Background

Cardiac Imaging Radiology

Cardiac imaging radiology involves specialized, non-invasive techniques used to visualize heart structure, function, and blood flow for diagnosing cardiovascular disease and evaluating heart failure, valvular disease, and myocardial viability.

Key Cardiac Imaging Modalities

  • Echocardiography (Echo): Uses ultrasound to produce real-time, non-invasive images of heart valves, chambers, and blood motion.
  • ECG (Electrocardiogram): Measures the electrical activity of the heart to diagnose arrhythmias, damage, and heart disease.

    Types of ECG:

    • Resting ECG: Done while lying down.
    • Stress Test: Conducted while walking on a treadmill or riding a bike to evaluate heart activity under stress.
    • Ambulatory (Holter) Monitor: Worn for 24–48 hours for continuous recording.
  • Cardiac CT/CTA: Uses X-rays to create 3D images for detecting coronary artery disease, stenosis, and cardiac structural abnormalities. Includes coronary calcium scoring and contrast-enhanced CTA.
  • Chest Radiography: A quick and common imaging tool used to assess heart size and shape changes.
  • Carotid Ultrasound: Screens for plaque buildup in the neck arteries.

Key Uses of Cardiac Imaging

  • Diagnose Disease: Identifies coronary heart disease, valve disease, heart failure, and structural heart defects.
  • Evaluate Heart Attack Damage: Assesses the extent of damage following a cardiac event.
  • Pre-Surgical Planning: Evaluates anatomy before heart surgery or structural procedures.
  • Screening: Detects asymptomatic plaque buildup or structural abnormalities.