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Appropriateness Use Criteria and Guidelines for CT Use

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Atlas of Cardiovascular Computed Tomography

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Abstract

The past several decades have seen the rapid expansion of cardiovascular imaging modalities, of which coronary CT angiography (CCTA) is a prominent example. Although improvements in CCTA and other imaging modalities have resulted in improvements in the diagnosis and prognostication of cardiovascular disease, there has been an accompanying increase in resource utilization and health care costs. Furthermore, an extensive literature has documented substantial geographic variation in imaging uptake and utilization [1, 2]. In reaction to these developments and the perception of unsustainable growth in cardiovascular imaging expenditures, payers have initiated various utilization constraints to reduce spending and reimbursement. In the United States, this most notably includes the development of radiology benefit managers (RBMs), which are third-party entities primarily charged with serving as “gatekeepers” to the growth in medical imaging.

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Author information

Authors and Affiliations

  1. Department of Cardiology, Albany Medical Center, 47 New Scotland Avenue, Albany, NY, 12208, USA

    Joshua Schulman-Marcus MD

  2. Dalio Institute of Cardiovascular Imaging, New York-Presbyterian Hospital and Weill Cornell Medicine, New York, NY, USA

    James K. Min MD

Authors
  1. Joshua Schulman-Marcus MD
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  2. James K. Min MD
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Corresponding author

Correspondence to James K. Min MD .

Editor information

Editors and Affiliations

  1. Los Angeles Biomedical Research Institute, UCLA, Torrance, California, USA

    Matthew J. Budoff

  2. Department of Cardiology, Universitätsklinikum Erlangen, Erlangen, Germany

    Stephan S. Achenbach

  3. Mount Sinai Hospital, New York City, New York, USA

    Harvey S. Hecht

  4. Department of Cardiology , Mount Sinai Hospital, New York, New York, USA

    Jagat Narula

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Schulman-Marcus, J., Min, J.K. (2018). Appropriateness Use Criteria and Guidelines for CT Use. In: Budoff, M., Achenbach, S., Hecht, H., Narula, J. (eds) Atlas of Cardiovascular Computed Tomography. Springer, London. https://doi.org/10.1007/978-1-4471-7357-1_19

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  • DOI: https://doi.org/10.1007/978-1-4471-7357-1_19

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