Echocardiography
CMR
Cardiac CT
CNI
Echocardiography
Indications
1st line method in all patients
Major Advantages
Widely available/repeatable
Real-time
Inexpensive
No-radiation
Major Disavantages
Dependent on patient's acoustic window
Operator-dependent
CMR
Indications
Fibrosis/LGE
Before ASA or surgery
DDx (phenocopies)
If suboptimal echo
Major Advantages
Excellent spatial and temporal resolution
Excellent contrast to noise ratio
Fibrosis (LGE and T1 mapping)
Major Disavantages
Metallic devices, foreign bodies
Claustrophobia
Adverse reactions to contrast (rare)
Cardiac CT
Indications
Epicardial CAD
Myocardial bridging
Septal arteries pre-ASA
Suboptimal echo and CMR contra-indicated
Major Advantages
Excellent spatial resolution
Coronary arteries
Major Disavantages
Radiation
Low temporal resolution
No standardized protocols Iodated contrast
CNI
Indications
Myocardial perfusion
DDx (phenocopies)
Metabolism, receptors and innervation
Suboptimal echo, CMR contra-indicated, CCT not available
Major Advantages
Perfusion
Metabolism, receptors and innervation
Major Disavantages
Radiation
Low temporal and spatial resolution