Radiological technologists as key players in multidisciplinary headache teams

Abstract

　Radiological technologists do not play a central role in headache management; however, reliably performing MRI examinations, which are essential for ruling out secondary headaches, serves as an important opportunity for patients to transition to appropriate treatment for primary headaches. This study examined the measures implemented at our facility and their effects in patients requiring special consideration during MRI, including those with phonophobia, claustrophobia, and pediatric patients. In patients with phonophobia, the sound levels were below the discomfort threshold, and the use of earplugs prevented headache exacerbation. In patients with claustrophobia, adjustments to visual stimuli and continuous verbal reassurance improved completion rates. In pediatric patients, emphasizing rapid examination flow, simplifying pre-scan procedures, and providing verbal support until immediately before imaging effectively reduced anxiety. These approaches contributed to successful imaging and highlight the important role of radiological technologists within multidisciplinary headache care.