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Background The recent NICE guidelines (UK) have recommended functional testing in patients with intermediate probability of coronary artery disease. The choice of functional tests (Stress CMR, MPS, stress echo) is largely dependent on local expertise and available resources. Our institute is a leading UK CMR (1.5T) centre performing >3500 adenosine stress CMRs a year. Recent studies like CE-MARC have further confirmed the non-inferiority of stress CMR. Our aim was to identify the number and reasons why myocardial perfusion scans were being performed, despite an established stress CMR service. Keeping in mind the local tariffs, an MPS scan costs £198.60 more than a stress CMR scan, notwithstanding the risk of exposure to iononizing radiation.

journal of cardiovascular magnetic resonance

A retrospective audit of whether patients undergoing myocardial perfusion scintigraphy (MPS) are suitable for Stress cardiac magnetic resonance imaging (CMR)