title: Current challenges and future directions in cardiac imaging.
abstract: Imaging is one of the most important accomplishments of medicine during the last 1000 years. The contribution of modern imaging to progress in the delivery of health care is unquestioned. However, we need to refine our use of imaging, limiting its use to those occasions when it can contribute directly or indirectly to improving and lengthening the lives of patients. Technology prowess in imaging alone is not sufficient to deliver value to individuals or to society. Continued investment in imaging technology requires critical appraisal of its use in clinical decision making and patient outcomes.
authors: Wheaton Franciscan Medical Group, Milwaukee, WI, United States.
authors: Samuel
authors: S
authors: Wann
authors: Javed
authors: J
authors: Tunio
keywords: Comparative effectiveness; Cost-effective care; Medical imaging; Multimodality imaging; Outcomes research
references: J Am Coll Cardiol. 2008 Apr 22;51(16):1539-42
references: 18420095
references: JACC Cardiovasc Imaging. 2010 Mar;3(3):316-24
references: 20223430
references: J Am Coll Cardiol. 2010 Mar 9;55(10):957-65
references: 20202511
references: Mod Concepts Cardiovasc Dis. 1962 Jul;31:735-8
references: 13915182
references: JACC Cardiovasc Imaging. 2010 Mar;3(3):235-43
references: 20223419
references: Eur Heart J. 2009 Nov;30(21):2566-74
references: 19833636
references: Am J Cardiol. 2009 Oct 15;104(8):1047-51
references: 19801022
references: N Engl J Med. 2009 Jan 15;360(3):213-24
references: 19144937
references: Circulation. 2002 Oct 8;106(15):2026-34
references: 12370230
references: J Am Coll Cardiol. 2008 Dec 16;52(25):2145-7
references: 19095131
references: JACC Cardiovasc Imaging. 2009 Feb;2(2):153-60
references: 19356549
references: Eur Heart J. 2007 Oct;28(19):2305-6
references: 17768171
references: J Am Coll Cardiol. 2007 Dec 4;50(23):2197-203
references: 18061065
references: J Am Coll Cardiol. 2008 Dec 16;52(25):2135-44
references: 19095130
references: JACC Cardiovasc Imaging. 2009 Jul;2(7):858-68
references: 19608137
references: J Cardiovasc Comput Tomogr. 2009 Sep-Oct;3(5):312-20
references: 19709947
references: N Engl J Med. 2008 Jul 3;359(1):3-5
references: 18596270
references: JAMA. 1965 Mar 1;191:711-4
references: 14245510
references: Circulation. 2009 Jul 7;120(1):76-81
references: 19581521
references: J Cardiovasc Comput Tomogr. 2009 Jul-Aug;3(4):212-23
references: 19577208
references: J Am Coll Cardiol. 2009 Apr 7;53(14):1242-3
references: 19341868
references: Circ Cardiovasc Imaging. 2008 Jul;1(1):3-5
references: 19808508
references: N Engl J Med. 2000 Jan 6;342(1):42-9
references: 10620649