Cargando…
Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study
Management of radiological incidental findings (IF) is of rising importance; however, psychosocial implications of IF reporting remain unclear. We compared long-term psychosocial effects between individuals who underwent whole-body magnetic resonance imaging (MRI) with and without reported IF, and i...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600583/ https://www.ncbi.nlm.nih.gov/pubmed/36292045 http://dx.doi.org/10.3390/diagnostics12102356 |
_version_ | 1784816879413493760 |
---|---|
author | Korbmacher-Böttcher, Dorina Bamberg, Fabian Peters, Annette Linkohr, Birgit Ladwig, Karl-Heinz Schwettmann, Lars Weckbach, Sabine Schlett, Christopher L. Rospleszcz, Susanne |
author_facet | Korbmacher-Böttcher, Dorina Bamberg, Fabian Peters, Annette Linkohr, Birgit Ladwig, Karl-Heinz Schwettmann, Lars Weckbach, Sabine Schlett, Christopher L. Rospleszcz, Susanne |
author_sort | Korbmacher-Böttcher, Dorina |
collection | PubMed |
description | Management of radiological incidental findings (IF) is of rising importance; however, psychosocial implications of IF reporting remain unclear. We compared long-term psychosocial effects between individuals who underwent whole-body magnetic resonance imaging (MRI) with and without reported IF, and individuals who did not undergo imaging. We used a longitudinal population-based cohort from Western Europe. Longitudinal analysis included three examinations (exam 1, 6 years prior to MRI; exam 2, MRI; exam 3, 4 years after MRI). Psychosocial outcomes included PHQ-9 (Patient Health Questionnaire), DEEX (Depression and Exhaustion Scale), PSS-10 (Perceived Stress Scale) and a Somatization Scale. Univariate analyses and adjusted linear mixed models were calculated. Among 855 included individuals, 25% (n = 212) underwent MRI and 6% (n = 50) had at least one reported IF. Compared to MRI participants, non-participants had a higher psychosocial burden indicated by PHQ-9 in exam 1 (3.3 ± 3.3 vs. 2.5 ± 2.3) and DEEX (8.6 ± 4.7 vs. 7.7 ± 4.4), Somatization Scale (5.9 ± 4.3 vs. 4.8 ± 3.8) and PSS-10 (14.7 ± 5.7 vs. 13.7 ± 5.3, all p < 0.05) in exam 3. MRI participation without IF reporting was significantly associated with lower values of DEEX, PHQ-9 and Somatization Scale. There were no significant differences at the three timepoints between MRI participants with and without IF. In conclusion, individuals who voluntarily participated in whole-body MRI had less psychosocial burden and imaging and IF reporting were not associated with adverse long-term psychosocial consequences. However, due to the study design we cannot conclude that the MRI exam itself represented a beneficial intervention causing improvement in mental health scores. |
format | Online Article Text |
id | pubmed-9600583 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96005832022-10-27 Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study Korbmacher-Böttcher, Dorina Bamberg, Fabian Peters, Annette Linkohr, Birgit Ladwig, Karl-Heinz Schwettmann, Lars Weckbach, Sabine Schlett, Christopher L. Rospleszcz, Susanne Diagnostics (Basel) Article Management of radiological incidental findings (IF) is of rising importance; however, psychosocial implications of IF reporting remain unclear. We compared long-term psychosocial effects between individuals who underwent whole-body magnetic resonance imaging (MRI) with and without reported IF, and individuals who did not undergo imaging. We used a longitudinal population-based cohort from Western Europe. Longitudinal analysis included three examinations (exam 1, 6 years prior to MRI; exam 2, MRI; exam 3, 4 years after MRI). Psychosocial outcomes included PHQ-9 (Patient Health Questionnaire), DEEX (Depression and Exhaustion Scale), PSS-10 (Perceived Stress Scale) and a Somatization Scale. Univariate analyses and adjusted linear mixed models were calculated. Among 855 included individuals, 25% (n = 212) underwent MRI and 6% (n = 50) had at least one reported IF. Compared to MRI participants, non-participants had a higher psychosocial burden indicated by PHQ-9 in exam 1 (3.3 ± 3.3 vs. 2.5 ± 2.3) and DEEX (8.6 ± 4.7 vs. 7.7 ± 4.4), Somatization Scale (5.9 ± 4.3 vs. 4.8 ± 3.8) and PSS-10 (14.7 ± 5.7 vs. 13.7 ± 5.3, all p < 0.05) in exam 3. MRI participation without IF reporting was significantly associated with lower values of DEEX, PHQ-9 and Somatization Scale. There were no significant differences at the three timepoints between MRI participants with and without IF. In conclusion, individuals who voluntarily participated in whole-body MRI had less psychosocial burden and imaging and IF reporting were not associated with adverse long-term psychosocial consequences. However, due to the study design we cannot conclude that the MRI exam itself represented a beneficial intervention causing improvement in mental health scores. MDPI 2022-09-28 /pmc/articles/PMC9600583/ /pubmed/36292045 http://dx.doi.org/10.3390/diagnostics12102356 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Korbmacher-Böttcher, Dorina Bamberg, Fabian Peters, Annette Linkohr, Birgit Ladwig, Karl-Heinz Schwettmann, Lars Weckbach, Sabine Schlett, Christopher L. Rospleszcz, Susanne Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study |
title | Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study |
title_full | Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study |
title_fullStr | Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study |
title_full_unstemmed | Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study |
title_short | Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study |
title_sort | long-term psychosocial consequences of whole-body magnetic resonance imaging and reporting of incidental findings in a population-based cohort study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600583/ https://www.ncbi.nlm.nih.gov/pubmed/36292045 http://dx.doi.org/10.3390/diagnostics12102356 |
work_keys_str_mv | AT korbmacherbottcherdorina longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT bambergfabian longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT petersannette longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT linkohrbirgit longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT ladwigkarlheinz longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT schwettmannlars longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT weckbachsabine longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT schlettchristopherl longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy AT rospleszczsusanne longtermpsychosocialconsequencesofwholebodymagneticresonanceimagingandreportingofincidentalfindingsinapopulationbasedcohortstudy |