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A physician may recommend cardiac imaging to support a diagnosis of a heart condition. Medical specialty professional organizations discourage the use of routine cardiac imaging during pre-operative assessment for patients about to undergo low or mid-risk non-cardiac surgery because the procedure carries risks and is unlikely to result in the change of a patient's management. [1]
All patients are reviewed for contraindications prior to MRI scanning. Medical devices and implants are categorized as MR Safe, MR Conditional or MR Unsafe: [6] MR-Safe – The device or implant is completely non-magnetic, non-electrically conductive, and non-RF reactive, eliminating all of the primary potential threats during an MRI procedure.
The risks of CT scan radiation are especially important in patients undergoing recurrent CT scans within a short time span of one to five years. [ 157 ] [ 158 ] [ 159 ] Some experts note that CT scans are known to be "overused," and "there is distressingly little evidence of better health outcomes associated with the current high rate of scans."
Initial attempts to image the heart were confounded by respiratory and cardiac motion, solved by using cardiac ECG gating, faster scan techniques and breath hold imaging. Increasingly sophisticated techniques were developed including cine imaging and techniques to characterise heart muscle as normal or abnormal (fat infiltration, oedematous ...
A pacemaker Implantable cardioverter defibrillator (a device that shocks your heart into a normal rhythm when needed) Electric cardioversion (a shock to your heart to restore its rhythm)
The spread of MR technique has revolutionized the diagnostic imaging of the small bowel loop, restricting CT scan to particular situations, such as emergency or MR contraindications like patients with pacemaker implant, recently implanted vascular/bilious stent or other ferromagnetic prosthesis/devices.
Coronary CT angiography (CTA or CCTA) is the use of computed tomography (CT) angiography to assess the coronary arteries of the heart.The patient receives an intravenous injection of radiocontrast and then the heart is scanned using a high speed CT scanner, allowing physicians to assess the extent of occlusion in the coronary arteries, usually in order to diagnose coronary artery disease.
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