Observations Regarding the Detection of Abnormal Findings Following a Cancer Screening Whole-Body MRI in Asymptomatic Subjects: The Psychological Consequences and the Role of Personality Traits Over Time

  • 0Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology IRCCS, Milan, Italy.

Summary

This summary is machine-generated.

Whole-body MRI (WB-MRI) cancer screening often reveals unexpected abnormal findings (AFs). While generally not causing long-term psychological distress, personality traits can influence individual responses to these findings.

Area Of Science

  • Radiology and Medical Imaging
  • Oncology
  • Psychology

Background

  • Whole-body MRI (WB-MRI) in oncology frequently identifies unexpected abnormal findings (AFs).
  • The psychological impact of these AFs on patients remains under-examined.

Purpose Of The Study

  • To assess the long-term psychological effects of detecting AFs after WB-MRI cancer screening in asymptomatic individuals.
  • To explore how personality traits influence psychological responses to AFs.

Main Methods

  • A prospective, longitudinal study involving 121 asymptomatic individuals undergoing WB-MRI for cancer screening.
  • Psychological assessments (personality, risk perception, quality of life, mood) conducted immediately post-MRI, at 1-year, and 4-years.
  • Statistical analyses including Pearson's correlations and repeated measures ANOVA were employed.

Main Results

  • All participants had AFs, most commonly in bones, with 101 classified as ONCO-RADS 2 and 19 as ONCO-RADS 3.
  • A slight increase in depressive symptoms was observed at 1-year, but overall, AFs did not significantly correlate with psychological changes.
  • Conscientiousness and openness personality traits significantly influenced changes in depressive and anxious symptoms over time.

Conclusions

  • Disclosure of AFs via WB-MRI cancer screening appears to have minimal long-term psychosocial consequences for most individuals.
  • Specific personality traits, such as conscientiousness and openness, can modulate psychological distress following WB-MRI findings.

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