Radiology Department - Managed by Mahajan Imaging Center : - The biggest recent technological leap in imaging and arguably, the most phenomenal preventive heart check is now close by, in the department of radiology & imaging, at Fortis Healthcare fl. Lt. Rajan Dhall Hospital. It comes with the most reassuring news for those who are apprehensive about undergoing conventional Angiography. At Fortis Healthcare, all the latest imaging facilities are available with state of the art technology, patient care and professional expertise.
DR. HARSH MAHAJAN MD, Padma Shri, Honorary Radiologist to the President of India is the Director of the imaging department.
Facilities available : -
- 64 slice MDCT 5 second heart scan
- CT angiography
- Ultrasound with Colour Doppler
- Portable Ultrasound
- Digital X-Rays (CR & DR systems)
- Portable x-rays
- 500 mA image -intensifier with digital system
- Digital Mammography
- DEXA Bone densitometry
- GUIDED biopsy
- Dual Head SPECT Gamma Camera
Faculty
- Dr. Harsh Mahajan (Director)
Radio-diagnosis
- Dr. Suman singhal (Senior consultant)
- Dr. Sonia Dhall (Senior consultant)
- Dr. Ashima Vaidya (Senior consultant)
- Dr. Ashish Manohar (Consultant)
64 - Slice volume CT Heart Scan : - At its Vasant Kunj facility. Get non- invasive, high resolution Angiography with Triple Heart 'Rule Out ' in just 5 Heartbeats
Amazingly accurate 3 - D imaging from a beating heart. The state- of the art 64 slice achieve true volumetric, 3- dimensional scanning of the heart in only 5 heartbeats-providing, almost instantaneously, unprecedented image quality. The high-resolution imaging allows early detection of even slight luminal narrowing in the heart vessels. With this advanced machine, every routine CT scan is a 3 - D image. It takes only 5 second and one breath hold for the whole scan.
Get a triple heart 'rule out'. The 64- Slice VCT heart scan at Fortis Healthcare provides, in a single rotation, high quality imaging that allows your doctor to examine for the three critical causes of serious heart condition such as : Coronary Artery Disease, Pulmonary Embolism and Aortic Dissection . The speed and accuracy enables a quick and reassuring clearance, or treatment prescribed speedily that can often be life-saving.
Angiography the non-invasive way with the world's fastest CT scanning.
Instruction for 64 Slice MDCT coronary Angiography : -
- Patient to come with prior appointment.
- Patients above the age of the 50 yrs are recommended to have BUN and serum creatinine checked.
On day of examination : -
- Nil orally for 4 hours
- To carry all recent reports (ECG, 2 D echocardiography, TMT)
- To take 50 mg of Beta-blocker after consultation with cardiologist /radiologist to reduce the heart rate at the time of scan.
- Patients having known allergies to contrast media/ other drugs should inform the radiologist before the scan.
What is CT coronary angiogram ?A simple non invasive method to evaluate the status of the coronary vessels that supply the heart by ultra fast 64 slice per rotation Multislice CT scanner. The state of the art 64 -Slice achieves a true volumetric, 3-dimensional scanning of the heart in only 5 heartbeats- providing, almost instantaneously, unprecedented image quality.
Use of Beta Blockers a premedication : -
- Pulse, BP is evaluated and oral metaprolol (50 mg or 100 mg) is given 1hour prior to the time of appointment.
- Scan can be performed on higher heart rate only if it is regular and there is no beat- to beat variation.
How is CT coronary angiogram done ?The patient is put comfortable on a CT scanner table and a baseline calcium score is calculated in a few seconds. Following this contrast is injected in one of the peripheral veins with online ECG monitoring .The images required for a CT coronary angiogram are obtained in one single breath hold within 5 second. Subsequently processed, peformatted, analyzed and evaluated on a workstation. The inferences proved the radiologist an accurate picture of the heart and the coronary vessels that supply it. They are evaluated for narrowing, blockage, presence of different varieties of plaque (stable/ unstable). The status of the various chambers of the heart, cardiac muscles, and the main vessels carrying to and from the heart can also be easily seen. It is an excellent investigation to evaluate post-operative grafts , stents, and to exclude non-cardiac causes of chest pain.
Who should undergo a CT coronary angiography ?All patient with high risk factors are potential candidates
- Asymptomatic patient with family history of coronary artery disease
- Patient with high risk factors
- Prior to non-coronary surgery in the adult population, e.g.,
a. Pre – ASD repair
b. Pre – valvular repair
c. Pre – tumor surgery
- Follow up post CABG
- Atypical chest pain with doubtful coronary origin
- Evaluation of coronary anomalies
- Exclusion of coronary stenosis in symptomatic high risk patient
- Assessment of cardiac neoplasm
- Assessment of stent patency
- Detection and characterization of congenital heart disease
- Diagnosis of pericardial disease
- Prior to major (non-cardiac) surgery
- Non-conclusion stress tests
Guided - BiopsyIn our radiology department, ultrasound and CT guided FNAC (Fine Needle Aspiration Cytology), biopsies and drainage procedures are done routinely. It is a referral site for CT guided biopsies of the chest, spine and abdomen.
Image guided biopsies is an OPD (Out Patient) procedure and in most cases the patient is able to go back home after the test. Image guidance improves diagnostic accuracy, reduces the number of attempts and consequently the side effects of a biopsy procedure. This helps in getting a pathological diagnosis in diseases which affect deep situated organs in the body and many times an invasive surgical procedure may be avoided based on the results obtained.
CT-AngiographyNon-invasive imaging technologies continue to revolutionize every subspecialty of medicine.
This scanner has a special x-ray tube and rotation speed, capable of performing 64 rotations in a second. In each rotation, 64-slices are produced, giving us approximately 194 slices per second. This is the fastest scanner in the industry, currently.
The introduction of 64-slice cardiac CT allows nearly all patients to be scanned with very high resolution. Scan times are now on the order of several seconds (usually 5-13 seconds); this means that even patients with severe pulmonary disease and congestive heart failure can hold their breath for the required length of time. Reduced time translates to minimal or no motion artifacts.
Furthermore, higher number of slices means higher resolution; Such high resolution allows visualization of the entire coronary tree with extremely high accuracy and detail. Individual atheromatous plaques can be detected and characterized. Calcification can be visualized and used as an added variable in disease management.
The 64-channel configuration also provides breakthrough performance in advanced pulmonary imaging, multi-organ trauma evaluation and low-dose pediatric applications to boost your clinical capabilities to the highest level attainable.
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