Volume 18 Supplement 1
CMR Clinical Practice Patterns Across Four U.S. Medical Centers from 2010-2014
© Shah et al. 2016
Published: 27 January 2016
Accurate data on CMR practice patterns is a prerequisite for planning strategies to grow clinical volumes within existing CMR clinical services, increase the number of hospitals that offer these services, and improving reimbursement.
Data analysis was performed on a cloud-based system that is currently receiving de-identified searchable data from electronically-signed clinical reports with full DICOM datasets for 23,275 consecutive CMR exams performed at four geographically diverse U.S. medical centers from Jan 1, 2010 through Dec 31, 2014. At the time of abstract submission, 8,242 datasets have been analyzed, and analysis of all 23,275 is expected by the end of 2015. All data fields were derived from CMR reports that had been electronically signed by board-certified physicians with Level 3 CMR training. We analyzed: 1) patient characteristics and clinical indications for CMR scans; 2) use and complication rates for contrast agents; 3) use and complication rates for stress testing; and 4) billing data based on CPT codes.
CMR is clinically viable in the United States with the most common indications: heart failure/cardiomyopathy, ischemia evaluation, vascular disease, and valve assessment. CMR vasodilator stress testing appears remarkably safe in clinical practice.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.