Evidence map›Paper›PMID 42871935›Full record

ReviewRadiologia brasileira

Beyond sedation: a narrative review of nonpharmacological innovations for managing patient anxiety in magnetic resonance imaging examinations.

Assaiah Moreira Marrazzo da Costa Portugal, Rubens Chojniak, Giane Nakamura, Eduardo Henrique Giroud Joaquim, Michael Madeira de La Cruz Quezada, Alessandra Bittencourt de Oliveira

Abstract readReview
In one paragraph

Review in Radiologia brasileira. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Assaiah Moreira Marrazzo da Costa PortugalDepartment of Anesthesiology, A.C.Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0009-0004-8400-6203
Rubens ChojniakDepartment of Anesthesiology, A.C.Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0000-0002-8096-252X
Giane NakamuraDepartment of Anesthesiology, A.C.Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0000-0002-8639-8843
Eduardo Henrique Giroud JoaquimDepartment of Anesthesiology, A.C.Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0000-0002-5184-9368
Michael Madeira de La Cruz QuezadaDepartment of Anesthesiology, A.C.Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0001-9754-0916
Alessandra Bittencourt de OliveiraDepartment of Anesthesiology, A.C.Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0009-0004-9686-0829

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To critically analyze evidence-based alternatives to sedation in patients with radiology-related phobias, focusing on clinical efficacy, feasibility, and implementation challenges. Methods: This is a narrative review of the scientific literature published between 1985 and 2025, based on indexed databases (PubMed, Scopus, Embase, Scientific Electronic Library Online, and PsycINFO) and clinical guidelines. We included observational studies, clinical trials, systematic reviews, and expert consensus statements. Results: Effective nonpharmacological interventions include mock scanner training, cognitive-behavioral therapy, virtual reality exposure, breathing/relaxation techniques, environmental modifications, and therapeutic communication. These approaches significantly reduce the need for sedation, particularly in pediatric, geriatric, and neurodivergent populations. However, implementation remains limited by structural, economic, and cultural barriers. Conclusion: Nonpharmacological strategies are clinically effective and ethically desirable for managing patient anxiety and phobias in the setting of magnetic resonance imaging. Their systematic incorporation requires institutional restructuring, interdisciplinary training, and investment in supportive technology.

Indexed as

Anxiety/prevention & controlHypnotics and sedatives/adverse effectsMagnetic resonance imagingPhobic disorders

Identifiers

PMID42871935
PMCPMC13661039

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.