Quality Evaluation in Non-Invasive Cardiovascular Imaging

This book is an important resource that describes the importance of quality in cardiovascular imaging and how best to optimize an imaging laboratory. Quality in imaging is important in clinical practice as it directly impacts on patients care, and is esse

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Peter L. Tilkemeier Robert C. Hendel Gary V. Heller James A. Case Editors

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Quality Evaluation in Non-Invasive Cardiovascular Imaging

Peter L. Tilkemeier • Robert C. Hendel Gary V. Heller • James A. Case Editors

Quality Evaluation in Non-Invasive Cardiovascular Imaging

Editors Peter L. Tilkemeier Department of Medicine Greenville Health System Greenville South Carolina USA Robert C. Hendel Miller School of Medicine University of Miami Miami Florida USA

Gary V. Heller Department of Cardiovascular Medicine Atlantic Healthcare System Morristown New Jersey USA James A. Case Cardiovascular Imaging Technologies Kansas City Missouri USA

ISBN 978-3-319-28009-7 ISBN 978-3-319-28011-0 DOI 10.1007/978-3-319-28011-0

(eBook)

Library of Congress Control Number: 2016936780 © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland

Foreword

Quality: A Degree of Excellence Quality. What does that word even mean? “The standard of something as measured against other things of a similar kind; the degree of excellence of something.” Oxford Dictionaries. In diagnostic testing, we can define quality as high value that leads to better outcomes for the patient tested. But this does not happen by chance. We have all seen those images, and perhaps more frequently, those reports of images, which are of low quality. They do not accurately represent the true state of the cardiac anatomy or physiology of the patient and cannot trustworthily guide further testing or management. The experienced referring physician may become less trusting of results, and may learn to adapt by layering tests, changing test referral patterns, or perhaps moving to more invasive testing strategies which they believe to be more definitive. The latter may increase costs and risks but also removes the potential diagnost