, Elisabete Carolino, Melissa Costa, Salomé Galaio, Inês Melo, Ana Geão, Andrea Santos and Paula Colarinha
Journal of Nuclear Medicine Technology September 2020, 48 (3) 254-262; DOI: https://doi.org/10.2967/jnmt.119.239285
Ana M. Grilo
1H&TRC—Health & Technology Research Center, ESTeSL—Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal
2CICPsi—Research Center for Psychological Science, Faculty of Psychology, University of Lisbon, Portugal
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Lina Vieira
1H&TRC—Health & Technology Research Center, ESTeSL—Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal
3CIMOSM, ISEL—Centro de Investigação em Modelação e Optimização de Sistemas multifuncionais, Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal
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Elisabete Carolino
1H&TRC—Health & Technology Research Center, ESTeSL—Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal
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Melissa Costa
4Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal; and
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Salomé Galaio
4Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal; and
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Inês Melo
4Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal; and
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Ana Geão
5Serviço de Medicina Nuclear, Hospital CUF Descobertas, Lisbon, Portugal
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Andrea Santos
5Serviço de Medicina Nuclear, Hospital CUF Descobertas, Lisbon, Portugal
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Paula Colarinha
5Serviço de Medicina Nuclear, Hospital CUF Descobertas, Lisbon, Portugal
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Abstract

Our objective was to assess the anxiety level in cancer patients undergoing nuclear medicine exams and to identify how professionals can improve patient experience. Methods: In total, 94 patients undergoing 99mTc-hydroxymethylene diphosphonate (99mTc-HDP) bone scintigraphy (BS) or 18F-FDG PET/CT completed 2 scan-experience questionnaires and the Spielberger State Anxiety Inventory (STAI-S) before the scan and after image acquisition. Results: Before the exam, the mean anxiety levels were higher for the 99mTc-HDP BS group than for the 18F-FDG PET/CT group. After the exam, the opposite was true. Both groups experienced a reduction in anxiety after the scan (prescan score, 51.75 for 99mTc-HDP BS and 44.67 for 18F-FDG PET/CT; postscan score, 36.70 for 99mTc-HDP BS and 38.82 for 18F-FDG PET/CT). The greatest anxiety factor for the 99mTc-HDP BS group was the duration of the exam (mean ± SD, 5.34 ± 2.08), whereas for the 18F-FDG PET/CT group it was the result (5.40 ± 1.80). Conclusion: Patients undergoing nuclear medicine exams in an oncologic context had significant anxiety levels before and after their scans. However, 99mTc-HDP BS and 18F-FDG PET/CT had different triggers. It is of extreme importance that health-care professionals be aware of these peculiarities and adjust their procedures accordingly.

  • anxiety
  • 99mTc-HDP bone scintigraphy
  • 18F-FDG PET/CT
  • oncology
  • nuclear medicine
  • patient concerns

Footnotes

  • Published online Jun. 9, 2020.

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Journal of Nuclear Medicine Technology: 48 (3)
Journal of Nuclear Medicine Technology
Vol. 48, Issue 3
September 1, 2020
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Cancer Patient Experience in a Nuclear Medicine Department: Comparison Between Bone Scintigraphy and 18F-FDG PET/CT
Ana M. Grilo, Lina Vieira, Elisabete Carolino, Melissa Costa, Salomé Galaio, Inês Melo, Ana Geão, Andrea Santos, Paula Colarinha
Journal of Nuclear Medicine Technology Sep 2020, 48 (3) 254-262; DOI: 10.2967/jnmt.119.239285

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Cancer Patient Experience in a Nuclear Medicine Department: Comparison Between Bone Scintigraphy and 18F-FDG PET/CT
Ana M. Grilo, Lina Vieira, Elisabete Carolino, Melissa Costa, Salomé Galaio, Inês Melo, Ana Geão, Andrea Santos, Paula Colarinha
Journal of Nuclear Medicine Technology Sep 2020, 48 (3) 254-262; DOI: 10.2967/jnmt.119.239285
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Keywords

  • anxiety
  • 99mTc-HDP bone scintigraphy
  • 18F-FDG PET/CT
  • oncology
  • nuclear medicine
  • patient concerns
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