Critical appraisal of appropriateness in nuclear cardiology.
Radionuclide myocardial perfusion imaging (MPI) is a large component of the healthcare spending both in developed and developing countries. MPI is also responsible for a significant increase in the exposition of patients and health care operators to ionizing radiations for medical purposes. Thus, health-care systems and pertinent scientific societies were involved in developing criteria to contain the non-appropriate use by implementing Appropriate Use Criteria and Clinical Indications Guidelines. The present manuscript will review the concept and limitations of such an approach.
Cardiology Department, S. Maugeri Fnd, IRCCS, Scientific Institute of Veruno, Novara, Italy - claudio.marcassa@fsm.it.
Claudio
C
Marcassa
D006300:Health Services Misuse; D006801:Humans; D000069342:Medical Overuse; D055414:Myocardial Perfusion Imaging / Q000009:adverse effects / Q000191:economics / Q000706:statistics & numerical data*; D000069079:Radiation Exposure