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Ethical considerations in CT angiography
Authors:Samuel Wann  Andy L. Nassef  Justin Jeffrey  Joseph V. Messer  Norbert M. Wilke  Andre J. Duerinckx  James C. Blankenship  Michael K. Rosenberg  Donald H. Dembo
Affiliation:(1) Wisconsin Heart Hospital, 10000 Bluemound Road, Milwaukee, 53226, WI, USA;(2) University of Wisconsin, Madison, WI, USA;(3) Medical College of Wisconsin, Milwaukee, WI, USA;(4) Department of Cardiology, Geisinger Medical Center, Danville, PA, USA;(5) Department of Philosophy and Parr Center for Ethics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;(6) Rush University Medical Center, Chicago, IL, USA;(7) Section of Cardiovascular MR/CT, University of Florida – Jacksonville, Jacksonville, FL, USA;(8) Forsyth Radiological Associates, Lewisville, NC, USA;(9) WPS Insurance Company – Medicare Part B, Southfield, MI, USA;(10) Johns Hopkins Cardiology at Timonium, Easton, MD, USA
Abstract:The rapid development and clinical deployment of CT angiography raises several important issues, including assurance of professional competence and technical quality, self-referral, the relative role of radiologists and cardiologists, appropriateness and proper indications, the detection and disposition of unexpected or incidental findings and the concern for the rapidly increasing costs of health care and imaging. These questions are properly addressed within the framework of medical ethics, including principles of beneficence, autonomy and justice.
Keywords:Computed tomography angiography  Cardiovascular CT  Coronary angiography  Medical ethics
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