Wide, Short Bore Magnetic Resonance at 1.5 T: Reducing the Failure Rate in Claustrophobic Patients

• Published in: Clinical neuroradiology (Munich) 2011-09, Vol.21 (3), p.141-144, Article 141
• Main Authors: Hunt, C.H., Wood, C.P., Lane, J.I., Bolster, B.D., Bernstein, M.A., Witte, R.J.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Anesthesia, General; Brain Diseases - diagnosis; Brain Diseases - psychology; Child; Equipment Design; Female; Humans; Hypnotics and Sedatives - administration & dosage; Lorazepam - administration & dosage; Magnetic Resonance Imaging - instrumentation; Magnetic Resonance Imaging - psychology; Male; Medicine; Medicine & Public Health; Middle Aged; Neurology; Neuroradiology; Neurosurgery; NMR; Nuclear magnetic resonance; Original Article; Patient Acceptance of Health Care - psychology; Patient Dropouts - psychology; Patients; Phobic Disorders - prevention & control; Phobic Disorders - psychology; Premedication; Scanners; Sensitivity and Specificity; Spinal Diseases - diagnosis; Spinal Diseases - psychology; Workflow; Young Adult
• ISSN: 1869-1439; 1869-1447
• DOI: 10.1007/s00062-011-0075-4

Purpose Claustrophobic reactions in patients undergoing magnetic resonance imaging (MRI) have a significant impact on the workflow, patient acceptance and ultimately the costs involved in obtaining a diagnostic scan. The purpose of this study was to determine if the use of a wide, short bore MRI scanner could reduce the need for general anesthesia assistance in these cases. Methods Between September 2006 and March 2008, all patients for whom MRI examinations of the head and/or spine were canceled or prematurely terminated due to claustrophobia on a standard 60 cm bore, 1.5 T scanner were scheduled to be re-scanned on a 70 cm wide bore, 1.25 m long 1.5 T scanner. This re-scanning attempt was made 2 or more days prior to a scheduled anesthesia-assisted MRI appointment. If the patient successfully completed the wide bore MRI examination then the anesthesia-assisted MRI appointment was canceled. Results A total of 56 patients were included in this study. The examinations included individual body regions as well as combination examinations (head and cervical spine, entire spine etc.). A total of 72 body regions were examined in 56 patients. Of these regions, 65 (90%) were completed successfully, 50 patients (89%) successfully completed a diagnostic examination on the 70 cm scanner and 6 patients (11%), all of whom were scheduled for examinations which included the head, were unable to complete the examination on the wide bore scanner. Conclusions A 1.5 T wide short bore scanner increases the examination success rate in patients with claustrophobia and substantially reduces the need for anesthesia-assisted MRI examinations even when claustrophobia is severe.