A system and method for reducing anxiety of a patient during medical scanning in a medical scanner which may produce significant levels of acoustic noise. A processor or control unit receives a measure of variation in a parameter of the scanner noise during the medical scanning. The processor then generates outputs to audio and video playback units that present an audio-video scenery to the patient during the scanning in accordance with the measure of variation in the parameter of the scanner noise. An image object in the video imagery is linked to the audio signal, so as to distract the patient's attention away from the scanner noise. The audio-video scenery may be switched according to an estimated scanner noise level. An effective distraction of the patient is obtained with a limited audio signal level which is far lower than the scanner noise.