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CT Angiography First Things First

CT Angiography First Things First Editorial CT Angiography First Things First Michael S. Lauer, MD, FACC, FAHA learned person has 7 traits, the Babylonian Talmud geographically remote centers where cardiac CT was not Ateaches. Among them, “He discusses first things offered, the proportion of normal coronary angiograms re- first…[and] about something he has not heard he says, ‘I have mained essentially constant, at 30% to 31%, during the same not heard.’” Establishing proper priorities for inquiry and calendar period. acknowledging ignorance are highly relevant in the ongoing The investigation presented by Chow et al has a number of debate raging around the rapid adoption of CT angiography. strengths. Because procedures like conventional and CT angiography are regionalized in Canada, the investigators Article see p 16 were able to effectively perform a population-based outcomes Investigators from leading centers now promote CT an- study, even though they collected data from only 1 institu- giography as a major advance in diagnostics, making it possible tion. Not all major centers in Canada adopted the new CT for many patients to avoid invasive coronary angiography. They technology, making it possible to perform a properly con- provide 3 lines of evidence to make their case. First, in a number trolled http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Circulation: Cardiovascular Imaging Wolters Kluwer Health

CT Angiography First Things First

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References (22)

ISSN
1941-9651
eISSN
1942-0080
DOI
10.1161/CIRCIMAGING.108.841429
pmid
19808556
Publisher site
See Article on Publisher Site

Abstract

Editorial CT Angiography First Things First Michael S. Lauer, MD, FACC, FAHA learned person has 7 traits, the Babylonian Talmud geographically remote centers where cardiac CT was not Ateaches. Among them, “He discusses first things offered, the proportion of normal coronary angiograms re- first…[and] about something he has not heard he says, ‘I have mained essentially constant, at 30% to 31%, during the same not heard.’” Establishing proper priorities for inquiry and calendar period. acknowledging ignorance are highly relevant in the ongoing The investigation presented by Chow et al has a number of debate raging around the rapid adoption of CT angiography. strengths. Because procedures like conventional and CT angiography are regionalized in Canada, the investigators Article see p 16 were able to effectively perform a population-based outcomes Investigators from leading centers now promote CT an- study, even though they collected data from only 1 institu- giography as a major advance in diagnostics, making it possible tion. Not all major centers in Canada adopted the new CT for many patients to avoid invasive coronary angiography. They technology, making it possible to perform a properly con- provide 3 lines of evidence to make their case. First, in a number trolled

Journal

Circulation: Cardiovascular Imaging – Wolters Kluwer Health

Published: Jan 1, 2009

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