SPECT myocardial perfusion imaging conducted at a low-volume primary care office yields prognostic value comparable with procedures undertaken in high-volume environments or at tertiary facilities, according to a study published in the Journal of Nuclear Cardiology. "The study confirms that patients with normal MPI performed in this setting are at a very low annualized risk of death (0.32 percent) and death or MI (0.54 percent)," said the researchers. However, they also observed substantial non-adherence to 2009 appropriate use criteria for the test.

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