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Coronary Angiogram
A coronary angiogram (or cardiac catheterization) is the radiographic visualization of the coronary arteries after the introduction of a contrast agent. A coronary angiography can be performed for both diagnostic and interventional (treatment) purposes.
A catheter, inserted into a major blood vessel has to be maneuvered up to the coronary arteries to inject a blood compatible iodinated contrast material (dye). The x-ray visible catheter allows injecting a small amount of contrast agent selectively in the coronary arteries or the heart chambers. Continuous images are recorded (movies or cineangiogram) in multiple views from different angles are in order to ascertain the precise location and severity of coronary artery blockages. Digitized images are also saved on computer and replayed onto a video screen as needed.
A coronary angiogram is more invasive and requires more patient recovery time than coronary CT angiography. In the past, the gold standard for detecting atherosclerotic plaque was a coronary angiography and intravascular ultrasound. Today, the American Heart Association considers CT scanning to be one of the most effective, non-invasive methods for the detection of calcification in the coronary arteries.

See also Interventional Radiology.
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Maximum Intensity Projection
(MIP) CT Angiography images can be processed by maximum intensity projection to interactively viewing volumes of data, where the CT number of each pixel is given by the minimum CT number through the volume. The MIP connects the high intensity dots of the blood vessels in three dimensions, providing an angiogram that can be viewed from any projection. Each point in the MIP represents the highest intensity experienced in that location on any partition within the imaging volume. For complete interpretation the base slices should also be reviewed individually and with multiplanar reconstruction (MPR) software. The MIP can then be displayed in a Cine format or filmed as multiple images acquired from different projections.
Multiplanar Reconstruction
Multiplanar reconstruction or reformatting is a post-processing technique to create new images from a stack of images in planes other than that of the original stack.
The use of thin slices increases the spatial resolution in the scan axis direction, allowing a high spatial resolution in all planes. Isotropic resolution results in high quality multiplanar and 3D reconstructions which are of particular benefit in CT angiography and virtual colonoscopy studies.
Venography
A venography (also called phlebography) is the imaging of veins. To perform a venography, a contrast agent is injected into a vein during a fluoroscopy, to show the details of venous structure and abnormalities as for example blood clots and occlusions. The examination of the veins is called venogram.
Other methods include contrast enhanced MR venography and venous ultrasound techniques.

See also Angiogram, CT Angiography, Digital Subtraction Angiography and Computed Tomography.
Digital Subtraction Angiography
(DSA) Digital subtraction angiography is a radiographic imaging technique to visualize the blood vessels in the human body. DSA images are produced by the (computer) subtraction of pre-contrast images (the mask) from images after introduction of a contrast medium. Subtracting background structures and enhancing the contrast provides the visualization of blood vessels in a bony or dense soft tissue environment. The images are produced in real time, as the contrast agent is injected into the blood vessels.
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 [last update: 2023-11-06 02:01:00]