Impact of Acoustic Noise Reduction on Patient Experience in Routine Clinical Magnetic Resonance Imaging

Objectives: Acoustic noise emission from MRI scanners is considered a major factor of patient discomfort during routine MRI examina-tions. We prospectively evaluated the impact of acoustic noise reduction using software implementations in routine clinical MRI on sub-jective patient experience and image quality. Methods: Two-hundred consecutive patients undergoing one of four MRI examinations (brain, lumbar spine, shoulder, and knee) at a sin-gle center were prospectively randomized into two groups at a 1 to 1 ratio: standard MRI examination and MRI examination with acoustic noise reduction. After the examination, patients were asked to complete a questionnaire aimed at defining their subjective experience (pri-mary endpoint). Two readers assessed subjective image quality of all patient studies in consensus (secondary endpoint). Nonparametric tests and logistic regression models were used for statistical analysis. Results: Hundred-seventy-four patients were included in the final study. Patients in the intervention group felt less discomforted by the acoustic noise (p = 0.01) and reported increased audibility of music through the headphones (p = 0.03). No significant difference in subjec-tive image quality was found. Conclusion: Our study indicates that the effects of acoustic noise reduction in routine clinical MRI can be translated into reduced patient discomfort from acoustic noise and improved audibility of music. Acoustic noise reduction thus significantly contributes to increased patient comfort during MRI examinations.