Monday, March 17, 2014

Inappropriate utilization of SPECT myocardial perfusion imaging on the USA-Mexico border.

BACKGROUND: The ASNC published revised "Appropriate Use Criteria" for SPECT MPI in 2009.

METHODS: 420 SPECT MPI studies were evaluated.

RESULTS: 86% were appropriate and 14% inappropriate. Younger females were more likely to have an inappropriate test. Diabetics and patients with chest pain were less likely to have an inappropriate test. Community primary care providers were less likely than community cardiologists to order an inapproprate test.

CONCLUSIONS: young women are more likely to have an inappropriate nuclear myocardial perfusion imaging scan compared to other demographic groups. Cardiologists were more likely to order inappropriate tests compared to primary care providers.


J Nucl Cardiol. 2014 Mar 14;