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A survey study investigating perceptions and acceptance of the whole-body imaging techniques used for the diagnosis of myeloma
Poster Title: A survey study investigating perceptions and acceptance of the whole-body imaging techniques used for the diagnosis of myeloma
Submitted on 29 Oct 2020
Author(s): A. Ryder, C. Parsons, B. Greaney, C. E. Hutchinson, C. D. Thake
Affiliations: Coventry University, University Hospitals of Coventry and Warwickshire NHS Trust
This poster was presented at BIR Annual Congress 2020
Poster Views: 71
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Poster Information
To investigate patient acceptance of the three whole-body imaging (WBI) modalities used for diagnosing myeloma; radiographic skeletal survey (RSS), low-dose whole-body computed tomography (LD-WBCT) and whole-body magnetic resonance imaging (WB-MRI). The secondary aim was to explore the factors affecting the acceptance of WBI for myeloma.

Methods and Materials
60 participants (median age = 58.5) were recruited from three NHS trusts and myeloma support groups via social media. They completed an adapted survey and scored their experiences of each WBI modality on nine 5-point rating scales. The Kruskal-Wallis test was used to analyse differences in the distribution of scores. Participants were invited to provide open text responses for thematic analysis.

All modalities demonstrated high levels of acceptability (median score = 4). WB-MRI was perceived as more stressful (p = 0.008) and claustrophobic (p = <0.001) than RSS and LD-WBCT. Thematic analysis of open text responses showed patients understood the importance of imaging for diagnosis but were concerned about bone damage, pain during imaging and the results. The duration of WB-MRI had a negative effect on acceptance. Respondents were averse to the physical manipulation required for RSS, whilst remaining stationery was perceived as a benefit of LD-WBCT and WB-MRI. Staff interactions had positive and negative effects on acceptance.

While myeloma patients perceived psychological and physical burdens associated with WBI, they accepted its role in facilitating diagnosis. Staff support has a significant influence on imaging acceptance, and imaging choice should be tailored to individual needs. RSS should not be used if other modalities are available.
Summary: This project used a mixed-method, non-experimental, retrospective, cross-sectional survey to investigate the patient perceptions and acceptance of the whole-body imaging techniques used in the diagnosis of myeloma. Report abuse »
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