TY  - JOUR
AU  - Powell, Adam C
AU  - Long, James W
AU  - Deshmukh, Uday U
AU  - Simmons, Jeffrey D
PY  - 2022
DA  - 2022/6/30
TI  - The Association Between the Use of Low-Slice Computed Tomography Machines and Downstream Care: Comparative Study of 16-Slice and 64-Slice Computed Tomography Angiography
JO  - JMIR Form Res
SP  - e32892
VL  - 6
IS  - 6
KW  - computed tomography
KW  - tomography
KW  - diagnostic imaging
KW  - outpatient
KW  - angiography
KW  - obsolescence
KW  - computed tomography angiography of the neck
KW  - neck
KW  - low-slice computed tomography
KW  - cervicocerebral angiography
KW  - downstream testing
KW  - computed tomography machine
KW  - invasive testing
KW  - machine
KW  - testing
KW  - invasive
AB  - Background: Although computed tomography (CT) studies on machines with more slices have reported higher positive and negative predictive values, the impact of using low-slice (16-slice) CT machines on downstream testing has not been well studied. In community outpatient settings, low-slice CT machines remain in use, although many hospitals have adopted higher-slice machines. Objective: This study examines the association between the use of low-slice CT machines and downstream invasive testing in the context of the CT angiography of the neck. Methods: Included health insurance claims pertained to adults with commercial or Medicare Advantage health plans who underwent the CT angiography of the neck. Site certification data were used to assign counts of slices to claims. Claims that were made in the 60 days after CT were examined for cervicocerebral angiography. The association between the number of slices and cervicocerebral angiography was evaluated by using a chi-square test and multivariate logistic regression. Results: Claims for 16-slice CT had a 5.1% (33/641) downstream cervicocerebral angiography rate, while claims for 64-slice CT had a 3.1% (35/1125) rate, and a significant difference (P=.03) was observed. An analysis that was adjusted for patient demographics also found a significant relationship (odds ratio 1.64, 95% CI 1.00-2.69; P=.047). Conclusions: The use of low-slice CT machines in the community may impact the quality of care and result in more downstream testing. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2022/6/e32892
UR  - https://doi.org/10.2196/32892
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35771601
DO  - 10.2196/32892
ID  - info:doi/10.2196/32892
ER  -