{"id":42886,"date":"2018-08-23T12:42:27","date_gmt":"2018-08-23T11:42:27","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=42886"},"modified":"2018-09-04T09:59:00","modified_gmt":"2018-09-04T08:59:00","slug":"giles-maskell-scanxiety","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/08\/23\/giles-maskell-scanxiety\/","title":{"rendered":"Giles Maskell: Scanxiety"},"content":{"rendered":"<p class=\"standfirst\"><span style=\"font-weight: 400\">We are all going to be feeling more of it in the future<\/span><\/p>\n<p><!--more--><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-39428\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/06\/giles_maskell.jpg\" alt=\"\" width=\"160\" height=\"160\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/06\/giles_maskell.jpg 160w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/06\/giles_maskell-150x150.jpg 150w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\" \/><span style=\"font-weight: 400\"><span style=\"font-weight: 400\">You might not have come across the word \u201cscanxiety\u201d before but you will have no trouble getting its meaning. It doesn\u2019t yet have a formal dictionary definition but it\u2019s a word used by people treated for cancer to describe the <\/span><a href=\"http:\/\/liz.oriordan.co.uk\/MovingOn_files\/scanxiety.html\"><span style=\"font-weight: 400\">feeling of dread<\/span><\/a><span style=\"font-weight: 400\"> associated with their follow-up imaging. Even someone who feels entirely well and knows that the chance of anything bad appearing on the scan is remote can suffer from profound apprehension around the time of the scan<span id=\"E218\">\u2014<\/span>\u201cscanxiety.\u201d Some patients describe severe physical symptoms connected entirely with the process of undergoing an ultrasound, CT, or MRI scan and waiting for the results.<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">Radiologists are very familiar with this. A colleague who regularly performs follow-up ultrasound scans on children with cancer describes how just the process of making a measurement on the screen<span id=\"E218\">\u2014<\/span>part of the protocol for any normal ultrasound examination<span id=\"E218\">\u2014<\/span>can induce panic in the watching family.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Rightly or wrongly, patients attach ever greater importance to the role of imaging in their management. In that context, the <\/span><a href=\"https:\/\/www.cqc.org.uk\/sites\/default\/files\/20180718-radiology-reporting-review-report-final-for-web.pdf\"><span style=\"font-weight: 400\">recent report from the Care Quality Commission<\/span><\/a><span style=\"font-weight: 400\"> into radiology reporting delays in the English NHS makes for depressing reading. The CQC found that in some areas thousands of patients were waiting weeks or longer for the results of their x-rays and scans. Not all of these are patients with cancer of course, but many of them are and a great many more will be worried that the scan might show cancer, even if that is not the specific concern.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Radiologists have our own form of \u201cscanxiety\u201d<span id=\"E218\">\u2014<\/span>the experience of being faced with hundreds of studies waiting for a report, knowing that each one represents an individual whose life is on hold while waiting for the result. Knowing too that amongst them<span id=\"E218\">\u2014<\/span>needles in the digital haystack<span id=\"E218\">\u2014<\/span>will be some for whom an urgent report would make a real difference and others for whom a delay could be disastrous.<\/span><\/p>\n<p><span style=\"font-weight: 400\">One anticipated contribution of artificial intelligence to radiology is the possibility of <\/span><a href=\"https:\/\/towardsdatascience.com\/5-radiology-artificial-intelligence-companies-to-build-and-none-of-them-interpret-medical-images-7a21633f4d6\"><span style=\"font-weight: 400\">smart prioritization<\/span><\/a><span id=\"E218\">\u2014<\/span><span style=\"font-weight: 400\">indicating which studies contain significant abnormalities and prompting the radiologist to report them first. If I am a little cautious about the potential for reliable automated sifting of normal studies from abnormal, it is because I remember that one of the catchphrases of the whole body CT screening industry in the USA was: \u201cWe haven\u2019t found a normal yet.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">The thrust of almost every current initiative in cancer management, whether it is targeted screening, faster diagnosis or personalized medicine is that more people will require more imaging more often. The <\/span><a href=\"https:\/\/www.bmj.com\/content\/359\/bmj.j4683\"><span style=\"font-weight: 400\">UK is woefully under-prepared<\/span><\/a><span style=\"font-weight: 400\"> for this predictable surge in demand. If you haven\u2019t come across it before, get used to the idea of scanxiety<span id=\"E218\">\u2014<\/span>we are all going to be feeling more of it in the future.<\/span><\/p>\n<p><em><strong>Giles Maskell<\/strong> is a radiologist in Truro. He is past president of the Royal College of Radiologists.<\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: None declared.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We are all going to be feeling more of it in the future [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/08\/23\/giles-maskell-scanxiety\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":42891,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18893],"tags":[],"class_list":["post-42886","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-giles-maskell"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Giles Maskell: Scanxiety - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/08\/23\/giles-maskell-scanxiety\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Giles Maskell: Scanxiety - 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