RT Journal Article
SR Electronic
T1 Patient satisfaction with ultrasound, whole-body CT and whole-body diffusion-weighted MRI for pre-operative ovarian cancer staging: a multicenter prospective cross-sectional survey
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP ijgc-2023-005264
DO 10.1136/ijgc-2023-005264
A1 Pinto, Patrícia
A1 Valentin, Lil
A1 Borčinová, Martina
A1 Wiesnerová, Markéta
A1 Filip, Fruhauf
A1 Burgetova, Andrea
A1 Masek, Martin
A1 Lambert, Lukas
A1 Chiappa, Valentina
A1 Franchi, Dorella
A1 Testa, Antonia Carla
A1 Moro, Francesca
A1 Avesani, Giacomo
A1 Panico, Camilla
A1 Alessi, Sarah
A1 Pricolo, Paola
A1 Vigorito, Raffaella
A1 Calareso, Giuseppina
A1 Kocian, Roman
A1 Slama, Jiri
A1 Fagotti, Anna
A1 Urbinati, Ailyn Mariela Vidal
A1 Signorelli, Mauro
A1 Bertolina, Francesca
A1 Cibula, David
A1 Fischerova, Daniela
YR 2024
UL http://ijgc.bmj.com/content/early/2024/03/26/ijgc-2023-005264.abstract
AB Background In addition to the diagnostic accuracy of imaging methods, patient-reported satisfaction with imaging methods is important.Objective To report a secondary outcome of the prospective international multicenter Imaging Study in Advanced ovArian Cancer (ISAAC Study), detailing patients’ experience with abdomino-pelvic ultrasound, whole-body contrast-enhanced computed tomography (CT), and whole-body diffusion-weighted magnetic resonance imaging (WB-DWI/MRI) for pre-operative ovarian cancer work-up.Methods In total, 144 patients with suspected ovarian cancer at four institutions in two countries (Italy, Czech Republic) underwent ultrasound, CT, and WB-DWI/MRI for pre-operative work-up between January 2020 and November 2022. After having undergone all three examinations, the patients filled in a questionnaire evaluating their overall experience and experience in five domains: preparation before the examination, duration of examination, noise during the procedure, radiation load of CT, and surrounding space. Pain perception, examination-related patient-perceived unexpected, unpleasant, or dangerous events (‘adverse events’), and preferred method were also noted.Results Ultrasound was the preferred method by 49% (70/144) of responders, followed by CT (38%, 55/144), and WB-DWI/MRI (13%, 19/144) (p<0.001). The poorest experience in all domains was reported for WB-DWI/MRI, which was also associated with the largest number of patients who reported adverse events (eg, dyspnea). Patients reported higher levels of pain during the ultrasound examination than during CT and WB-DWI/MRI (p<0.001): 78% (112/144) reported no pain or mild pain, 19% (27/144) moderate pain, and 3% (5/144) reported severe pain (pain score >7 of 10) during the ultrasound examination. We did not identify any factors related to patients' preferred method.Conclusion Ultrasound was the imaging method preferred by most patients despite being associated with more pain during the examination in comparison with CT and WB-DWI/MRI.Trial registration number NCT03808792.All data relevant to the study are included in the article or uploaded as supplementary information.