It's a question of endurance - Patients with head and neck cancer experiences of 18F-FDG PET/CT in a fixation mask

Eur J Oncol Nurs. 2017 Aug:29:85-90. doi: 10.1016/j.ejon.2017.05.009. Epub 2017 Jun 6.

Abstract

Purpose: This study aimed to explore how patients with head and neck cancer experienced undergoing an 18F-fluoro-deoxy-glucose positrons emissions tomography/computed tomography (18F-FDG PET/CT) examination in a fixation mask.

Method: Interviews were conducted with nine patients with known or suspected head and neck cancer who were scheduled for the examination for the first time. The phenomenological method according to van Manen and his four lifeworld existentials; lived space, lived body, lived time, and lived relation was used to analyse the interviews.

Results: The thoughts and feelings of the patients during the PET/CT examination varied, some found it very difficult, while others did not. However, for all the patients, it was an experience that required some form of coping to maintain composure for example distraction.

Conclusions: PET/CT examnation in a fixation mask may be strenuous for some patients. Patients need more detailed information, including suggestions for coping behaviours, prior to the examination, as well as higher level of support during and after the examination. The results of this study may be used to improve patient care and optimize the procedure of PET/CT examination in a fixation mask.

Keywords: FDG PET/CT; Fixation mask; Head and neck cancer; Phenomenology.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Fluorodeoxyglucose F18
  • Head and Neck Neoplasms / radiotherapy*
  • Humans
  • Male
  • Masks / statistics & numerical data*
  • Middle Aged
  • Positron Emission Tomography Computed Tomography / methods*
  • Positron Emission Tomography Computed Tomography / psychology*
  • Stress, Psychological*

Substances

  • Fluorodeoxyglucose F18