{"id":"https://openalex.org/W2002540945","doi":"https://doi.org/10.1148/radiology.199.2.8668777","title":"Cost-effectiveness of myocardial perfusion imaging with SPECT in the emergency department evaluation of patients with unexplained chest pain.","display_name":"Cost-effectiveness of myocardial perfusion imaging with SPECT in the emergency department evaluation of patients with unexplained chest pain.","publication_year":1996,"publication_date":"1996-05-01","ids":{"openalex":"https://openalex.org/W2002540945","doi":"https://doi.org/10.1148/radiology.199.2.8668777","mag":"2002540945","pmid":"https://pubmed.ncbi.nlm.nih.gov/8668777"},"language":"en","primary_location":{"id":"doi:10.1148/radiology.199.2.8668777","doi":"https://doi.org/10.1148/radiology.199.2.8668777","is_oa":false,"landing_page_url":"https://doi.org/10.1148/radiology.199.2.8668777","pdf_url":null,"source":{"id":"https://openalex.org/S50280174","display_name":"Radiology","issn_l":"0033-8419","issn":["0033-8419","1527-1315"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315931","host_organization_name":"Radiological Society of North America","host_organization_lineage":["https://openalex.org/P4310315931"],"host_organization_lineage_names":["Radiological Society of North America"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012861346","display_name":"Ian A. Weissman","orcid":"https://orcid.org/0000-0001-8626-6448","observed_orcids":["https://orcid.org/0000-0001-8626-6448"]},"institutions":[{"id":"https://openalex.org/I4210146389","display_name":"Presbyterian St. Luke's Medical Center","ror":"https://ror.org/04gka6q50","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210146389"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"I A Weissman","raw_affiliation_strings":["Department of Radiology, Presbyterian/St Luke's Medical Center, Denver, CO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Presbyterian/St Luke's Medical Center, Denver, CO, USA","institution_ids":["https://openalex.org/I4210146389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071630785","display_name":"Christine Z. Dickinson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161005","display_name":"Beaumont Hospital, Troy","ror":"https://ror.org/05x9ffc66","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210161005","https://openalex.org/I4392738273"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C Z Dickinson","raw_affiliation_strings":["William Beaumont Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"William Beaumont Hospital","institution_ids":["https://openalex.org/I4210161005"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109113447","display_name":"Howard J. Dworkin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161005","display_name":"Beaumont Hospital, Troy","ror":"https://ror.org/05x9ffc66","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210161005","https://openalex.org/I4392738273"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"H J Dworkin","raw_affiliation_strings":["William Beaumont Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"William Beaumont Hospital","institution_ids":["https://openalex.org/I4210161005"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000112460","display_name":"William W. O\u2019Neill","orcid":"https://orcid.org/0000-0002-3062-213X","observed_orcids":["https://orcid.org/0000-0002-3062-213X","https://orcid.org/0009-0000-5896-728X"]},"institutions":[{"id":"https://openalex.org/I4210161005","display_name":"Beaumont Hospital, Troy","ror":"https://ror.org/05x9ffc66","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210161005","https://openalex.org/I4392738273"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"W W O'Neill","raw_affiliation_strings":["William Beaumont Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"William Beaumont Hospital","institution_ids":["https://openalex.org/I4210161005"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032823480","display_name":"Jack E. Juni","orcid":"https://orcid.org/0000-0002-9230-6888","observed_orcids":["https://orcid.org/0000-0002-9230-6888"]},"institutions":[{"id":"https://openalex.org/I4210161005","display_name":"Beaumont Hospital, Troy","ror":"https://ror.org/05x9ffc66","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210161005","https://openalex.org/I4392738273"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J E Juni","raw_affiliation_strings":["William Beaumont Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"William Beaumont Hospital","institution_ids":["https://openalex.org/I4210161005"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.0023,"has_fulltext":false,"cited_by_count":83,"citation_normalized_percentile":{"value":0.96224987,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"199","issue":"2","first_page":"353","last_page":"357"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/myocardial-perfusion-imaging","display_name":"myocardial perfusion imaging","score":0.9459999799728394},{"id":"https://openalex.org/keywords/spect","display_name":"SPECT","score":0.878000020980835},{"id":"https://openalex.org/keywords/unexplained-chest-pain","display_name":"unexplained chest pain","score":0.878000020980835},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.7760000228881836},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.9909999966621399},{"id":"https://openalex.org/keywords/99mtc-sestamibi","display_name":"99mTc-sestamibi","score":0.9990000128746033},{"id":"https://openalex.org/keywords/diagnostic-imaging","display_name":"diagnostic imaging","score":0.3310000002384186},{"id":"https://openalex.org/keywords/clinical-management-decisions","display_name":"clinical management decisions","score":0.7049999833106995},{"id":"https://openalex.org/keywords/hospital-cost-reduction","display_name":"hospital cost savings","score":0.7009999752044678}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9693365693092346},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.8423227071762085},{"id":"https://openalex.org/C2778405248","wikidata":"https://www.wikidata.org/wiki/Q1956679","display_name":"Myocardial perfusion imaging","level":3,"score":0.7391294240951538},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.7032955884933472},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5823901295661926},{"id":"https://openalex.org/C146957229","wikidata":"https://www.wikidata.org/wiki/Q1266915","display_name":"Perfusion","level":2,"score":0.4830368459224701},{"id":"https://openalex.org/C135691158","wikidata":"https://www.wikidata.org/wiki/Q7168308","display_name":"Perfusion scanning","level":3,"score":0.45580247044563293},{"id":"https://openalex.org/C2984398910","wikidata":"https://www.wikidata.org/wiki/Q849737","display_name":"Spect imaging","level":2,"score":0.430636465549469},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3998802900314331},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.30252811312675476},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.18618059158325195},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000241","descriptor_name":"Adenosine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003120","descriptor_name":"Colorado","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D005069","descriptor_name":"Evaluation Studies as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006321","descriptor_name":"Heart","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015899","descriptor_name":"Tomography, Emission-Computed, Single-Photon","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D017256","descriptor_name":"Technetium Tc 99m Sestamibi","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017721","descriptor_name":"Hospital Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1148/radiology.199.2.8668777","doi":"https://doi.org/10.1148/radiology.199.2.8668777","is_oa":false,"landing_page_url":"https://doi.org/10.1148/radiology.199.2.8668777","pdf_url":null,"source":{"id":"https://openalex.org/S50280174","display_name":"Radiology","issn_l":"0033-8419","issn":["0033-8419","1527-1315"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315931","host_organization_name":"Radiological Society of North America","host_organization_lineage":["https://openalex.org/P4310315931"],"host_organization_lineage_names":["Radiological Society of North America"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology","raw_type":"journal-article"},{"id":"pmid:8668777","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8668777","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2087325907","https://openalex.org/W2022393500","https://openalex.org/W2909853985","https://openalex.org/W2055545869","https://openalex.org/W1999054622","https://openalex.org/W2414572351","https://openalex.org/W2060048906","https://openalex.org/W2407976238","https://openalex.org/W1999149955","https://openalex.org/W7208196563"],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"determine":[2],"the":[3,23,69,73,76,109,116,133,153],"cost-effectiveness":[4],"of":[5,55,65,75,90,111,115],"promptly":[6],"performing":[7],"myocardial":[8],"perfusion":[9],"(MP)":[10],"imaging":[11,41,56,92,95,112,144],"with":[12,26,35,42,88,118,147],"single":[13],"photon":[14],"emission":[15],"computed":[16],"tomography":[17],"(SPECT)":[18],"in":[19,82,100,145,152],"patients":[20,34,104,117,146],"presenting":[21],"to":[22,132],"emergency":[24,154],"department":[25,155],"unexplained":[27,36,148],"chest":[28,37,149],"pain.":[29],"MATERIALS":[30],"AND":[31],"METHODS:":[32],"Fifty":[33],"pain":[38,150],"underwent":[39],"MP":[40,91,94,121,143],"SPECT":[43],"and":[44,52],"technetium-99m":[45],"sestamibi.":[46],"The":[47,79,129],"cardiologists'":[48,80],"management":[49,98],"plans":[50],"before":[51,72],"after":[53],"receipt":[54],"findings":[57],"were":[58,61,105],"compared.":[59],"Costs":[60],"determined":[62],"from":[63],"analysis":[64],"comparable":[66],"admissions":[67],"for":[68],"6":[70],"months":[71],"start":[74],"study.":[77],"RESULTS:":[78],"confidence":[81],"their":[83],"clinical":[84],"diagnosis":[85],"significantly":[86],"increased":[87],"use":[89],"(P<.0001).":[93],"results":[96],"altered":[97],"decisions":[99],"34":[101],"patients.":[102],"Twenty-nine":[103],"sent":[106],"home":[107],"on":[108],"basis":[110],"findings.":[113],"None":[114],"a":[119,124],"normal":[120],"image":[122],"experienced":[123],"serious":[125],"adverse":[126],"cardiac":[127],"event.":[128],"total":[130],"savings":[131],"hospital":[134],"was":[135],"$39,296,":[136],"or":[137],"$786":[138],"per":[139],"patient.":[140],"CONCLUSION:":[141],"Performing":[142],"while":[151],"is":[156],"cost-effective.":[157]},"counts_by_year":[{"year":2021,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":2},{"year":2012,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
