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Vijay Anand graduated from India in 1996 and obtained his MRCP (UK) in 1999. He is currently a Research Fellow in cardiology at Northwick Park and the Wellington Hospitals in the UK. He is also carrying out a PhD at Queen Mary, University of London.

Dr Anand is currently working on the early detection of coronary heart disease in patients with diabetes. His other research interests include non-invasive cardiovascular imaging, such as coronary angiography by electron beam computed tomography, myocardial perfusion imaging and echocardiography.
Non-invasive coronary artery imaging – new and evolving techniques

D Vijay Anand,1,2 David Lipkin,1,3
Avijit Lahiri1,2

Cardiac Imaging and Research Centre, The Wellington Hospital, St. John’s Wood, London;1 Department of Cardiology, Northwick Park Hospital, Harrow, Middlesex;2 and Department of Cardiology, Royal Free Hospital, Pond Street, London3

Address for correspondence:
Dr D Vijay Anand, Research Registrar in Cardiology,
Cardiac Imaging and Research Centre,
The Wellington Hospital (South Building),
Wellington Place,
St. John’s Wood,
London,
NW8 9LE,
United Kingdom.
Tel: +44 (0)20 7483 5062
Fax: +44 (0)20 7483 5083
Email: vdanand@hotmail.com


Abstract
The inherent limitations of invasive coronary angiography have led to the development of several non-invasive coronary artery imaging techniques. These techniques include electron beam computed tomography (EBCT), magnetic resonance imaging (MRI) and, most recently, multislice computed tomography (MSCT). This article discusses the relative merits and ultimate clinical potential of each of these techniques. Non-invasive techniques are useful for the detection of flow-limiting coronary artery stenoses and provide quantification of coronary atherosclerotic plaque burden and characterisation of plaque composition. Therefore, they have the potential to
identify vulnerable plaques. Currently, computed tomography (CT) techniques (EBCT and MSCT) appear to permit the most robust coronary artery imaging compared with MRI. Future studies are needed to define specific areas for potential clinical application of non-invasive coronary artery imaging techniques.

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