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Table 12 Overview of identified low-value examinations in cardiac imaging

From: Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

Type of imaging

Reason for examination

Outcome

Suggested practice by included study/studies

References

Stress myocardial perfusion imaging

Cardiac disease

27% relevant findings

Use risk stratification to screen patients

[264, 265]

Stress echocardiography

Cardiac disease

18% relevant findings

 

[265]

Routine transthoracic echocardiography

Acute ischemic stroke

8.5% change in management

 

[267]

Elective coronary angiography

Coronary heart disease

40% relevant findings

Use risk stratification to screen patients

[268]

Left ventriculography during angiography

Coronary heart disease

Low diagnostic accuracy

Echocardiography, nuclear scintigraphy, or MRI have better diagnostic results

[269]

PET/CT

Infective endocarditis

10% change in treatment

 

[266]

  1. PET positron emission tomography, CT computed tomography, MRI magnetic resonance imaging