Recent Trends in Imaging for Suspected Coronary Artery Disease: What Is the Best Approach?

Journal of the American College of Radiology : JACR
David C LevinVijay M Rao

Abstract

The aim of this study was to ascertain recent trends in noninvasive imaging utilization for suspected coronary artery disease. The Medicare Part B databases for 2001 to 2013 were reviewed. Current Procedural Terminology primary codes for radionuclide myocardial perfusion imaging (MPI), stress echocardiography (SE), and coronary CT angiography (CCTA) were selected. Physician specialty codes were used to designate providers as radiologists, cardiologists, and all others as a group. Procedure volumes were tabulated, and utilization rates per 1,000 Medicare beneficiaries were calculated over the period of study. Total MPI utilization rates per 1,000 rose rapidly from 63.4 in 2001 to a peak of 88.0 in 2006 but declined every year thereafter, dropping to 61.9 in 2013. SE rates generally held steady around 12 to 13 from 2001 to 2010 but then began to decline, reaching 10.8 in 2013. Cardiologists predominate in both MPI and SE. CCTA rates were far lower. They peaked at 2.1 in 2007, but then dropped before leveling off at 1.07 in both 2012 and 2013. Radiologists and cardiologists have approximately equal roles in this procedure. Both MPI and SE seem to be declining in use in recent years. This is likely due to unfavorable reimbursement ...Continue Reading

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Citations

Feb 16, 2018·AJR. American Journal of Roentgenology·David C LevinVijay M Rao
Feb 9, 2018·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·George A Beller
Dec 16, 2017·Circulation. Cardiovascular Imaging·Leslee J ShawUNKNOWN American Heart Association Cardiovascular Imaging and Intervention Subcommittee of the Council on Clinical Cardiology; Counc
Aug 28, 2019·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Yuka OtakiDenis Agostini
Sep 7, 2019·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Piotr Slomka
Mar 28, 2019·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Milena J Henzlova, W Lane Duvall
Jul 12, 2019·European Heart Journal Cardiovascular Imaging·Firas J Al BadarinTimothy M Bateman
Feb 23, 2020·The Quarterly Journal of Nuclear Medicine and Molecular Imaging : Official Publication of the Italian Association of Nuclear Medicine (AIMN) [and] the International Association of Radiopharmacology (IAR), [and] Section of the Society of Radiopharmaceutica·Janette IkingChristoph Rischpler
Sep 12, 2020·Journal of the American College of Cardiology·Michael PoonLeslee J Shaw

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