title: The evolving practice of nuclear cardiology: results from the 2011 ASNC member survey.
abstract: BACKGROUND
  Today's imaging laboratories face challenges including reimbursement, prior authorization, and accreditation standards. The impact on the practice of nuclear cardiology in the United States is unknown. We conducted a survey of ASNC members to provide a snapshot of nuclear cardiology imaging laboratories in 2011.
  
  
  RESULTS
  The survey identified practice patterns including personnel, volumes, protocols used, and laboratory characteristics. We employed random sampling methodology stratified geographically. The response rate was 19.5% (73/374 laboratories). A non-random survey conducted in 2001 of 25 laboratories served as a comparator. A total of 73 laboratories, representing 202 physicians and 177 technologists responded. The reported median procedural volume was 1,225 studies annually; 88.9% of laboratories were accredited. Compared with 2001, dual isotope imaging protocol use dropped from 72% to 15.6%. Five markers of quality were surveyed. Half of laboratories use the American College of Cardiology's Appropriate Use Criteria, 61% used segmental scoring, and 32% provided guidance on post-test therapeutic management. 89% perform catheterization correlations while only 33% implemented radiation dose tracking.
  
  
  CONCLUSIONS
  This survey of ASNC members provides critical information on nuclear cardiology practice to better target and service our members' needs. These data can prove invaluable to target educational needs and inform healthcare policy of contemporary nuclear cardiology practice.
authors.affiliation: The Miriam Hospital, Brown University, 164 Summit Avenue, Providence, RI 02906, USA. Peter_Tilkemeier@brown.edu
authors.forename: Peter
authors.initials: P
authors.lastname: Tilkemeier
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Green
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Einstein
authors.forename: Reza
authors.initials: R
authors.lastname: Fazel
authors.forename: Patricia
authors.initials: P
authors.lastname: Reames
authors.forename: Leslee J
authors.initials: LJ
authors.lastname: Shaw
mesh_terms: D000328:Adult; D000368:Aged; D057791:Cardiac Imaging Techniques / Q000379:methods / Q000592:standards*; D002309:Cardiology / Q000706:statistics & numerical data; D002318:Cardiovascular Diseases / Q000175:diagnosis*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009683:Nuclear Medicine / Q000706:statistics & numerical data; D012494:Sampling Studies; D011795:Surveys and Questionnaires; D014481:United States; D000078329:Workforce