Solutions for management of chronic coronary artery syndromes

The diagnosis of coronary artery disease often begins when a patient presents with chest pain or other signs of ischemia. As a first step the patient’s risk and clinical likelihood of coronary artery disease is established, which includes laboratory biochemical testing, ultrasound at rest to assess left ventricular function and resting ECG. Thereafter, anatomical evaluation can be performed with coronary CT angiography to visualize the coronary lumen and wall, while functional imaging techniques such as stress echocardiography or stress MR allow identification of myocardial ischemia. For decisions on revascularization, information on both anatomy and ischemia is required. Canon Medical supports you along each step of the diagnostic and therapeutic pathway in your efforts to improve the outcome for patients through our innovative imaging solutions.

CT × HIT

CT Myocardial Perfusion

Volumetric scanning with Aquilion ONE helps you to accurately assess blood flow to the myocardium from coronary CTA examinations. This one-stop-shop examination may help reduce the need for multiple examinations, saving you time and money, and resulting in an overall reduction of radiation dose. Furthermore, a study showed that a post-discharge diagnostic strategy of combined coronary CT angiography and CT Myocardial Perfusion imaging helps to assess the need for invasive coronary intervention while maintaining a low angina pectoris burden in patients with suspected ischemic heart disease.*

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*Sørgaard, M. H., Linde, J. J., Kühl, J. T., Kelbæk, H., Hove, J. D., Fornitz, G. G., ... & Abdulla, J. (2018). Value of myocardial perfusion assessment with coronary computed tomography angiography in patients with recent acute-onset chest pain. JACC: Cardiovascular Imaging, 11(11), 1611-1621.

US

2D / 3D Wall Motion Tracking

Aplio’s advanced Wall Motion Tracking technology provides visual and quantitative access to global and regional myocardial wall motion dynamics in 2D and 3D. What’s more, you can assess and quantify parameters such as strain, strain rate or displacement either during the examination or anytime later, on the console or workstation.

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MR × HIT

Wall Motion Tracking

The MR Wall Motion Tracking application assists with cardiac analysis and enables the delineation of the inner and outer left ventricular walls on ECG-gated MR cardiac cine images. This is a vital process to help you obtain quantitative information for cardiac function and strain analysis.

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Post processed with Vitrea

White paper

The Impact of Non-invasive Cardiac MRI for Evaluating Coronary arteries & Myocardial Deformation Read white paper

MR

PSIR

Phase Sensitive Inversion Recovery (PSIR) in the heart provides improved contrast in late gadolinium-enhanced imaging by using a more robust nulling of viable myocardial signal without the need for an inversion time (TI) calibration scan. By eliminating the need for calibration, cardiac examinations can be completed with fewer breath holds and greater patient comfort.

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MR × HIT

T2* mapping

Take your cardiac workflow one step further with T2* mapping. By utilizing Canon Medical’s updated FFE2D mEcho sequence, T2* maps can be used in the quantification and analysis of myocardial tissue.

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Post processed with Vitrea / Medis

“With Wall Motion Tracking, local wall motion abnormalities associated with ischemia or cardiomyopathy can be evaluated using automatically calculated myocardial strain values. The presence of cardiac motion dyskinesia, which is an indication for cardiac resynchronization therapy, can also be detected by analyzing multiple myocardial strain curves. In addition, global strain, which is a useful index for prognostic assessment and treatment planning in patients with cardiac failure, can be calculated automatically using both short-axis and long-axis images.”
Dr. Michinobu Nagao
Department of Diagnostic Imaging and Nuclear Medicine,
Tokyo Women’s Medical University, Tokyo, Japan

Canon Medical's Alphenix system
features advanced image-processing
technology and a multi-access
mechanism.

Alphenix family of angiography systems delivers efficiency for interventional cardiac procedures. Designed with maximum flexibility, minimal exposure and optimal image quality in mind, features like the freely-moving C-arm — deliver unprecedented patient access and ease of use.

IGT

Stent Enhancer*

“ This feature optimizes stent visualization by suppressing anatomical structures and background noise while the delivery balloon is still in place after deployment of the stent.
To help clinicians further decrease dose, this feature also works with low frame rate acquisitions.”

*Designed and manufactured by Pie Medical Imaging

IGT

3D QCA*

Access full reconstructions of stenotic coronary arteries with quantitative cross-sectional information, for automatic contour detection, single segment analyses and bifurcation.

*Designed and manufactured by Pie Medical Imaging

IGT

IV-LINQ*

This technology lets you position the IVUS / OCT relative to the angiographic image, while annotating it with markers to better facilitate stent planning and placement.

*Designed and manufactured by Pie Medical Imaging

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