Journal of the American College of Radiology
Volume 7, Issue 2 , Pages 125-131 , February 2010

Evaluation of Coronary CTA Appropriateness Criteria® in an Academic Medical Center

  • John A. Miller, MD

      Affiliations

    • Department of Radiology, Mayo Clinic, Rochester, Minnesota
    • Corresponding Author InformationCorresponding author and reprints: John A. Miller, MD, Mayo Clinic, Department of Radiology, 200 1st Street SW, Rochester MN, 55904
    • ,
  • Eugenia Raichlin, MD

      Affiliations

    • Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • Eric E. Williamson, MD

      Affiliations

    • Department of Radiology, Mayo Clinic, Rochester, Minnesota
    • ,
  • Robert B. McCully, MD

      Affiliations

    • Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • Patricia A. Pellikka, MD

      Affiliations

    • Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • David O. Hodge

      Affiliations

    • Department of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota
    • ,
  • Todd D. Miller, MD

      Affiliations

    • Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • Raymond J. Gibbons, MD

      Affiliations

    • Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • Philip A. Araoz, MD

      Affiliations

    • Department of Radiology, Mayo Clinic, Rochester, Minnesota

References 

  1. National Priorities Partnership (National priorities and goals: aligning our efforts to transform America's healthcare). http://www.nationalprioritiespartnership.org/uploadedFiles/NPP/08-253-NQF%20ReportLo[6].pdfAccessed October 18, 2009
  2. Levin DC, Rao VM, Parker L, Frangos AJ, Sunshine JH. Ownership or leasing of CT scanners by nonradiologist physicians: a rapidly growing trend that raises concern about self-referral. J Am Coll Radiol. 2008;5:1206–1209
  3. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging (A report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group). J Am Coll Radiol. 2006;3:751–771
  4. Gibbons RJ, Miller TD, Hodge D, et al. Application of appropriateness criteria to stress single-photon emission computed tomography sestamibi studies and stress echocardiograms in an academic medical center. J Am Coll Cardiol. 2008;51:1283–1289
  5. McCully RB, Pellikka PA, Hodge DO, Araoz PA, Miller TD, Gibbons RJ. Applicability of appropriateness criteria for stress imaging: similarities and differences between stress echocardiography and single-photon emission computed tomography myocardial perfusion imaging (SPECT MPI) criteria. Circ Cardiovasc Imaging. 2009;2:213–218
  6. Eagle KA, Berger PB, Calkins H, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery—executive summary a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation. 2002;105:1257–1267
  7. Gibbons RJ, Chatterjee K, Daley J, et al. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina). J Am Coll Cardiol. 1999;33:2092–2197
  8. Landis JR, Koch GG. An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics. 1977;33:363–374
  9. Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction—executive summary (A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction)). J Am Coll Cardiol. 2004;44:671–719

 This study was funded by internal grants from the Department of Radiology and the Department of Medicine, Mayo Clinic.

 Disclosures: Dr Williamson is a consultant for GE and for Siemens AG, is a member of the expert advisory committees of Siemens AG and of Bayer AG, and has received research support from Bayer AG. Dr Miller has received research grants from King Pharmaceuticals, TargeGen, KAI Pharmaceuticals, Radiant Medical, TherOx, and Lantheus Medical Imaging and is a consultant for GE Healthcare, The Medicines Company, and Molecular Insight Pharmaceuticals. Dr Gibbons has received research grants from Radiant Medical, KAI Pharmaceuticals, TargeGen, TherOx, and King Pharmaceuticals and is a research consultant for Consumers Union and for Thrombolysis in Myocardial Infarcation 37A. Dr Araoz is a consultant for Medtronic.

PII: S1546-1440(09)00420-7

doi: 10.1016/j.jacr.2009.08.013

Journal of the American College of Radiology
Volume 7, Issue 2 , Pages 125-131 , February 2010

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