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How I do it: judging appropriateness for TTE and TEE


Fonseca, R and Marwick, TH, How I do it: judging appropriateness for TTE and TEE, Cardiovascular Ultrasound, 12, (1) Article 22. ISSN 1476-7120 (2014) [Refereed Article]


Copyright Statement

Copyright 2014 The Authors-This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

DOI: doi:10.1186/1476-7120-12-22


The increasing cost of healthcare is a widespread international problem to which the cost of imaging has been an important contributor. Some imaging tests are ordered inappropriately and contribute to wasted use of resources. Appropriate use criteria have been developed in the USA in order to guide test selection, but there are a number of problems, including the evidence base for these criteria and the steps that can be taken to change physician practice. A restrictive approach to test ordering is difficult to fit to the nuances of clinical presentation and may compromise patient care. We propose an alternative approach to physician guidance based on the most common markers of inappropriate testing.

Item Details

Item Type:Refereed Article
Keywords:Appropriate use, Transthoracic echocardiography, Transoesophageal echocardiography
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Fonseca, R (Mr Ricardo Fonseca Diaz)
UTAS Author:Marwick, TH (Professor Tom Marwick)
ID Code:96774
Year Published:2014
Web of Science® Times Cited:9
Deposited By:Menzies Institute for Medical Research
Deposited On:2014-11-20
Last Modified:2017-11-03
Downloads:392 View Download Statistics

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