CT Imaging of Myocardial Perfusion and Viability: Future Perspectives

Part of the Medical Radiology book series (MEDRAD)


The notion of evidence-based medicine (EBM) has transformed the science and practice of medicine substantially over the past decades. EBM has been defined as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" (Sackett et al. 1996). EBM thus demands that medical procedures be justified by objective measures of performance. This general trend in healthcare has long been ignored by the radiological field, with the formal concept of evidence-based radiology (EBR), only recently established (Evidence-Based Radiology Working Group 2001; Sheehan et al. 2007; Collins 2007; Malone 2007; Dodd et al. 2004). At least in part, this may be explained by the conceptual framework of EBM, which is primarily designed to assess the efficacy of therapeutic procedures, such as pharmacological, surgical, or other interventions. Many criteria used to assess the quality of studies and levels of evidence in EBM are not directly applicable to diagnostic imaging.


Myocardial Perfusion Myocardial Perfusion Imaging Fractional Flow Reserve Blood Pool Imaging Fractional Flow Reserve Measurement 
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© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Division of Cardiovascular Imaging, Department of Radiology and Radiological SciencesMedical University of South CarolinaCharlestonUSA
  2. 2.Department of Radiology and Radiological ScienceMedical University of South CarolinaCharlestonUSA

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