Premium
Contrast‐enhanced spectral mammography ( CESM ) and contrast enhanced MRI ( CEMRI ): Patient preferences and tolerance
Author(s) -
Hobbs Max M,
Taylor Donna B,
Buzynski Sebastian,
Peake Rachel E
Publication year - 2015
Publication title -
journal of medical imaging and radiation oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.31
H-Index - 43
eISSN - 1754-9485
pISSN - 1754-9477
DOI - 10.1111/1754-9485.12296
Subject(s) - medicine , breast cancer , mammography , anxiety , radiology , contrast (vision) , cancer , psychiatry , artificial intelligence , computer science
Contrast‐enhanced spectral mammography ( CESM ) may have similar diagnostic performance to Contrast‐enhanced MRI ( CEMRI ) in the diagnosis and staging of breast cancer. To date, research has focused exclusively on diagnostic performance when comparing these two techniques. Patient experience is also an important factor when comparing and deciding on which of these modalities is preferable. The aim of this study is to compare patient experience of CESM against CEMRI during preoperative breast cancer staging. Methods Forty‐nine participants who underwent both CESM and CEMRI , as part of a larger trial, completed a Likert questionnaire about their preference for each modality according to the following criteria: comfort of breast compression, comfort of intravenous ( IV ) contrast injection, anxiety and overall preference. Participants also reported reasons for preferring one modality to the other. Quantitative data were analysed using a W ilcoxon sign‐rank test and chi‐squared test. Qualitative data are reported descriptively. Results A significantly higher overall preference towards CESM was demonstrated ( n = 49, P < 0.001), with faster procedure time, greater comfort and lower noise level cited as the commonest reasons. Participants also reported significantly lower rates of anxiety during CESM compared with CEMRI ( n = 36, P = 0.009). A significantly higher rate of comfort was reported during CEMRI for measures of breast compression ( n = 49, P = 0.001) and the sensation of IV contrast injection ( n = 49, P = 0.003). Conclusion Our data suggest that overall, patients prefer the experience of CESM to CEMRI , adding support for the role of CESM as a possible alternative to CEMRI for breast cancer staging.