Wann Samuel, Nassef Andy L, Jeffrey Justin, Messer Joseph V, Wilke Norbert M, Duerinckx Andre J, Blankenship James C, Rosenberg Michael K, Dembo Donald H
Wisconsin Heart Hospital, 10000 Bluemound Road, Milwaukee, WI 53226, USA.
Int J Cardiovasc Imaging. 2007 Jun;23(3):379-88. doi: 10.1007/s10554-006-9177-5. Epub 2006 Dec 21.
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.
CT血管造影术的迅速发展和临床应用引发了几个重要问题,包括专业能力和技术质量的保证、自我转诊、放射科医生和心脏病专家的相对作用、适宜性和恰当的适应症、意外或偶然发现的检测与处理,以及对医疗保健和影像检查费用迅速增加的担忧。这些问题在医学伦理框架内得到了妥善解决,包括行善、自主和公正等原则。