Cardiac imaging was previously confined to plain film, invasive coronary angiography (ICA), nuclear medicine and echocardiography. Non invasive imaging of the heart with computed tomography (CT) and magnetic resonance imaging (MRI) has changed our approach to imaging cardiac disease. The advent of multidetector computed tomography (MDCT) with electrocardiographic (ECG) synchronization has established several clinical roles in the evaluation of coronary artery disease (CAD), coronary artery anomalies, coronary stent, coronary by-pass analysis and coronary plaque characterization. In addition, MDCT can assess myocardial perfusion, myocardial viability, valves, coronary veins and pulmonary veins.
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