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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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Coronary CT Angiography
(CCTA) Coronary computed tomography angiography is a diagnostic imaging procedure to visualize the coronary arteries. CCTA is a non-invasive angiogram that allows the assessment of narrowed and clogged arteries that can cause heart attack and stroke.
Coronary CTA is a non-invasive alternative to traditional angiography that offers detailed images of heart function, resulting in faster, more accurate diagnosis. It helps stratify cardiac risk in patients with low to intermediate likelihood of coronary artery disease. For some patients with chest pain, coronary CTA can rule out the need for cardiac catheterization.
Coronary imaging requires a very fast CT scan, because the coronary arteries and other cardiac structures move rapidly during the cardiac cycle. The current 'state of the art' 64 slice multi-detector row CT systems rotate around the patient in less than 500 ms. The data must be acquired monitored by an electrocardiogram, which allows the computer to reconstruct retrospectively slices at different small segments of the cardiac cycle. This cardiac synchronization reduces motion artifacts in the coronary arteries and provides movies of the beating heart and valve motion.
See also Coronary Angiogram, Calcium Score, Cardiac Phase, Cine Mode and Defibrillator.
Data Acquisition
Data acquisition is the generation of data that can be manipulated with a computer.
Digital Imaging And Communications In Medicine
(DICOM) DICOM is the industry standard for transferral of radiologic images and other medical information between computers. Patterned after the Open System Interconnection of the International Standards Organization, DICOM enables digital communication between diagnostic and therapeutic equipment and systems from various manufacturers.
The DICOM 3.0 standard evolved from versions 1.0 (1985) and 2.0 (1988) of a standard developed by the American College of Radiology (ACR) and National Electrical Manufacturers Association (NEMA). To support the implementation and demonstration of DICOM 3.0, the RSNA Electronic Communications Committee began to work with the ACR-NEMA MedPacs ad hoc section in 1992.
Also Picture Archiving and Communication Systems (PACS), which are connected with the Radiology Information System (RIS), use commonly the DICOM standard for the transfer and storage of medical images.

See also Barcode, Annotation, Printer and Diagnostic Imaging.
Digital Radiography
(DR) Digital radiography uses a special electronic x-ray detector, which converts the radiographic image into a digital picture for review on a computer monitor. The digital image is then stored and can be post processed by changing the magnification, orientation, brightness, and contrast. Digital radiography (also called direct radiography) is a progressive development of computed radiography (CR).
These advantages can lead to fewer 'recalls' (repeated x-ray images) including a lower radiation dose than analog or conventional radiography. DR and CR systems use no chemicals to process the x-ray images and the hazardous materials and waste associated with film development are eliminated.

Advantages of digital radiography compared with conventional radiography:
saves time and costs due to more effective imaging process and workflow;
improved diagnostic quality images also in cases of x-ray under exposition or over exposition;
lower repeat rate;
films and developing chemicals are omitted;
reduction of hazardous chemical waste.
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 [last update: 2023-11-06 02:01:00]