The pilot study of radiology nursing intervention in abdominal 3-T Magnetic Resonance examination / Estudio piloto de intervención de enfermería radiológica en examen de resonancia magnética 3-t / Estudo piloto sobre a intervenção de enfermagem na radiologia em exame de ressonância magnética abdominal 3 tesla

Abstract OBJECTIVE The aim of this study was to investigate the effect of radiology nursing intervention in abdominal examination at 3-T MRI. METHOD 60 patients with abdominal diseases were divided into two groups randomly: MR nursing intervention group and control group. All the patients underwent abdominal MR examination at 3-T. The MR nursing interventions were performed in nursing intervention group. The outcomes, including one-time success rate, the ratio of diagnosable MR images and the points of image quality, were compared between these two groups. RESULTS The one-time success rates in control group and MR nursing intervention group were 66.67% and 96.67% with significant difference ( χ2 =9.017, P<0.05). The ratios of diagnosable images in the two groups were 76.67% and 96.67% with significant difference (χ2 =5.192, P<0.05). The points of MR image quality in the two groups were 1.87±0.86 and 2.33±0.55, respectively. There was significant difference between these two groups (t=-2.508, P<0.05). CONCLUSION The effective nursing intervention can make the patients cooperation better in abdominal MR examination and improve the image quality significantly.

Resumen OBJETIVO Se objetivó investigar el efecto de la intervención de enfermería radiológica en examen abdominal de IRM 3-T. MÉTODO Sesenta pacientes con enfermedades abdominales fueron divididos aleatoriamente en dos grupos: grupo intervención de enfermería RM y grupo control. Todos fueron sometidos a examen abdominal de RM 3-T. Las intervenciones de enfermería RM se efectuaron en el grupo establecido. Los resultados, incluyendo tasa de éxito en única vez, relación de imágenes de RM diagnosticables y puntos de calidad de imagen, fueron comparadas entre ambos grupos. RESULTADOS La tasa de éxito en única vez en grupo control y grupo intervención de enfermería RM fueron de 66,67% y 96,67%, expresando diferencias significativas (χ2 =9.017, P<0.05). Los puntos de calidad de imagen de RM en ambos grupos fueron 1,87±0,86 y 2,33±0,55, respectivamente. Existió diferencia significativa entre los grupos (t=-2.508, P<0.05). CONCLUSIÓN La intervención de enfermería efectiva puede mejorar la cooperación de los pacientes en examen abdominal de RM y mejorar significativamente la calidad de imagen.

Resumo OBJETIVO O objetivo deste estudo foi investigar o resultado da intervenção de enfermagem na radiologia em exame de ressonância magnética (RM) abdominal 3 Tesla. MÉTODO 60 pacientes com patologias abdominais foram aleatoriamente divididos em dois grupos: grupo de intervenção de enfermagem em RM e grupo controle. Todos os pacientes foram submetidos ao exame de RM abdominal 3 Tesla. As intervenções de enfermagem em RM foram realizadas no grupo de intervenção de enfermagem. Os resultados foram comparados entre os dois grupos, incluindo a taxa de sucesso único, o coeficiente das imagens de RM diagnosticáveis e os pontos da qualidade de imagem. RESULTADOS As taxas de sucesso único no grupo controle e no grupo de intervenção de enfermagem em RM foram 66,67% e 96,67%, com diferença significativa de (χ2 =9,017, P<0,05). Os coeficientes das imagens diagnosticáveis nos dois grupos foram 76,67% e 96,67%, com diferença significativa de (χ2 =5,192, P<0,05). Os pontos da qualidade de imagem da RM nos dois grupos foram respectivamente 1,87±0,86 e 2,33±0,55. Houve uma diferença significativa entre estes dois grupos (t=-2,508, P<0,05). CONCLUSÃO A intervenção de enfermagem eficaz pode melhorar a cooperação dos pacientes no exame de RM abdominal e melhorar consideravelmente a qualidade da imagem.

Radiology nursing.

Radiology nursing is a relatively new field in which nurses can use multiple skills in caring for adult and pediatric patients. The authors present an overview of the role nurses play in interventional radiology, nuclear medicine, ultrasound, magnetic resonance imaging, computed tomography, and mammography. In addition, information about the professional affiliations and certification in the American Radiological Nurses Association is provided.

Ionising radiation: promoting safety for patients, visitors and staff.

Diagnostic radiology and sealed and unsealed sources of radiotherapy are valuable in the treatment of cancer. However, unwanted consequences can result from excessive exposure to ionising radiation. Therefore, its administration requires great care not only to protect the patient but also the nurses involved in patient care. Nurses should be aware of the safety issues in the diagnostic and therapeutic use of ionising radiation so that they can work safely and confidently.

Experiences with an intraoperative magnetic resonance imaging system in neurosurgery.

Magnetic resonance imaging (MRI) systems are becoming essential intraoperative tools in neurosurgery because they provide high-resolution, detailed images. Only a few institutions around the world currently have intraoperative MRI capabilities. Consequently, the body of knowledge with regard to safety procedures in such an environment is fragmented and often institution-specific. The components of the MRI system are described in relationship to surgical procedures. Perioperative nursing responsibilities are discussed and a case study is presented. The article concludes with a discussion about the present limitations of intraoperative MRI equipment.

Breast imaging today and tomorrow.

As the new millennium approaches, there is still no proven cure for breast cancer. There is hope, however, that emerging new technologies will afford the clinician early detection strategies for their patients in the coming years. Film-screen mammography continues to provide the most reliable and accurate tool for breast imaging. Agencies such as the American Cancer Society and the American College of Radiology recommend yearly screening for all patients after the age of 40. The triad of mammography, proficient clinical breast examination, and breast self-examination are reviewed. Benefits and limitations of newer modalities are presented, as well as an overview of the nurse practitioner role. Included are various educational resources for both the professional and the patient. Additionally, the Breast imaging Reporting and Data System system of mammographic interpretation is incorporated.

The role of magnetic resonance imaging studies in multiple sclerosis.

Multiple sclerosis (MS) is a common cause of disability in young adults. Establishing a definitive diagnosis of the disease is often difficult, and there is much uncertainty concerning prognosis once the diagnosis is made. Magnetic resonance imaging (MRI) studies have proved to be a useful diagnostic test in the initial evaluation and monitoring of patients with MS. They also provide a means for quantitative assessment of disease activity and progression during clinical trials of MS therapies. Improvements in MRI technology show promise in providing more accurate measurements of disease extent. The new technique of magnetic resonance spectroscopy can be used to monitor the specific pathophysiology of evolving MS plaques in vivo and may provide insights that lead to a better understanding of the pathogenesis of MS.

How well is your patient prepared for an MRI? An insider's perspective.

Often patients undergoing magnetic resonance imaging (MRI) for diagnostic purposes are not adequately prepared to deal with the claustrophobia commonly experienced while in the MRI machine. They may have been instructed on the procedure and some of the physical sensations they might encounter, but teaching about coping strategies to utilize when confronted with the occurrence of unanticipated claustrophobia when a sedating medication is not immediately available may often be lacking. Drawing on excerpts from a patient's journal that vividly describes her struggle to cope with claustrophobia during an MRI, this article discusses this commonly encountered experience within the context of theoretical perspectives of stress to underscore the importance of assessing for indications of rising anxiety. Suggestions for coping strategies to include in patient teaching are presented.