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Background: CT-guided percutaneous interventions may cause patients to experience high levels of stress and anxiety, negatively affecting post-interventional outcomes. Music played during medical interventions has been shown to reduce anxiety and pain, yet the effect of music on patients undergoing interventional radiology procedures has not been evaluated. The aim of this study was to assess whether music played during CT-guided percutaneous interventions may reduce anxiety and pain.
Methods: This prospective randomized controlled trial included patients undergoing CT-guided transcutaneous procedures. The final analysis included a total of 209 patients, randomized into a music group (MG, n = 107) and a control group (CG, n = 102). Items of state and trait anxiety were analysed using the short form of the State Trait Anxiety Inventory (STAI-6) before and after the procedure. Post-procedural pain was assessed with the numeric rating scale (NRS) with faces.
Results: Patients in the MG exhibited lower anxiety and a greater reduction in anxiety levels as compared to patients in the CG (p < 0.001, respectively). The median change of anxiety was 6.5 ± 3.8 (range: -3 to 14) in the MG versus 3.7 ± 3.5 (range: -6 to 13) in the CG. Post-procedural pain showed a value of 2 ± 2.1 (median, range: 0 to 9) in the MG, versus 6 ± 2.4, (median, range: 0 to 10) in the CG.
Conclusion: Exposure to music during CT-guided percutaneous interventions can aid in significantly lowering peri-interventional anxiety and pain and thus improve overall patient care without any negative side effects.
Key Points: Question Does listening to music during CT-guided percutaneous interventions reduce peri-interventional anxiety and pain in patients? Findings This prospective randomized-controlled trial found that patients exposed to music during CT-guided interventions experienced significantly lower levels of anxiety and pain compared to those in a control group. Clinical relevance Incorporating music into CT-guided interventions provides an easy, non-invasive, and cost-effective method to reduce patient anxiety and pain in the clinical setting.
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http://dx.doi.org/10.1007/s00330-025-11441-3 | DOI Listing |
Front Neurol
August 2025
Department of Infectious Diseases, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Aims: In this study, we aimed to analyze the pathogen detection results in spinal infections using percutaneous CT-guided biopsy or transforaminal endoscopic spinal biopsy.
Methods: This is a retrospective observational study of patients who underwent biopsy for spinal infection at Shanghai Sixth People's Hospital between December 2020 and June 2024. Data on demographics, clinical presentations, radiological findings, and histopathology were collected from medical records.
J Vasc Interv Radiol
September 2025
Cardiothoracic Surgeons of Grand Traverse, Department of Surgery, Munson Medical Center, Traverse City, Michigan.
Thoracic surgeons utilizing minimally invasive techniques for lung nodule resection often rely on localization markers to determine precise nodule location intraoperatively. Transbronchial or transthoracic injection of indocyanine green (ICG) dye has become a popular technique. However, surgery must be performed immediately as dye will dissipate to surrounding tissue.
View Article and Find Full Text PDFJ Cancer Res Ther
September 2025
Department of Anesthesiology, Cardiovascular Institute, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Background: This study evaluated the efficacy and safety of esketamine plus dexmedetomidine for sedation and analgesia during computed tomography (CT)-guided lung tumor percutaneous microwave ablation (MWA).
Methods: Patients undergoing CT-guided percutaneous MWA of lung tumors were randomly divided into two groups: esketamine plus dexmedetomidine (Group E) and sufentanil plus dexmedetomidine (Group S). The patients' general information, mean arterial pressure (MAP), heart rate (HR), peripheral oxygen saturation, respiratory rate (RR), partial pressure of end-tidal carbon dioxide, bispectral index, and Ramsay sedation score were recorded before anesthesia administration (T0), after dexmedetomidine loading dose (T1), during percutaneous puncture (T2), during ablation (T3), at the end of surgery (T4), and during recovery of consciousness (T5).
J Neurosurg Case Lessons
September 2025
Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts.
Background: CSF-venous fistulas (CVFs) are an increasingly recognized cause of spontaneous intracranial hypotension (SIH). Cases of SIH can present with symptoms ranging from orthostatic headache to severe debilitating headaches, vertigo, back pain, vision changes, and cognitive impairment. CVFs are an aberrant direct fistulous connection between a spinal nerve root sleeve and adjacent paraspinal veins.
View Article and Find Full Text PDFBMC Med Imaging
August 2025
Radiology Department, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, P. R. China.
Purpose: Pathological diagnosis is important for the treatment of deep suprahyoid head and neck lesions, and tissue sampling needs to balance minimal invasiveness and accuracy. The purpose of this study was to evaluate diagnostic accuracy and factors associated with diagnostic failure of core needle biopsy (CNB) with CT-guided in deep suprahyoid head and neck lesions.
Methods: The records of 204 patients who underwent CT-guided CNB were retrospectively reviewed.