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Myocardial perfusion imaging - Wikipedia
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class="firstHeading mw-first-heading"><span class="mw-page-title-main">Myocardial perfusion imaging</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. 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class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Imatge_de_perfusi%C3%B3_miocard%C3%ADaca" title="Imatge de perfusió miocardíaca – Catalan" lang="ca" hreflang="ca" data-title="Imatge de perfusió miocardíaca" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Perfuzn%C3%AD_scintigrafie_myokardu" title="Perfuzní scintigrafie myokardu – Czech" lang="cs" hreflang="cs" data-title="Perfuzní scintigrafie myokardu" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Myokardszintigrafie" title="Myokardszintigrafie – German" lang="de" hreflang="de" 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searchaux" style="display:none">Nuclear medicine imaging method</div> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Medical diagnostic method </div> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox"><tbody><tr><th colspan="2" class="infobox-above" style="background-color: lightblue">Myocardial perfusion imaging</th></tr><tr><td colspan="2" class="infobox-image"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Nl_mpi2.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/0/02/Nl_mpi2.jpg/290px-Nl_mpi2.jpg" decoding="async" width="290" height="286" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/0/02/Nl_mpi2.jpg/435px-Nl_mpi2.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/0/02/Nl_mpi2.jpg/580px-Nl_mpi2.jpg 2x" data-file-width="995" data-file-height="981" /></a></span><div class="infobox-caption">Myocardial perfusion scan with <a href="/wiki/Thallium-201" class="mw-redirect" title="Thallium-201">thallium-201</a> for the rest images (bottom rows) and <a href="/wiki/Technetium_(99mTc)_sestamibi" title="Technetium (99mTc) sestamibi">Tc-Sestamibi</a> for the stress images (top rows)</div></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Synonym" title="Synonym">Synonyms</a></th><td class="infobox-data">Myocardial perfusion scintigraphy</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/ICD-10_Procedure_Coding_System" title="ICD-10 Procedure Coding System">ICD-10-PCS</a></th><td class="infobox-data">C22G</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></th><td class="infobox-data"><span class="reflink plainlinks nourlexpansion"><a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D055414">D055414</a></span></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/OPS-301" title="OPS-301">OPS-301 code</a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="http://www.icd-code.de/ops/code/3-704.html">3-704</a>, <a rel="nofollow" class="external text" href="http://www.icd-code.de/ops/code/3-721.html">3-721</a></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></th><td class="infobox-data"><span class="reflink plainlinks nourlexpansion"><a rel="nofollow" class="external text" href="http://emedicine.medscape.com/article/2114292-overview">2114292</a></span></td></tr></tbody></table> <p><b>Myocardial perfusion imaging or scanning</b> (also referred to as <b>MPI</b> or <b>MPS</b>) is a <a href="/wiki/Nuclear_medicine" title="Nuclear medicine">nuclear medicine</a> procedure that illustrates the function of the heart muscle (<a href="/wiki/Myocardium" class="mw-redirect" title="Myocardium">myocardium</a>).<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p><p>It evaluates many heart conditions, such as <a href="/wiki/Coronary_artery_disease" title="Coronary artery disease">coronary artery disease</a> (CAD),<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Hypertrophic_cardiomyopathy" title="Hypertrophic cardiomyopathy">hypertrophic cardiomyopathy</a> and heart wall motion abnormalities. It can also detect regions of <a href="/wiki/Myocardial_infarction" title="Myocardial infarction">myocardial infarction</a> by showing areas of decreased resting perfusion. The function of the myocardium is also evaluated by calculating the <a href="/wiki/Left_ventricular" class="mw-redirect" title="Left ventricular">left ventricular</a> <a href="/wiki/Ejection_fraction" title="Ejection fraction">ejection fraction</a> (LVEF) of the heart. This scan is done in conjunction with a <a href="/wiki/Cardiac_stress_test" title="Cardiac stress test">cardiac stress test</a>. The diagnostic information is generated by provoking controlled regional <a href="/wiki/Ischemia" title="Ischemia">ischemia</a> in the heart with variable <a href="/wiki/Perfusion" title="Perfusion">perfusion</a>. </p><p>Planar techniques, such as conventional <a href="/wiki/Scintigraphy" title="Scintigraphy">scintigraphy</a>, are rarely used. Rather, <a href="/wiki/Single-photon_emission_computed_tomography" title="Single-photon emission computed tomography">single-photon emission computed tomography</a> (SPECT) is more common in the US. With multihead SPECT systems, imaging can often be completed in less than 10 minutes. With SPECT, inferior and posterior abnormalities and small areas of infarction can be identified, as well as the <a href="/wiki/Vascular_occlusion" title="Vascular occlusion">occluded</a> <a href="/wiki/Blood_vessel" title="Blood vessel">blood vessels</a> and the mass of <a href="/wiki/Infarcted" class="mw-redirect" title="Infarcted">infarcted</a> and viable myocardium.<sup id="cite_ref-merck_3-0" class="reference"><a href="#cite_note-merck-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> The usual isotopes for such studies are either <a href="/wiki/Isotopes_of_thallium" title="Isotopes of thallium">thallium-201</a> or <a href="/wiki/Technetium-99m" title="Technetium-99m">technetium-99m</a>. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Myocardial_perfusion_imaging&action=edit&section=1" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The history of <a href="/wiki/Nuclear_cardiology" class="mw-redirect" title="Nuclear cardiology">nuclear cardiology</a> began in 1927 when Dr. Herrmann Blumgart developed the first method for measuring cardiac strength by injecting subjects with a radioactive compound known as Radium C (<a href="/wiki/Isotopes_of_bismuth" title="Isotopes of bismuth"><sup>214</sup>Bi</a>).<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> The substance was injected into the venous system and travelled through the right heart into the lungs, then into the left heart and out into the arterial system where it was then detected through a <a href="/wiki/Cloud_chamber" title="Cloud chamber">Wilson chamber</a>. The Wilson chamber represented a primitive <a href="/wiki/Scintillation_counter" title="Scintillation counter">scintillation counter</a> which could measure <a href="/wiki/Radioactivity" class="mw-redirect" title="Radioactivity">radioactivity</a>. Measured over time, this sequential acquisition of radioactivity produced what was known as "circulation time". The longer the "circulation time", the weaker the heart. Blumgart's emphasis was twofold. First, radioactive substances could be used to determine cardiac physiology (function) and should be done so with the least amount of radioactivity necessary to do so. Secondly, to accomplish this task, one needs to obtain multiple counts over time.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (January 2022)">citation needed</span></a></i>]</sup> </p><p>For decades no substantial work was done, until 1959. Dr. <a href="/wiki/Richard_Gorlin" title="Richard Gorlin">Richard Gorlin</a>'s work on "resting" studies of the heart and <a href="/wiki/Nitroglycerin_(drug)" class="mw-redirect" title="Nitroglycerin (drug)">nitroglycerin</a> emphasized several points.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> First, like Blumgart, he emphasized that evaluation of cardiac function required multiple measurements of change over time and these measurements must be performed under same state conditions, without changing the function of the heart in between measurements. If one is to evaluate <a href="/wiki/Ischemia" title="Ischemia">ischemia</a> (reductions in coronary blood flow resulting from coronary artery disease) then individuals must be studied under "stress" conditions and comparisons require "stress-stress" comparisons. Similarly, if tissue damage (heart attack, myocardial infarction, cardiac stunning or hibernation) is to be determined, this is done under "resting" conditions. Rest-stress comparisons do not yield adequate determination of either ischemia or infarction. By 1963, Dr. William Bruce, aware of the tendency of people with coronary artery disease to experience angina (cardiac chest discomfort) during exercise, developed the first standardized method of "stressing" the heart, where serial measurements of changes in blood pressure, heart rate and electrocardiographic (ECG/EKG) changes could be measured under "stress-stress" conditions. By 1965 Dr. William Love demonstrated that the cumbersome cloud chamber could be replaced by a <a href="/wiki/Geiger_counter" title="Geiger counter">Geiger counter</a>, which was more practical to use. However, Love had expressed the same concern as many of his colleagues, namely that there were no suitable radioisotopes available for human use in the clinical setting.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Use_of_thallium-201">Use of thallium-201</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Myocardial_perfusion_imaging&action=edit&section=2" title="Edit section: Use of thallium-201"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>By the mid-1970s, scientists and clinicians alike began using <a href="/wiki/Thallium-201" class="mw-redirect" title="Thallium-201">thallium-201</a> as the radioisotope of choice for human studies.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> Individuals could be placed on a treadmill and be "stressed" by the "<a href="/wiki/Bruce_protocol" title="Bruce protocol">Bruce protocol</a>" and when near peak performance, could be injected with thallium-201. The isotope required exercise for an additional minute to enhance circulation of the isotope. Using nuclear cameras of the day and given the limitations of Tl-201, the first "stress" image could not be taken until 1 hour after "stress". In keeping with the concept of comparison images, the second "stress" image was taken 4 hours after "stress" and compared with the first. The movement of Tl-201 reflected differences in tissue delivery (blood flow) and function (mitochondrial activity). The relatively long half-life of Tl-201 (73 hours) forced doctors to use relatively small (74–111 MBq or 2–3 mCi) doses of Tl-201, albeit with relatively large dose exposure and tissue effects (20 mSv). The poor quality images resulted in the search for isotopes which would produce better results.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="The_introduction_of_technetium-99m_isotopes">The introduction of technetium-99m isotopes</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Myocardial_perfusion_imaging&action=edit&section=3" title="Edit section: The introduction of technetium-99m isotopes"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>By the late 1980s, two different compounds containing technetium-99m were introduced: teboroxime <sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> and <a href="/wiki/Sestamibi" class="mw-redirect" title="Sestamibi">sestamibi</a>. The utilization of Tc-99m would allow higher doses (up to 1,100 MBq or 30 mCi) due to the shorter physical (6 hours) half life of Tc-99m. This would result in more decay, more scintillation and more information for the nuclear cameras to measure and turn into better pictures for the clinician to interpret.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (January 2022)">citation needed</span></a></i>]</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Major_indications">Major indications</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Myocardial_perfusion_imaging&action=edit&section=4" title="Edit section: Major indications"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Diagnosis of CAD and various cardiac abnormalities.</li> <li>Identifying location and degree of CAD in patients with a history of CAD.</li> <li>Prognosis of patients who are at risk of having a myocardial or coronary incident (i.e. <a href="/wiki/Myocardial_infarction" title="Myocardial infarction">myocardial infarction</a>, <a href="/wiki/Myocardial_ischemia" class="mw-redirect" title="Myocardial ischemia">myocardial ischemia</a>, <a href="/wiki/Coronary_aneurysm" class="mw-redirect" title="Coronary aneurysm">coronary aneurysm</a>, wall motion abnormalities).</li> <li>Assessment of viable myocardium in particular coronary artery territory following heart attacks to justify <a href="/wiki/Revascularization" title="Revascularization">revascularization</a></li> <li>Post intervention revascularization (<a href="/wiki/Coronary_artery_bypass" class="mw-redirect" title="Coronary artery bypass">coronary artery bypass</a> graft, <a href="/wiki/Angioplasty" title="Angioplasty">angioplasty</a>) evaluation of heart.</li> <li>Evaluation of <a href="/wiki/Shortness_of_breath" title="Shortness of breath">shortness of breath</a> of a possible cardiac origin.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup></li></ul> <div class="mw-heading mw-heading2"><h2 id="Radiation_dose">Radiation dose</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Myocardial_perfusion_imaging&action=edit&section=5" title="Edit section: Radiation dose"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>From 1993 to 2001, myocardial perfusion scans in the US increased >6%/y with "no justification".<sup id="cite_ref-Lauer_12-0" class="reference"><a href="#cite_note-Lauer-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> Myocardial perfusion imaging scans are "powerful predictors of future clinical events", and in theory may identify patients for whom aggressive therapies should improve outcome. But this is "only a hypothesis, not a proof".<sup id="cite_ref-Lauer_12-1" class="reference"><a href="#cite_note-Lauer-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> However, several trials have indicated the high <a href="/wiki/Sensitivity_and_specificity" title="Sensitivity and specificity">sensitivity</a> (90%) of the test, regardless of tracer, outweighing any potential detrimental effect of the <a href="/wiki/Ionising_radiation" class="mw-redirect" title="Ionising radiation">ionising radiation</a>.<sup id="cite_ref-Underwood04_13-0" class="reference"><a href="#cite_note-Underwood04-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> In the UK, <a href="/wiki/NICE" class="mw-redirect" title="NICE">NICE</a> guidance recommends myocardial perfusion scans following myocardial infarction or reperfusion interventions.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> The power of <a href="/wiki/Prognosis" title="Prognosis">prognosis</a> from a myocardial perfusion scan is excellent and has been well tested, and this is "perhaps the area of <a href="/wiki/Nuclear_cardiology" class="mw-redirect" title="Nuclear cardiology">nuclear cardiology</a> where the evidence is most strong".<sup id="cite_ref-Underwood04_13-1" class="reference"><a href="#cite_note-Underwood04-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> </p><p>Many radionuclides used for myocardial perfusion imaging, including <a href="/wiki/Rubidium-82" title="Rubidium-82">rubidium-82</a>, <a href="/wiki/Technetium-99m" title="Technetium-99m">technetium-99m</a> and <a href="/wiki/Thallium-201" class="mw-redirect" title="Thallium-201">thallium-201</a> have similar typical <a href="/wiki/Effective_dose_(radiation)" title="Effective dose (radiation)">effective doses</a> (15-35 <a href="/wiki/MSv" class="mw-redirect" title="MSv">mSv</a>).<sup id="cite_ref-Berrington10_17-0" class="reference"><a href="#cite_note-Berrington10-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> The <a href="/wiki/Cardiac_PET" title="Cardiac PET">Cardiac PET</a> tracer <a href="/wiki/Nitrogen-13" title="Nitrogen-13">nitrogen-13</a> ammonia, though less widely available, may offer significantly reduced doses (2 mSv).<sup id="cite_ref-Berrington10_17-1" class="reference"><a href="#cite_note-Berrington10-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-deKemp_19-0" class="reference"><a href="#cite_note-deKemp-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Stabin_20-0" class="reference"><a href="#cite_note-Stabin-20"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup> Stress-only protocols may also prove to be effective at reducing costs and patient exposure.<sup id="cite_ref-Heston_21-0" class="reference"><a href="#cite_note-Heston-21"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Myocardial_perfusion_imaging&action=edit&section=6" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?name=Myocardial+Perfusion+Imaging">Myocardial+Perfusion+Imaging</a> at the U.S. National Library of Medicine <a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">Medical Subject Headings</a> (MeSH)</span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFLeeWestKhafagi2013" class="citation journal cs1">Lee, J. C.; West, M. J.; Khafagi, F. A. (2013). <a rel="nofollow" class="external text" href="https://www.racgp.org.au/afp/2013/august/myocardial-perfusion-scans/">"Myocardial perfusion scans"</a>. <i>Australian Family Physician</i>. <b>42</b> (8): 564–7. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/23971065">23971065</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Australian+Family+Physician&rft.atitle=Myocardial+perfusion+scans&rft.volume=42&rft.issue=8&rft.pages=564-7&rft.date=2013&rft_id=info%3Apmid%2F23971065&rft.aulast=Lee&rft.aufirst=J.+C.&rft.au=West%2C+M.+J.&rft.au=Khafagi%2C+F.+A.&rft_id=https%3A%2F%2Fwww.racgp.org.au%2Fafp%2F2013%2Faugust%2Fmyocardial-perfusion-scans%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AMyocardial+perfusion+imaging" class="Z3988"></span></span> </li> <li id="cite_note-merck-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-merck_3-0">^</a></b></span> <span class="reference-text"><a rel="nofollow" class="external text" href="http://www.merck.com/mmpe/sec07/ch070/ch070i.html">Merck manuals > Radionuclide Imaging</a> Last full review/revision May 2009 by Michael J. Shea, MD. Content last modified May 2009</span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text">Blumgart HL, Yens OC. <i>Studies on the velocity of blood flow: I. The method utilized.</i> J Clin Investigation 1927;4:1-13.</span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFLove1965" class="citation journal cs1">Love, William D. (1965). <a rel="nofollow" class="external text" href="http://circ.ahajournals.org/content/32/2/309.full.pdf">"Isotope Technics in Clinical Cardiology"</a> <span class="cs1-format">(PDF)</span>. <i>Circulation</i>. <b>32</b> (2): 309–315. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1161%2F01.CIR.32.2.309">10.1161/01.CIR.32.2.309</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/14340959">14340959</a><span class="reference-accessdate">. Retrieved <span class="nowrap">27 April</span> 2012</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Circulation&rft.atitle=Isotope+Technics+in+Clinical+Cardiology&rft.volume=32&rft.issue=2&rft.pages=309-315&rft.date=1965&rft_id=info%3Adoi%2F10.1161%2F01.CIR.32.2.309&rft_id=info%3Apmid%2F14340959&rft.aulast=Love&rft.aufirst=William+D.&rft_id=http%3A%2F%2Fcirc.ahajournals.org%2Fcontent%2F32%2F2%2F309.full.pdf&rfr_id=info%3Asid%2Fen.wikipedia.org%3AMyocardial+perfusion+imaging" class="Z3988"></span></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text">Gorlin R, Brachfeld N, MacLeod C. and Bopp P. <i>Effect of nitroglycerin on the coronary circulation in patients with coronary artery disease or increased left ventricular work.</i> Circulation 1959;19:705-18.</span> </li> <li id="cite_note-7"><span class="mw-cite-backlink"><b><a href="#cite_ref-7">^</a></b></span> <span class="reference-text">Love WD. 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cardiology: radiation dosimetry, uncertainties, and risk., Stabin et al, J Nucl Med, 2008. 49(9): p. 1555-63.</span> </li> <li id="cite_note-Heston-21"><span class="mw-cite-backlink"><b><a href="#cite_ref-Heston_21-0">^</a></b></span> <span class="reference-text"><a rel="nofollow" class="external text" href="http://imj.medjournal.com/2012/02/stress-only-nuclear-myocardial.html">Stress-only Nuclear Myocardial Perfusion Imaging</a><sup class="noprint Inline-Template"><span style="white-space: nowrap;">[<i><a href="/wiki/Wikipedia:Link_rot" title="Wikipedia:Link rot"><span title=" Dead link tagged February 2018">permanent dead link</span></a></i><span style="visibility:hidden; color:transparent; padding-left:2px">‍</span>]</span></sup>, Heston TF, Internet Med J, accessed 17-Feb-2012.</span> </li> </ol></div></div> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist dl,.mw-parser-output .hlist ol,.mw-parser-output .hlist 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.navbox td.hlist dl,.mw-parser-output .navbox td.hlist ol,.mw-parser-output .navbox td.hlist ul{padding:0.125em 0}.mw-parser-output .navbox .navbar{display:block;font-size:100%}.mw-parser-output .navbox-title .navbar{float:left;text-align:left;margin-right:0.5em}body.skin--responsive .mw-parser-output .navbox-image img{max-width:none!important}@media print{body.ns-0 .mw-parser-output .navbox{display:none!important}}</style><style data-mw-deduplicate="TemplateStyles:r886047488">.mw-parser-output .nobold{font-weight:normal}</style><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"></div><div role="navigation" class="navbox" aria-labelledby="Tests_and_procedures_involving_the_heart" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><style data-mw-deduplicate="TemplateStyles:r1239400231">.mw-parser-output .navbar{display:inline;font-size:88%;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output .navbar-boxtext{word-spacing:0}.mw-parser-output .navbar ul{display:inline-block;white-space:nowrap;line-height:inherit}.mw-parser-output .navbar-brackets::before{margin-right:-0.125em;content:"[ "}.mw-parser-output .navbar-brackets::after{margin-left:-0.125em;content:" ]"}.mw-parser-output .navbar li{word-spacing:-0.125em}.mw-parser-output .navbar a>span,.mw-parser-output .navbar a>abbr{text-decoration:inherit}.mw-parser-output .navbar-mini abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:114%;margin:0 7em}.mw-parser-output .navbar-ct-mini{font-size:114%;margin:0 4em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Cardiac_procedures" title="Template:Cardiac procedures"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Cardiac_procedures" title="Template talk:Cardiac procedures"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Cardiac_procedures" title="Special:EditPage/Template:Cardiac procedures"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Tests_and_procedures_involving_the_heart" style="font-size:114%;margin:0 4em">Tests and <a href="/wiki/Medical_procedure" title="Medical procedure">procedures</a> involving the <a href="/wiki/Heart" title="Heart">heart</a></div></th></tr><tr><td class="navbox-abovebelow hlist" colspan="2"><div> <ul><li><a href="/wiki/Cardiac_surgery" title="Cardiac surgery">Cardiac surgery</a></li> <li><a href="/wiki/Interventional_cardiology" title="Interventional cardiology">Interventional cardiology</a></li> <li><a href="/wiki/Cardiology_diagnostic_tests_and_procedures" title="Cardiology diagnostic tests and procedures">Cardiology diagnostic tests and procedures</a></li> <li><a href="/wiki/Cardiac_imaging" title="Cardiac imaging">Cardiac imaging</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Surgery</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Heart_valve" title="Heart valve">Heart valves</a><br />and septa</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Heart_valve_repair" title="Heart valve repair">Valve repair</a></li> <li><a href="/wiki/Valvulotomy" title="Valvulotomy">Valvulotomy</a></li> <li><a href="/wiki/Mitral_valve_repair" title="Mitral valve repair">Mitral valve repair</a></li> <li><a href="/wiki/Valvuloplasty" class="mw-redirect" title="Valvuloplasty">Valvuloplasty</a> <ul><li><a href="/wiki/Aortic_valvuloplasty" title="Aortic valvuloplasty">aortic</a></li> <li><a href="/wiki/Mitral_valvuloplasty" class="mw-redirect" title="Mitral valvuloplasty">mitral</a></li></ul></li> <li><a href="/wiki/Valve_replacement" title="Valve replacement">Valve replacement</a></li> <li><a href="/wiki/Aortic_valve_repair" title="Aortic valve repair">Aortic valve repair</a></li> <li><a href="/wiki/Aortic_valve_replacement" title="Aortic valve replacement">Aortic valve replacement</a> <ul><li><a href="/wiki/Ross_procedure" title="Ross procedure">Ross procedure</a></li> <li><a href="/wiki/Transcatheter_aortic_valve_replacement" title="Transcatheter aortic valve replacement">Transcatheter</a></li></ul></li> <li><a href="/wiki/Mitral_valve_replacement" title="Mitral valve replacement">Mitral valve replacement</a></li> <li><a href="/wiki/Transcatheter_pulmonary_valve_replacement" title="Transcatheter pulmonary valve replacement">Transcatheter pulmonary valve replacement</a></li></ul> <dl><dt><span class="nobold">production of septal defect in heart</span></dt> <dd><i>enlargement of existing septal defect</i> <dl><dd><a href="/wiki/Atrial_septostomy" title="Atrial septostomy">Atrial septostomy</a></dd> <dd><a href="/wiki/Balloon_septostomy" title="Balloon septostomy">Balloon septostomy</a></dd></dl></dd> <dd><i>creation of septal defect in heart</i> <dl><dd><a href="/wiki/Blalock%E2%80%93Hanlon_procedure" title="Blalock–Hanlon procedure">Blalock–Hanlon procedure</a></dd></dl></dd></dl> <dl><dt><span class="nobold">shunt from heart chamber to blood vessel</span></dt> <dd><a href="/wiki/Atrium_(heart)" title="Atrium (heart)">atrium</a> to <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">pulmonary artery</a> <dl><dd><a href="/wiki/Fontan_procedure" title="Fontan procedure">Fontan procedure</a></dd></dl></dd> <dd><a href="/wiki/Left_ventricle" class="mw-redirect" title="Left ventricle">left ventricle</a> to <a href="/wiki/Aorta" title="Aorta">aorta</a> <dl><dd><a href="/wiki/Rastelli_procedure" title="Rastelli procedure">Rastelli procedure</a></dd></dl></dd> <dd><a href="/wiki/Right_ventricle" class="mw-redirect" title="Right ventricle">right ventricle</a> to <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">pulmonary artery</a> <dl><dd><a href="/wiki/Sano_shunt" title="Sano shunt">Sano shunt</a></dd></dl></dd></dl> <dl><dt><span class="nobold">compound procedures</span></dt> <dd>for <a href="/wiki/Transposition_of_the_great_vessels" title="Transposition of the great vessels">transposition of the great vessels</a> <dl><dd><a href="/wiki/Arterial_switch_operation" title="Arterial switch operation">Arterial switch operation</a></dd> <dd><a href="/wiki/Mustard_procedure" title="Mustard procedure">Mustard procedure</a></dd> <dd><a href="/wiki/Senning_procedure" title="Senning procedure">Senning procedure</a></dd></dl></dd> <dd>for univentricular defect <dl><dd><a href="/wiki/Norwood_procedure" title="Norwood procedure">Norwood procedure</a></dd> <dd><a href="/wiki/Kawashima_procedure" title="Kawashima procedure">Kawashima procedure</a></dd></dl></dd></dl> <dl><dt><span class="nobold">shunt from blood vessel to blood vessel</span></dt> <dd><a href="/wiki/Systemic_circulation" class="mw-redirect" title="Systemic circulation">systemic circulation</a> to <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">pulmonary artery</a> shunt <dl><dd><a href="/wiki/Blalock%E2%80%93Taussig_shunt" class="mw-redirect" title="Blalock–Taussig shunt">Blalock–Taussig shunt</a></dd></dl></dd> <dd><a href="/wiki/Superior_vena_cava" title="Superior vena cava">SVC</a> to the right <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">PA</a> <dl><dd><a href="/wiki/Glenn_procedure" title="Glenn procedure">Glenn procedure</a></dd></dl></dd></dl> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Cardiac vessels</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <dl><dt><span class="nobold"><a href="/wiki/Coronary_artery_disease" title="Coronary artery disease">CHD</a></span></dt> <dd><a href="/wiki/Percutaneous_coronary_intervention" title="Percutaneous coronary intervention">Angioplasty</a></dd> <dd><a href="/wiki/Vascular_bypass" title="Vascular bypass">Bypass</a>/<a href="/wiki/Coronary_artery_bypass_surgery" title="Coronary artery bypass surgery">Coronary artery bypass</a> <dl><dd><a href="/wiki/MIDCAB" class="mw-redirect" title="MIDCAB">MIDCAB</a></dd> <dd><a href="/wiki/Off-pump_coronary_artery_bypass" title="Off-pump coronary artery bypass">Off-pump CAB</a></dd> <dd><a href="/wiki/TECAB" class="mw-redirect" title="TECAB">TECAB</a></dd></dl></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Coronary_stent" title="Coronary stent">Coronary stent</a></span></dt> <dd><a href="/wiki/Bare-metal_stent" title="Bare-metal stent">Bare-metal stent</a></dd> <dd><a href="/wiki/Drug-eluting_stent" title="Drug-eluting stent">Drug-eluting stent</a></dd></dl> <dl><dt><span class="nobold">Obstacle removal</span></dt> <dd><a href="/wiki/Endarterectomy" title="Endarterectomy">Endarterectomy</a></dd> <dd><a href="/wiki/Atherectomy" title="Atherectomy">Atherectomy</a></dd></dl> <ul><li><a href="/wiki/Bentall_procedure" title="Bentall procedure">Bentall procedure</a></li> <li><a href="/wiki/Valve-sparing_aortic_root_replacement" title="Valve-sparing aortic root replacement">Valve-sparing aortic root replacement</a></li></ul> <ul><li><a href="/wiki/LeCompte_maneuver" title="LeCompte maneuver">LeCompte maneuver</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <dl><dt><span class="nobold"><a href="/wiki/Pericardium" title="Pericardium">Pericardium</a></span></dt> <dd><a href="/wiki/Pericardiocentesis" title="Pericardiocentesis">Pericardiocentesis</a></dd> <dd><a href="/wiki/Pericardial_window" title="Pericardial window">Pericardial window</a></dd> <dd><a href="/wiki/Pericardiectomy" title="Pericardiectomy">Pericardiectomy</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Myocardium" class="mw-redirect" title="Myocardium">Myocardium</a></span></dt> <dd><a href="/wiki/Cardiomyoplasty" title="Cardiomyoplasty">Cardiomyoplasty</a></dd> <dd><a href="/wiki/Dor_procedure" title="Dor procedure">Dor procedure</a></dd> <dd><a href="/wiki/Septal_myectomy" title="Septal myectomy">Septal myectomy</a></dd> <dd><a href="/wiki/Ventricular_reduction" class="mw-redirect" title="Ventricular reduction">Ventricular reduction</a></dd> <dd><a href="/wiki/Alcohol_septal_ablation" title="Alcohol septal ablation">Alcohol septal ablation</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Cardiac_conduction_system" title="Cardiac conduction system">Conduction system</a></span></dt> <dd>Maze procedure (<a href="/wiki/Cox_maze_procedure" title="Cox maze procedure">Cox maze</a> and <a href="/wiki/Minimaze_procedure" title="Minimaze procedure">minimaze</a>)</dd> <dd><a href="/wiki/Catheter_ablation" title="Catheter ablation">Catheter ablation</a></dd> <dd><a href="/wiki/Cryoablation" title="Cryoablation">Cryoablation</a></dd> <dd><a href="/wiki/Radiofrequency_ablation" title="Radiofrequency ablation">Radiofrequency ablation</a></dd> <dd><a href="/wiki/Artificial_cardiac_pacemaker" title="Artificial cardiac pacemaker">Pacemaker insertion</a></dd> <dd><a href="/wiki/S-ICD" class="mw-redirect" title="S-ICD">S-ICD</a> implantation</dd> <dd><a href="/wiki/Implantable_cardioverter-defibrillator" title="Implantable cardioverter-defibrillator">ICD</a> implantation</dd> <dd><a href="/wiki/Cardiac_resynchronization_therapy" title="Cardiac resynchronization therapy">Cardiac resynchronization therapy</a></dd></dl> <ul><li><a href="/wiki/Left_atrial_appendage_occlusion" title="Left atrial appendage occlusion">Left atrial appendage occlusion</a></li> <li><a href="/wiki/Cardiotomy" title="Cardiotomy">Cardiotomy</a></li> <li><a href="/wiki/Heart_transplantation" title="Heart transplantation">Heart transplantation</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Tests</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <dl><dt><span class="nobold"><a href="/wiki/Electrophysiology" title="Electrophysiology">Electrophysiology</a></span></dt> <dd><a href="/wiki/Electrocardiography" title="Electrocardiography">Electrocardiography</a> <dl><dd><a href="/wiki/Vectorcardiography" title="Vectorcardiography">Vectorcardiography</a></dd></dl></dd> <dd><a href="/wiki/Holter_monitor" title="Holter monitor">Holter monitor</a></dd> <dd><a href="/wiki/Implantable_loop_recorder" title="Implantable loop recorder">Implantable loop recorder</a></dd> <dd><a href="/wiki/Cardiac_stress_test" title="Cardiac stress test">Cardiac stress test</a> <dl><dd><a href="/wiki/Bruce_protocol" title="Bruce protocol">Bruce protocol</a></dd></dl></dd> <dd><a href="/wiki/Electrophysiology_study" title="Electrophysiology study">Electrophysiology study</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Cardiac_imaging" title="Cardiac imaging">Cardiac imaging</a></span></dt> <dd><a href="/wiki/Angiocardiography" class="mw-redirect" title="Angiocardiography">Angiocardiography</a></dd> <dd><a href="/wiki/Echocardiography" title="Echocardiography">Echocardiography</a> <dl><dd><a href="/wiki/Transthoracic_echocardiogram" title="Transthoracic echocardiogram">TTE</a></dd> <dd><a href="/wiki/Transesophageal_echocardiogram" title="Transesophageal echocardiogram">TEE</a></dd></dl></dd> <dd><a class="mw-selflink selflink">Myocardial perfusion imaging</a></dd> <dd><a href="/wiki/Cardiac_magnetic_resonance_imaging" title="Cardiac magnetic resonance imaging">Cardiovascular MRI</a></dd> <dd><a href="/wiki/Cardiac_ventriculography" title="Cardiac ventriculography">Ventriculography</a> <dl><dd><a href="/wiki/Radionuclide_ventriculography" class="mw-redirect" title="Radionuclide ventriculography">Radionuclide ventriculography</a></dd></dl></dd> <dd><a href="/wiki/Cardiac_catheterization" title="Cardiac catheterization">Cardiac catheterization</a>/<a href="/wiki/Coronary_catheterization" title="Coronary catheterization">Coronary catheterization</a></dd> <dd><a href="/wiki/Cardiac_CT" class="mw-redirect" title="Cardiac CT">Cardiac CT</a></dd> <dd><a href="/wiki/Cardiac_PET" title="Cardiac PET">Cardiac PET</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Sound" title="Sound">sound</a></span></dt> <dd><a href="/wiki/Phonocardiogram" title="Phonocardiogram">Phonocardiogram</a></dd></dl> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Cardiology_diagnostic_tests_and_procedures" title="Cardiology diagnostic tests and procedures">Function tests</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Impedance_cardiography" title="Impedance cardiography">Impedance cardiography</a></li> <li><a href="/wiki/Ballistocardiography" title="Ballistocardiography">Ballistocardiography</a></li> <li><a href="/wiki/Cardiotocography" title="Cardiotocography">Cardiotocography</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Pacing</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cardioversion" title="Cardioversion">Cardioversion</a></li> <li><a href="/wiki/Transcutaneous_pacing" title="Transcutaneous pacing">Transcutaneous pacing</a></li></ul> </div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div><span class="noviewer" typeof="mw:File"><span title="Category"><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/9/96/Symbol_category_class.svg/16px-Symbol_category_class.svg.png" decoding="async" width="16" height="16" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/9/96/Symbol_category_class.svg/23px-Symbol_category_class.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/9/96/Symbol_category_class.svg/31px-Symbol_category_class.svg.png 2x" data-file-width="180" data-file-height="185" /></span></span> <a href="/wiki/Category:Cardiac_procedures" title="Category:Cardiac procedures">Category</a></div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Medical_imaging" style="padding:3px"><table class="nowraplinks hlist mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Medical_imaging" title="Template:Medical imaging"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Medical_imaging" title="Template talk:Medical imaging"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Medical_imaging" title="Special:EditPage/Template:Medical imaging"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Medical_imaging" style="font-size:114%;margin:0 4em"><a href="/wiki/Medical_imaging" title="Medical imaging">Medical imaging</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/X-ray" title="X-ray">X-ray</a>/<br /><a href="/wiki/Radiography" title="Radiography">radiography</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Projectional_radiography" title="Projectional radiography">2D</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Pneumoencephalography" title="Pneumoencephalography">Pneumoencephalography</a></li> <li><a href="/wiki/Dental_radiography" title="Dental radiography">Dental radiography</a></li> <li><a href="/wiki/Sialography" title="Sialography">Sialography</a></li> <li><a href="/wiki/Myelography" title="Myelography">Myelography</a></li> <li><a href="/wiki/Chest_radiograph" title="Chest radiograph">CXR</a> <ul><li><a href="/wiki/Bronchography" title="Bronchography">Bronchography</a></li></ul></li> <li><a href="/wiki/Abdominal_x-ray" title="Abdominal x-ray">AXR</a></li> <li><a href="/wiki/Abdominal_x-ray" title="Abdominal x-ray">KUB</a></li> <li><a href="/wiki/Dual-energy_X-ray_absorptiometry" title="Dual-energy X-ray absorptiometry">DXA</a>/<a href="/wiki/Digital_X-ray_radiogrammetry" title="Digital X-ray radiogrammetry">DXR</a></li> <li><a href="/wiki/Upper_gastrointestinal_series" title="Upper gastrointestinal series">Upper gastrointestinal series</a>/<a href="/wiki/Small-bowel_follow-through" class="mw-redirect" title="Small-bowel follow-through">Small-bowel follow-through</a>/<a href="/wiki/Lower_gastrointestinal_series" title="Lower gastrointestinal series">Lower gastrointestinal series</a></li> <li><a href="/wiki/Cholangiography" title="Cholangiography">Cholangiography</a>/<a href="/wiki/Cholecystography" title="Cholecystography">Cholecystography</a></li> <li><a href="/wiki/Mammography" title="Mammography">Mammography</a></li> <li><a href="/wiki/Pyelogram" title="Pyelogram">Pyelogram</a></li> <li><a href="/wiki/Cystography" title="Cystography">Cystography</a></li> <li><a href="/wiki/Arthrogram" title="Arthrogram">Arthrogram</a></li> <li><a href="/wiki/Hysterosalpingography" title="Hysterosalpingography">Hysterosalpingography</a></li> <li><a href="/wiki/Skeletal_survey" title="Skeletal survey">Skeletal survey</a></li> <li><a href="/wiki/Angiography" title="Angiography">Angiography</a> <ul><li><a href="/wiki/Angiocardiography" class="mw-redirect" title="Angiocardiography">Angiocardiography</a></li> <li><a href="/wiki/Aortography" title="Aortography">Aortography</a></li></ul></li> <li><a href="/wiki/Venography" title="Venography">Venography</a></li> <li><a href="/wiki/Lymphogram" title="Lymphogram">Lymphogram</a></li> <li><a href="/wiki/Orbital_x-ray" title="Orbital x-ray">Orbital x-ray</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/CT_scan" title="CT scan">CT scan</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%;font-weight:normal;">Techniques:</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Operation_of_computed_tomography" title="Operation of computed tomography">General operation</a></li> <li><a href="/wiki/Quantitative_computed_tomography" title="Quantitative computed tomography">Quantitative</a></li> <li><a href="/wiki/High-resolution_computed_tomography" title="High-resolution computed tomography">High-resolution</a></li> <li><a href="/wiki/X-ray_microtomography" title="X-ray microtomography">X-ray microtomography</a></li> <li><a href="/wiki/Electron_beam_computed_tomography" title="Electron beam computed tomography">Electron beam</a></li> <li><a href="/wiki/Cone_beam_computed_tomography" title="Cone beam computed tomography">Cone beam</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;font-weight:normal;">Targets</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li>Heart <ul><li><a href="/wiki/Coronary_CT_calcium_scan" title="Coronary CT calcium scan">calcium scan</a></li> <li><a href="/wiki/Coronary_CT_angiography" title="Coronary CT angiography">angiography</a></li></ul></li> <li><a href="/wiki/Computed_tomography_of_the_abdomen_and_pelvis" title="Computed tomography of the abdomen and pelvis">Abdominal and pelvis</a> <ul><li><a href="/wiki/Virtual_colonoscopy" title="Virtual colonoscopy">Virtual colonoscopy</a></li></ul></li> <li><a href="/wiki/Computed_tomography_angiography" title="Computed tomography angiography">Angiography</a> <ul><li><a href="/wiki/Coronary_CT_angiography" title="Coronary CT angiography">Coronary</a></li> <li><a href="/wiki/CT_pulmonary_angiogram" title="CT pulmonary angiogram">Pulmonary</a></li></ul></li> <li><a href="/wiki/Computed_tomography_of_the_head" title="Computed tomography of the head">Head</a></li> <li><a href="/wiki/Computed_tomography_of_the_thyroid" title="Computed tomography of the thyroid">Thyroid</a></li> <li><a href="/wiki/Whole_body_imaging" title="Whole body imaging">Whole body imaging</a> <ul><li><a href="/wiki/Full-body_CT_scan" title="Full-body CT scan">Full-body CT scan</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Fluoroscopy" title="Fluoroscopy">Fluoroscopy</a></li> <li><a href="/wiki/Panoramic_radiograph" title="Panoramic radiograph">Dental panoramic radiography</a></li> <li><a href="/wiki/X-ray_motion_analysis" title="X-ray motion analysis">X-ray motion analysis</a></li> <li><a href="/wiki/Hounsfield_scale" title="Hounsfield scale">Hounsfield scale</a></li> <li><a href="/wiki/Radiodensity" title="Radiodensity">Radiodensity</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Magnetic_resonance_imaging" title="Magnetic resonance imaging">MRI</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Magnetic_resonance_imaging_of_the_brain" title="Magnetic resonance imaging of the brain">Brain</a> <ul><li><a href="/wiki/Functional_magnetic_resonance_imaging" title="Functional magnetic resonance imaging">functional</a></li></ul></li> <li><a href="/wiki/Magnetic_resonance_neurography" title="Magnetic resonance neurography">Neurography</a></li> <li><a href="/wiki/Cardiac_magnetic_resonance_imaging" title="Cardiac magnetic resonance imaging">Cardiac</a> <ul><li><a href="/wiki/Cardiac_magnetic_resonance_imaging_perfusion" title="Cardiac magnetic resonance imaging perfusion">perfusion</a></li></ul></li> <li><a href="/wiki/Magnetic_resonance_angiography" title="Magnetic resonance angiography">Angiography</a></li> <li><a href="/wiki/Magnetic_resonance_cholangiopancreatography" title="Magnetic resonance cholangiopancreatography">Cholangiopancreatography (MRCP)</a></li> <li><a href="/wiki/Breast_MRI" title="Breast MRI">Breast</a></li> <li><a href="/wiki/MRI_sequence" class="mw-redirect" title="MRI sequence">Sequences</a> <ul><li><a href="/wiki/Diffusion_MRI" class="mw-redirect" title="Diffusion MRI">diffusion</a></li> <li><a href="/wiki/Perfusion_MRI" title="Perfusion MRI">restriction</a></li> <li><a href="/wiki/Tractography" title="Tractography">Tractography</a></li></ul></li> <li><a href="/wiki/Synthetic_MRI" title="Synthetic MRI">Synthetic MRI</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Medical_ultrasound" title="Medical ultrasound">Ultrasound</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li>Techniques <ul><li><a href="/wiki/Doppler_ultrasonography" title="Doppler ultrasonography">doppler</a></li> <li><a href="/wiki/Contrast-enhanced_ultrasound" title="Contrast-enhanced ultrasound">contrast-enhanced</a></li> <li><a href="/wiki/3D_ultrasound" title="3D ultrasound">3D</a></li> <li><a href="/wiki/Endoscopic_ultrasound" title="Endoscopic ultrasound">endoscopic</a></li> <li><a href="/wiki/Duplex_ultrasonography" class="mw-redirect" title="Duplex ultrasonography">duplex</a></li></ul></li> <li><a href="/wiki/Echocardiography" title="Echocardiography">Echocardiography</a> <ul><li><a href="/wiki/Doppler_echocardiography" title="Doppler echocardiography">Doppler echocardiography</a></li> <li><a href="/wiki/Transthoracic_echocardiogram" title="Transthoracic echocardiogram">TTE</a></li> <li><a href="/wiki/Transesophageal_echocardiogram" title="Transesophageal echocardiogram">TEE</a></li> <li><a href="/wiki/Intracardiac_echocardiogram" title="Intracardiac echocardiogram">ICE</a></li></ul></li> <li><a href="/wiki/Transcranial_Doppler" title="Transcranial Doppler">Transcranial Doppler</a></li> <li><a href="/wiki/Intravascular_ultrasound" title="Intravascular ultrasound">Intravascular</a></li> <li><a href="/wiki/Gynecologic_ultrasonography" title="Gynecologic ultrasonography">Gynecologic</a></li> <li><a href="/wiki/Obstetric_ultrasonography" title="Obstetric ultrasonography">Obstetric</a></li> <li><a href="/wiki/Echoencephalography" title="Echoencephalography">Echoencephalography</a></li> <li><a href="/wiki/Abdominal_ultrasonography" title="Abdominal ultrasonography">Abdominal ultrasonography</a> <ul><li><a href="/wiki/Renal_ultrasonography" title="Renal ultrasonography">renal</a></li> <li><a href="/wiki/Renal_tract_ultrasound" class="mw-redirect" title="Renal tract ultrasound">renal tract</a></li></ul></li> <li><a href="/wiki/Transrectal_ultrasonography" title="Transrectal ultrasonography">Rectal</a></li> <li><a href="/wiki/Breast_ultrasound" title="Breast ultrasound">Breast</a></li> <li><a href="/wiki/Scrotal_ultrasound" title="Scrotal ultrasound">Scrotal</a></li> <li><a href="/wiki/Carotid_ultrasonography" title="Carotid ultrasonography">Carotid</a></li> <li><a href="/wiki/Emergency_ultrasound" title="Emergency ultrasound">Emergency ultrasound</a> <ul><li><a href="/wiki/Focused_assessment_with_sonography_for_trauma" title="Focused assessment with sonography for trauma">FAST</a></li> <li><a href="/wiki/Pre-hospital_ultrasound" title="Pre-hospital ultrasound">pre-hospital</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Nuclear_medicine#Diagnostic_medical_imaging" title="Nuclear medicine">Radionuclide</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">2D/<a href="/wiki/Scintigraphy" title="Scintigraphy">scintigraphy</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cholescintigraphy" title="Cholescintigraphy">Cholescintigraphy</a></li> <li><a href="/wiki/Scintimammography" class="mw-redirect" title="Scintimammography">Scintimammography</a></li> <li><a href="/wiki/Ventilation/perfusion_scan" title="Ventilation/perfusion scan">Ventilation/perfusion scan</a></li> <li><a href="/wiki/Radionuclide_ventriculography" class="mw-redirect" title="Radionuclide ventriculography">Radionuclide ventriculography</a></li> <li><a href="/wiki/Radionuclide_angiography" title="Radionuclide angiography">Radionuclide angiography</a></li> <li><a href="/wiki/Radioisotope_renography" title="Radioisotope renography">Radioisotope renography</a></li> <li><a href="/wiki/Sestamibi_parathyroid_scintigraphy" class="mw-redirect" title="Sestamibi parathyroid scintigraphy">Sestamibi parathyroid scintigraphy</a></li> <li><a href="/wiki/Radioactive_iodine_uptake_test" title="Radioactive iodine uptake test">Radioactive iodine uptake test</a></li> <li><a href="/wiki/Bone_scintigraphy" title="Bone scintigraphy">Bone scintigraphy</a></li> <li><a href="/wiki/Immunoscintigraphy" title="Immunoscintigraphy">Immunoscintigraphy</a></li> <li><a href="/wiki/Dacryoscintigraphy" title="Dacryoscintigraphy">Dacryoscintigraphy</a></li> <li><a href="/wiki/DMSA_scan" title="DMSA scan">DMSA scan</a></li> <li><a href="/wiki/Gastric_emptying_study" title="Gastric emptying study">Gastric emptying study</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;font-weight:normal;">Full body:</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Octreotide_scan" title="Octreotide scan">Octreotide scan</a></li> <li><a href="/wiki/Gallium_scan" title="Gallium scan">Gallium-67 scan</a></li> <li><a href="/wiki/Gallium_scan" title="Gallium scan">Ga-68-DOTATOC</a></li> <li><a href="/wiki/Indium-111_WBC_scan" title="Indium-111 WBC scan">Indium-111 WBC scan</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">3D/<a href="/wiki/Emission_computed_tomography" title="Emission computed tomography">ECT</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%;font-weight:normal;"><a href="/wiki/Single-photon_emission_computed_tomography" title="Single-photon emission computed tomography">SPECT</a> (<a href="/wiki/Gamma_ray" title="Gamma ray">gamma ray</a>):</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a class="mw-selflink selflink">Myocardial perfusion imaging</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;font-weight:normal;"><a href="/wiki/Positron_emission_tomography" title="Positron emission tomography">PET</a> (<a href="/wiki/Positron" title="Positron">positron</a>):</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Brain_positron_emission_tomography" title="Brain positron emission tomography">Brain PET</a></li> <li><a href="/wiki/Cardiac_PET" title="Cardiac PET">Cardiac PET</a></li> <li><a href="/wiki/Positron_emission_mammography" title="Positron emission mammography">PET mammography</a></li> <li><a href="/wiki/PET-CT" title="PET-CT">PET-CT</a></li> <li><a href="/wiki/PET-MRI" title="PET-MRI">PET-MRI</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Medical_optical_imaging" title="Medical optical imaging">Optical</a>/<a href="/wiki/Laser" title="Laser">Laser</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Optical_tomography" title="Optical tomography">Optical tomography</a> <ul><li><a href="/wiki/Optical_coherence_tomography" title="Optical coherence tomography">Optical coherence tomography</a></li></ul></li> <li><a href="/wiki/Confocal_microscopy" title="Confocal microscopy">Confocal microscopy</a></li> <li><a href="/wiki/Endomicroscopy" title="Endomicroscopy">Endomicroscopy</a></li> <li><a href="/wiki/Orthogonal_polarization_spectral_imaging" title="Orthogonal polarization spectral imaging">Orthogonal polarization spectral imaging</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Thermography" title="Thermography">Thermography</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Non-contact_thermography" title="Non-contact thermography">Non-contact thermography</a></li> <li><a href="/w/index.php?title=Contact_thermography&action=edit&redlink=1" class="new" title="Contact thermography (page does not exist)">Contact thermography</a></li> <li><a href="/wiki/Dynamic_angiothermography" title="Dynamic angiothermography">Dynamic angiothermography</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Target conditions</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Acute_stroke_imaging" class="mw-redirect" title="Acute stroke imaging">Acute stroke</a></li> <li><a href="/wiki/Medical_imaging_in_pregnancy" title="Medical imaging in pregnancy">Pregnancy</a></li></ul> </div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div> <ul><li><span class="noviewer" typeof="mw:File"><span title="Category"><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/9/96/Symbol_category_class.svg/16px-Symbol_category_class.svg.png" 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