文摘
The technological progress in the last decades has produced a multitude of non-invasive imaging procedures for the diagnostics of coronary heart disease. The high diagnostic accuracy and the prognostic power of perfusion measurements with magnetic resonance imaging (MRI), single photon emission computed tomography (SPECT) and positron emission tomography (PET) have been confirmed in many single center and multicenter studies. This is the reason why these procedures are recommended in the European guidelines for patients with an intermediate screening test probability for coronary heart disease. In contrast, perfusion measurements with CT should not be used in routine clinical diagnostics due to methodological aspects and a lack of empirical values. Ischemia diagnostics with hybrid procedures nowadays only have a limited use in special centers for the diagnosis of coronary heart disease. Keywords Magnetic resonance imaging Computed tomography Positron emission tomography Hybrid procedures Ischemia