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Choosing Appropriate Imaging Techniques

  • Chapter
Essential Cardiology

  • 1999 Accesses

Abstract

In this chapter, a logical approach to choosing among the various cardiac imaging techniques is proposed. Imaging modalities most commonly employed in the evaluation of cardiac disease are chest roentgenography, cardiac angiography, radionuclide imaging, ultrasonography, computed tomography, and magnetic resonance imaging. Electrocardiography and electrophysiologic studies, though crucial in the evaluation of cardiac electrical abnormalities, are technically not imaging modalities. The decision algorithm requires a basic knowledge of the imaging modalities themselves, including their indications and contraindications, which have been described in the preceding chapters. Most important, however, the treating physician should formulate a clear clinical question which will guide selecting an appropriate imaging test. Most cardiac clinical scenarios can be thought of in terms of questions of structure, function, or both.

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Recommended Readings

  1. Antman EM, Cohen M, Bernink PJ, et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision making. JAMA 2000;284:835–842.

    Article  PubMed  CAS  Google Scholar 

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    Article  PubMed  Google Scholar 

  3. Gibbons RJ, Chatterjee K, Daley J, et al. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: executive summary and recommendations. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients with Chronic Stable Angina). Circulation 1999;99:2829–2848.

    PubMed  CAS  Google Scholar 

  4. Klocke FJ, Baird MG, Lorell BH, et al. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging-executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging). J Am Coll Cardiol 2003;42:1318–1333.

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Author information

Authors and Affiliations

  1. Department of Medicine (Cardiology), Mount Sinai School of Medicine, New York, NY

    Jonathan E. E. Fisher MD

  2. Echocardiography Laboratory, Zena and Michael A. Wiener Cardiovascular Institute, Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Mount Sinai School of Medicine, New York, NY

    Martin E. Goldman MD (Director, Dr. Arthur and Hilda Master Professor of Medicine (Cardiology)

Authors
  1. Jonathan E. E. Fisher MD
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  2. Martin E. Goldman MD
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Editor information

Editors and Affiliations

  1. Medicine, Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai School of Medicine, New York, NY

    Clive Rosendorff MD, PhD, FRCP (Professor) (Professor)

  2. Veterans Affairs Medical Center, Bronx, NY

    Clive Rosendorff MD, PhD, FRCP (Professor) (Professor)

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© 2005 Humana Press Inc., Totowa, NJ

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Fisher, J.E.E., Goldman, M.E. (2005). Choosing Appropriate Imaging Techniques. In: Rosendorff, C. (eds) Essential Cardiology. Humana Press. https://doi.org/10.1007/978-1-59259-918-9_15

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  • DOI: https://doi.org/10.1007/978-1-59259-918-9_15

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-370-1

  • Online ISBN: 978-1-59259-918-9

  • eBook Packages: MedicineMedicine (R0)

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