American Journal of Cardiology
Volume 105, Issue 9 , Pages 1246-1253 , 1 May 2010

Perceived Usefulness of Cardiac Computed Tomography as Assessed by Referring Physicians and Its Effect on Patient Management

  • Ron Blankstein, MD

      Affiliations

    • Cardiac MR PET CT Program, Department of Radiology and Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts
    • Noninvasive Cardiovascular Imaging Program, Department of Medicine and Radiology, Brigham and Women's Hospital, Boston, Massachusetts
    • Corresponding Author InformationCorresponding author: Tel: (857) 307-1989; fax: (857) 307-1955
    • ,
  • Meagan K. Murphy, MD

      Affiliations

    • Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Khurram Nasir, MD, MPH

      Affiliations

    • Ciccarone Preventive Cardiology Center, Johns Hopkins University, Baltimore, Maryland
    • ,
  • G. Scott Gazelle, MD, MPH, PhD

      Affiliations

    • Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
    • Institute of Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Juan C. Batlle, MD

      Affiliations

    • Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Mouaz Al-Mallah, MD

      Affiliations

    • Henry Ford Hospital, Detroit, Michigan
    • ,
  • Leon Shturman, MD

      Affiliations

    • Cardiac MR PET CT Program, Department of Radiology and Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Udo Hoffmann, MD, MPH

      Affiliations

    • Cardiac MR PET CT Program, Department of Radiology and Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Ricardo C. Cury, MD

      Affiliations

    • Cardiac MR PET CT Program, Department of Radiology and Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts
    • Baptist Cardiac and Vascular Institute, Miami, Florida
    • ,
  • Suhny Abbara, MD

      Affiliations

    • Cardiac MR PET CT Program, Department of Radiology and Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Thomas J. Brady, MD

      Affiliations

    • Cardiac MR PET CT Program, Department of Radiology and Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Thomas H. Lee, MD, MSc

      Affiliations

    • Partners HealthCare, Boston, Massachusetts

Received 25 October 2009 ,Revised 14 December 2009 ,Accepted 14 December 2009.

  • Image Result

    Usefulness of CTA as assessed by referring clinician.

    Usefulness of CTA as assessed by referring clinician.

  • Image Result

    Cardiac testing that would have been performed if CTA was hypothetically not available.

    Cardiac testing that would have been performed if CTA was hypothetically not available.

  • Image Result

    Change in probability of CAD after CTA.

    Change in probability of CAD after CTA.

  • Image Result

    Incidence and severity of CAD stratified by pretest probability of disease among (A) asymptomatic and (B) symptomatic patients referred for evaluation of CAD.

    Incidence and severity of CAD stratified by pretest probability of disease among (A) asymptomatic and (B) symptomatic patients referred for evaluation of CAD.

  • Image Result

    Usefulness of reported components from CTA.

    Usefulness of reported components from CTA.

 Drs. Blankstein, Nasir, and Shturman received support from grant 1T32 HL076136-02 from the National Institutes of Health, Bethesda, Maryland. This work was partially funded by an internal grant from Partners HealthCare, Boston, Massachusetts. None of the authors have any relation to industry that might pose a conflict of interest.

PII: S0002-9149(09)02915-4

doi: 10.1016/j.amjcard.2009.12.040

American Journal of Cardiology
Volume 105, Issue 9 , Pages 1246-1253 , 1 May 2010

Article Tools

* Image Usage & Resolution