Application of Appropriate- Use-Criteria to Single- Photon Emission Computed Tomography Myocardial Perfusion Imaging (SPECTMPI) Test Results: A Retrospective Analysis View PDF

^*Abhishek Biswas
Medicine, Pulmonary, Critical Care And Sleep Medicine, University Of Florida, United States

^*Corresponding Author:

Abhishek Biswas
Medicine, Pulmonary, Critical Care And Sleep Medicine, University Of Florida, United States
Email:abhibiswas78@gmail.com

Published on: 2015-09-28

Abstract

The American College of Cardiology Foundation (ACCF)/ American Heart Association (AHA) /American Society of Nuclear Cardiology (ASNC) guidelines are designed to select those patients who would benefit the most from stress myocardial perfusion imaging. Unfortunately, these guidelines are infrequently used. Multiple studies have shown varying degrees of adherence to the appropriateness criteria, thus exposing patients to unnecessary radiation risk and imposing a financial burden on the health system.

Keywords

Appropriate use criteria; Single-photon emission computed tomography; Myocardial perfusion scan; Risk stratification; Pretest risk

Introduction

Single-photon Emission Computed Tomography (SPECT)- Myocardial Perfusion Imaging (MPI) is a cost-effective and preferred mode of investigation to determine the risk of significant coronary artery disease (CAD). A negative stress study confers a 1% annual risk of myocardial infarction or cardiac death. A strategy of coronary catheterization for those with inducible ischemia on the SPECTMPI study confers significant financial savings according to the multicenter Economics of Noninvasive Diagnosis (END) in the US and Economics of Myocardial Perfusion Imaging in Europe (EMPIRE) studies.