This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

J. Carlos Meléndez; Ernest McCrank, MD, FRCP

JAMA. 1993;270(6):745-747.

Abstract
Objective.
—To review the epidemiology of anxiety-related reactions during magnetic resonance imaging (MRI) examinations, the feasibility of identifying patients at risk, and the management strategies that have been applied.

Data Sources.
—Published original articles were retrieved using computerized MEDLINE searches encompassing 1980 through April 1993. Further references were obtained from the primary sources.

Study Selection and Data Extraction.
—All studies obtained through the data search were chosen for review. All data relevant to anxiety-related reactions were analyzed.

Data Synthesis.
—Anxiety-related reactions occur in approximately 4% to 30% of patients undergoing MRI, ranging from apprehension to severe reactions that interfere with the performance of the test. Criteria for diagnosis or categorization of the reactions and identification of patients at risk are scanty. Several management strategies have been proposed, including patient education, drug therapy, and cognitive-behavioral intervention.

Conclusions.
—While a more precise characterization of the nature and incidence of anxiety-related reactions during MRI examinations and better methods of recognizing patients at risk are desirable, a strategy for general and individual prophylaxis, identification of patients at risk, and individual patient management can be developed on the basis of current knowledge.

(JAMA. 1993;270:745-747)

Author Affiliations
From the Anxiety-Disorders Unit, Department of Psychiatry, University of Western Ontario, London, Ontario.

Footnotes
Reprint requests to Department of Psychiatry, University Hospital, 339 Windermere Rd, London, Ontario, Canada N6A 5A5 (Dr McCrank).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Research design issues for the use of magnetic resonance imaging machines in brain studies of psychological/psychiatric variables
Czarnolewski
Behav Res Methods 2009;41:1061-1072.
ABSTRACT  

Observer variation in the evaluation of lumbar herniated discs and root compression: spiral CT compared with MRI
van Rijn et al.
Br. J. Radiol. 2006;79:372-377.
ABSTRACT | FULL TEXT  

Patients' perception of tests in the assessment of faecal incontinence
Deutekom et al.
Br. J. Radiol. 2006;79:94-100.
ABSTRACT | FULL TEXT  

Sonography and MRI of the Shoulder: Comparison of Patient Satisfaction
Middleton et al.
Am. J. Roentgenol. 2004;183:1449-1452.
ABSTRACT | FULL TEXT  

Psychological, Behavioral, and Immune Changes After a Psychological Intervention: A Clinical Trial
Andersen et al.
JCO 2004;22:3570-3580.
ABSTRACT | FULL TEXT  

Using Intranasal Midazolam Spray to Prevent Claustrophobia Induced by MR Imaging
Hollenhorst et al.
Am. J. Roentgenol. 2001;176:865-868.
ABSTRACT | FULL TEXT  

Perceived Anxiety of Pediatric Patients to Magnetic Resonance
Marshall et al.
CLIN PEDIATR 1995;34:59-60.
ABSTRACT  

Environmental Psychology and Health
Quirk and Wapner
Environment and Behavior 1995;27:90-99.
ABSTRACT  

Anxiety During MRI
Persili et al.
JAMA 1994;271:981-981.
ABSTRACT