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IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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<strong>IHE</strong> <strong>Cardiology</strong> <strong>Technical</strong> <strong>Framework</strong> <strong>Supplement</strong> – <strong>Cardiac</strong> <strong>Imaging</strong> Report Content (CIRC)______________________________________________________________________________● NoAcquisitionparameters:Echocardiography(Recommended—TTE/TEE)Acquisitionparameters: Contrastuse(Recommended)If TTE or TEE was performed, indicate theacquisition parameter used. Choose allapplicable from the following:● M-mode and 2-D● 3-D● Spectral Doppler● Doppler—color● Perfusion● Tissue Doppler● OtherList all contrast/imaging agents used:● Radionuclide—F-18 FDG for viability—Rubidium-82 perfusion—Nitrogen-13 ammonia perfusion—Tc-99m tetrofosmin (Myoview)—Tc-99m sestamibi (Cardiolite)—Tl-201● Echo contrast—Optison (Perflutren)—Definity (Perflutren Lipid Microsphere)—Agitated saline—Iodinated contrast● High osmolar contrast media (ionic)—Diatrizoate meglumine and diatrizoatesodium (Renografin, etc.)—Ioxithalamate (Telebrix)—Iothalamate dimeglumine (Conray)● Low osmolar nonionic contrast media—Iopamidol (Isovue)—Iohexol (Omnipaque)—Ioversol (Optiray)—Ioxaglate (Hexabrix)—Iomeprol (Iomeron)—Iopromide (Ultravist)● Iso-osmolar nonionic contrast media—Iodixanol (VisiPaque)● Paramagnetic agent—Gadopentetate dimeglumine (Magnevist)—Gadodiamide (Omniscan)—Gadoversetamide (Optimark)—Gadobenate dimeglumine (MultiHance)Procedure description section2.16.840.1.113883.10.20.18.2.2(ProcNote)Procedure description section2.16.840.1.113883.10.20.18.2.2(ProcNote)__________________________________________________________________________20Rev. 1.0 – 2011-04-22Copyright © 2011: <strong>IHE</strong> International, Inc.

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