Specialized Examinations

Our highly specialized exam includes the Computerized Tomography Coronary Angiogram (CCT). It is applied to look at the arteries that supply blood to the heart through taking images of the heart and its blood vessels aiming to diagnose the heart condition.

It detects the narrowed or blocked arteries in the heart (coronary artery disease-CAD) -which remains the most common cause of morbidity and mortality around the world. Moreover, this exam can help the doctor check any other abnormal heart conditions as well.

Cardiac MRI is considered to be the most effective examination method that include different studies. Each is identified and performed on patients with known or suspected cardiac problems, decided according to doctor requirements.

Overall, the tests results will guide the treatment needed for e.g. validate the suitability for procedures such as bypass surgery will be determined based on the findings.

The advantages of Cardiac MRI include:

• Heart blood pumping measurement
• Cardiac injuries detection, particularly those caused by heart attacks
• Identifying the thickness of heart muscle involved
• Quantitative measurement of blood supply of the cardiac muscle units
• Identifying if there are any parts of the heart muscle with inadequate blood supply

Stress Cardiac MRI

Stress Cardiac MRI is performed to evaluate the blood flow to the heart. An exercise stress test is not required during this test which makes it ideal for people who find exercising difficult or whose blood rate does not remarkably increase through implementation.

Using a small dose of medication that opens the coronary arteries to simulate exercise state, the results of this test will help the radiologist decide whether the patient’s heart has adequate blood in an active. Then, after receiving the medication, a very small quantity of the dye (gadolinium) is injected into a vein while patient is resting and again after receiving the medication. The MRI scanner then captures images of the gadolinium dye as it flows through the heart muscle.

MRE is used to detect the liver stiffness caused by fibrosis and inflammation, especially in cases of chronic liver illnesses and suspected liver diseases.

MRE actually combines MRI imaging with low-frequency vibrations to create a visual map (elastogram) that shows stiffness of body tissues.
MRE Significance:

Cirrhosis, an advanced form of liver fibrosis and scarring that can be fatal. However, liver fibrosis can be treated to halt progression and gauge how well the patient will respond to treatment if it is discovered at an earlier stage.

MRE offers a thorough evaluation of the entire liver; as a result, it can significantly aid in predicting the risk of a variety of liver complications including fluid accumulation in the abdomen.

How Does It Work?
MRE is a fast, safe, and non-invasive technology that does not require liver biopsy. It is part of the standard MRI liver examination.
MRE methodology follows the following steps:

• Placing a special pad placed against the patient’s body to send low-frequency vibrations to the liver.
• MRI system processing wave images to generate cross-sectional images depicting the stiffness of the tissue.

Note: Gadoxetate disodium known by its tradename Primovist TM is used during this examination to detect and diagnose abnormal liver changes and their nature.

Sono-elastography imaging technique is used to obtain an accurate figure of the stages of liver fibrosis and to characterize liver lesions. This technique applies sound waves to assess the mechanical properties of tissues such as stiffness and elasticity in response to mechanical pressure on tissue. They are used for detecting different pathologies in tissues by using the differences of their aforesaid mechanical properties.

Major Clinical application of sonographic elastography includes breast mass diagnosis, prostate cancer detection and thyroid lesion characterization.