Andrew J. Einstein|Daniel S. Berman|James K. Min|Robert C. Hendel|Thomas C. Gerber|J. Jeffrey Carr|Manuel D. Cerqueira|S. James Cullom|Robert A. deKemp|Neal W. Dickert|Sharmila Dorbala|Reza Fazel|Ernest Garcia|Raymond J. Gibbons|Sandra S. Halliburton|Jörg Hausleiter|Gary V. Heller|Scott Jerome|John R. Lesser|Gilbert L. Raff|Peter L. Tilkemeier|Kim A. Williams|Leslee J. Shaw
Patient-Centered Imaging
NewYork–Presbyterian Hospital|Columbia University Irving Medical Center|Cedars-Sinai Medical Center|Cornell University|University of Miami|Mayo Clinic|Vanderbilt University|Cleveland Clinic|Missouri Heart Center|Emory University|Brigham and Women's Hospital|Emory University|Emory University|Mayo Clinic|Cleveland Clinic|Technical University of Munich|Morristown Medical Center|University of Maryland, Baltimore|Minneapolis Heart Institute Foundation|Royal Oak Community Coalition
current paper details recommendations arising nihnhlbincisponsored symposium held november 2012 aiming identify key components radiation accountability framework fostering patientcentered imaging shared decisionmaking cardiac imaging symposium participants working 3 tracks identified key components framework target critical radiation safety issues patient laboratory larger population patients known suspected cardiovascular disease use ionizing radiation imaging procedure disclosed patients ordering provider time ordering reinforced performing provider team imaging protocol effective dose 3msv considered low risk warranting extensive discussion written informed consent however protocol effective dose 20msv proposed level requiring particular attention terms shared decisionmaking either formal discussion written informed consent laboratory reporting radiation dosimetry critical component creating quality laboratory fostering patientcentered environment transparent procedural methodology efforts directed avoiding testing involving radiation patients inappropriate indications standardized reporting diagnostic reference levels computed tomography nuclear cardiology important goal public reporting laboratory radiation dose levels conjunction diagnostic performance development cardiac imaging technologies revolutionized cardiology practice allowing routine noninvasive assessment myocardial perfusion anatomy incumbent upon imaging community create accountability framework safely drive appropriate imaging utilization