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Comparison of the cost-effectiveness of stress myocardial perfusion MRI and SPECT in patients with suspected coronary artery disease.
https://asahikawa-med.repo.nii.ac.jp/records/4399
https://asahikawa-med.repo.nii.ac.jp/records/43990c5eab42-2a85-46f5-a352-885ab1a387ba
| 名前 / ファイル | ライセンス | アクション |
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5166.pdf (577.3 kB)
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| Item type | 学術雑誌論文 / Journal Article_02(1) | |||||||||||
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| 公開日 | 2013-04-19 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Comparison of the cost-effectiveness of stress myocardial perfusion MRI and SPECT in patients with suspected coronary artery disease. | |||||||||||
| 言語 | en | |||||||||||
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| 言語 | eng | |||||||||||
| キーワード | ||||||||||||
| 主題Scheme | Other | |||||||||||
| キーワード | Coronary artery disease | |||||||||||
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| 主題Scheme | Other | |||||||||||
| キーワード | Myocardial perfusion | |||||||||||
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| 主題Scheme | Other | |||||||||||
| キーワード | Cost–benefit analysis | |||||||||||
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| 主題Scheme | Other | |||||||||||
| キーワード | Magnetic resonance imaging | |||||||||||
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| 主題Scheme | Other | |||||||||||
| キーワード | Tomography,Emission-computed,Single-photon | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ | journal article | |||||||||||
| 著者 |
岩田, 邦弘
× 岩田, 邦弘
× Ogasawara, Katsuhiko
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| 書誌情報 |
Radiological Physics and Technology 巻 6, 号 1, p. 28-34, 発行日 2013-01-01 |
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| 収録物識別子タイプ | PISSN | |||||||||||
| 収録物識別子 | 1865-0333 | |||||||||||
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| 関連タイプ | isVersionOf | |||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | 10.1007/s12194-012-0165-2 | |||||||||||
| PubMed番号 | ||||||||||||
| 識別子タイプ | PMID | |||||||||||
| 関連識別子 | 22806543 | |||||||||||
| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Our aim in this study was to perform a cost-effectiveness analysis (CEA) to compare myocardial perfusion magnetic resonance imaging (p-MRI) and single photon emission computed tomography (SPECT) in the Japanese setting. The CEA of p-MRI and SPECT was performed from the payer's perspective. The subjects were outpatients who had chest pain, had no history of myocardial infarction, and showed normal or equivocal stress electrocardiogram findings. The costs of imaging techniques and treatments were assessed with the use of reimbursements of medical fees from Japanese healthcare insurance for the year 2007. Clinical effectiveness was defined in terms of the percent correct diagnosis of coronary artery disease (CAD). Data from published studies provided probabilities for the CEA, including the sensitivity and specificity of each imaging modality. We evaluated the cost-effectiveness ratio (CER) of p-MRI and SPECT using a decision tree model and compared the two. The CERs for diagnosis of CAD by p-MRI and SPECT were 1,988.2 and 2,582.0 Japanese Yen (JPY), respectively. The CERs for diagnosis and treatment of CAD by p-MRI and SPECT were 7,066.1 and 7,172.2 JPY, respectively. At a pre-test likelihood of CAD of 20-70 %, the CERs for diagnosis of CAD by p-MRI and SPECT were 1,476.8-3,364.3 and 2,107.3-3,957.7 JPY, respectively. For outpatients with chest pain, p-MRI had good clinical effectiveness and cost-effectiveness compared with SPECT. In the management of patients with suspected CAD, p-MRI is as useful as SPECT. | |||||||||||
| 言語 | en | |||||||||||
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| 内容記述タイプ | Other | |||||||||||
| 注記 | Author | |||||||||||
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| 内容記述タイプ | Other | |||||||||||
| 資源タイプ | text | |||||||||||
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| 出版タイプ | AM | |||||||||||
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| 内容記述タイプ | Other | |||||||||||
| 内容記述 | application/pdf | |||||||||||
| ID(XooNIps) | ||||||||||||
| 22806543 | ||||||||||||
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| 543 | ||||||||||||
