The patients’ experience of neuroimaging of primary brain tumors: a cross-sectional survey study

The patients’ experience of neuroimaging of primary brain tumors: a cross-sectional survey study

Purpose To gain insight into how patients with primary brain tumors experience MRI, follow-up protocols, and gadolinium-based contrast agent (GBCA) use. Methods Primary brain tumor patients answered a survey after their MRI exam. Questions were analyzed to determine trends in patients’ experience re...

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Bibliographic Details
Published in:Journal of neuro-oncology Vol. 162; no. 2; pp. 307 - 315
Main Authors: Wamelink, Ivar J. H. G., Hempel, Hugo L., van de Giessen, Elsmarieke, Vries, Mark H. M., De Witt Hamer, Philip, Barkhof, Frederik, Keil, Vera C.
Format: Journal Article
Language:English
Published: New York Springer US 01-04-2023
Springer Nature B.V
Subjects:
Age
Brain - pathology
Brain cancer
Brain Neoplasms - diagnostic imaging
Brain Neoplasms - pathology
Brain tumors
Contrast Media
Cross-Sectional Studies
Diagnosis
Female
Gadolinium
Humans
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Neuroimaging
Neurology
Oncology
Patients
Retrospective Studies
Surveys
Tumors
Primary brain neoplasms
Gadolinium
Survey
Magnetic resonance imaging
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Summary:Purpose To gain insight into how patients with primary brain tumors experience MRI, follow-up protocols, and gadolinium-based contrast agent (GBCA) use. Methods Primary brain tumor patients answered a survey after their MRI exam. Questions were analyzed to determine trends in patients’ experience regarding the scan itself, follow-up frequency, and the use of GBCAs. Subgroup analysis was performed on sex, lesion grade, age, and the number of scans. Subgroup comparison was made using the Pearson chi-square test and the Mann–Whitney U-test for categorical and ordinal questions, respectively. Results Of the 100 patients, 93 had a histopathologically confirmed diagnosis, and seven were considered to have a slow-growing low-grade tumor after multidisciplinary assessment and follow-up. 61/100 patients were male, with a mean age ± standard deviation of 44 ± 14 years and 46 ± 13 years for the females. Fifty-nine patients had low-grade tumors. Patients consistently underestimated the number of their previous scans. 92% of primary brain tumor patients did not experience the MRI as bothering and 78% would not change the number of follow-up MRIs. 63% of the patients would prefer GBCA-free MRI scans if diagnostically equally accurate. Women found the MRI and receiving intravenous cannulas significantly more uncomfortable than men ( p  = 0.003). Age, diagnosis, and the number of previous scans had no relevant impact on the patient experience. Conclusion Patients with primary brain tumors experienced current neuro-oncological MRI practice as positive. Especially women would, however, prefer GBCA-free imaging if diagnostically equally accurate. Patient knowledge of GBCAs was limited, indicating improvable patient information.
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ISSN:0167-594X
1573-7373
DOI:10.1007/s11060-023-04290-x