학술논문
A Systematic Review of Person-Centred Adjustments to Facilitate Magnetic Resonance Imaging for Autistic Patients without the Use of Sedation or Anaesthesia
Document Type
Journal Articles
Information Analyses
Information Analyses
Author
Stogiannos, Nikolaos (ORCID 0000-0003-1378-6631 ); Carlier, Sarah; Harvey-Lloyd, Jane M.; Brammer, Andrea; Nugent, Barbara; Cleaver, Karen; McNulty, Jonathan P.; dos Reis, Cláudia Sá; Malamateniou, Christina (ORCID 0000-0002-2352-8575 )
Source
Subject
Language
English
ISSN
1362-3613
Abstract
Magnetic resonance imaging is widely used for different diagnostic examinations involving autistic patients. The noisy, narrow, isolating magnetic resonance imaging environment and long scan times may not be suitable for autistic individuals, given their communication challenges, sensory sensitivities and often heightened anxiety. This systematic review aims to reveal any reasonable and feasible radiography-based adjustments to facilitate magnetic resonance imaging scanning without the use of sedation or general anaesthesia. Nine electronic databases were systematically searched. Out of 4442 articles screened, 53 were deemed directly relevant; when assessed against eligibility criteria, only 21 were finally included in this systematic review. Customising communication was found to be a key adjustment, as well as scan-based optimisation and environmental adaptations. The importance of distraction techniques and use of technology for familiarisation with the processes was also highlighted. The results of this study can inform recommendations to improve magnetic resonance imaging practice and patient experience, without the use of sedation or anaesthesia, where feasible. They can also inform the basis of dedicated training for magnetic resonance imaging radiographers.