The Lenox Hill Radiology (LHR) Advanced Cardiac Imaging Program is the New York metro region’s most robust, non-invasive, outpatient, cardiac imaging program.
Our Cardiac Radiologists
Cost Advantage
From LHR’s unmatched fleet of advanced, Low-Dose Cardiac CT units and dozens of upgraded Wide-Open Cardiac MRIs to our highly-trained clinical and support staff, our Advanced Cardiac Imaging Program offers New York cardiology patients only the very best in diagnosis.
As an independent medical imaging provider operating outside of hospital affiliations, Lenox Hill Radiology offers affordable, high-quality, non-invasive cardiac imaging at a cost that is up to 50% lower than that of hospitals.
Safety & Comfort is our Top Priority
Early detection can lead to additional treatment options and a more favorable outcome. Our cardiac imaging program can provide a comprehensive evaluation of the heart, including its structure, function, blood flow, and tissue perfusion.
Our Cardiac CT exams are performed with low-dose protocols on the most-advanced units. A Cardiac MRI at LHR provides a complete understanding of a patient's condition while also guiding treatment decisions. Advanced imaging can help a cardiologist tailor a treatment plan to each patient's unique needs, based on their individual cardiac anatomy and function.
Accurate Diagnosis
Advanced cardiac imaging techniques, such as cardiac magnetic resonance imaging (Cardiac MRI), Coronary Computed Tomography Angiography (Coronary CTA), and Nuclear Medicine Cardiac Stress Tests provide several advantages, including a more accurate diagnosis.
The LHR Advanced Cardiac Imaging Program employs the most advanced cardiac imaging techniques and tools available in order to provide the highest-quality images of the heart structures and morphology, as well as the newest platforms and tools that help demonstrate the physiologic significance of coronary artery disease, if present. Our robust data allows our experienced cardiac radiologist to make the most accurate diagnosis of various heart conditions.
Scheduling
What is CT Cardiac Calcium Scoring?
One of LHR’s most accessible and valuable cardiac offerings is our low-cost, Low-Dose CT Cardiac Calcium Scoring exam.
Covered by most insurances, CT Cardiac Calcium Scoring is a fast, non-invasive, screening exam. It is a first-line heart test that uses Computerized Tomography (CT) to detect calcium deposits in the coronary arteries of the heart. A higher coronary calcium-score suggests you have a greater chance of clinically significant narrowing of the coronary arteries and potentially a higher risk of future heart attack.
A CT Cardiac Calcium Scoring test is a non-invasive test that uses a CT scanner to measure the amount of calcium present in the plaque in the coronary arteries. It is important to note that a CT Cardiac Calcium Scoring scan is not diagnostic in itself. It is a screening test and is typically used as a first line of detection and in combination with clinical evaluation by a cardiologist and other diagnostic tests, such as Coronary CTA (CCTA), to identify and evaluate the patient's risk of developing heart disease.
Benefits:
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Non-invasive
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1 minute study
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Used for first-line screening of the coronary artery for calcified plaques
What is Ultrasound Echocardiogram (TTE)?
Ultrasound Transthoracic Echocardiogram is a 30-60 minute, non-invasive diagnostic imaging test performed by a sonographer using high-frequency sound waves (ultrasound) to create images of the heart. The exam provides a comprehensive view of the heart from outside the chest and also includes Doppler Ultrasound, which measures the speed and direction of blood flow, helping to detect abnormal blood flow patterns.
Two of the most-common reasons (indications) for Ultrasound Transthoracic Echocardiogram:
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Suspected Heart Valve Disease: If a physician suspects issues such as mitral valve prolapse, aortic stenosis, or other valve abnormalities, an echocardiogram can provide detailed information to confirm the diagnosis and guide treatment.
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Unexplained Chest Pain or Shortness of Breath: Patients presenting with chest pain, fatigue, or difficulty breathing might be referred for an echocardiogram to rule out cardiac causes like heart failure or pericardial effusion (fluid around the heart). It helps evaluate heart function when other tests (like an EKG) are inconclusive.
An US echocardiogram (Ultrasound TTE) is a low-cost, high-quality, widely available tool in diagnosing and monitoring a wide range of heart conditions, offering detailed and real-time visualization without the risks associated with more invasive procedures like cardiac catheterization.
It’s used for both initial diagnosis and ongoing management of cardiovascular disease. If Ultrasound TTE results are inconclusive or demonstrate abnormalities, a referring provider may refer the patient for advanced imaging of the heart such as Coronary CTA (CCTA) or Cardiac MRI.
What is CCTA?
If calcified plaque is detected in the coronary arteries, a referring provider may recommend a patient for a non-invasive diagnostic CT scan of the heart, called a Coronary CT Angiography (CCTA) that provides highly detailed 3D images of the coronary arteries and anatomic data about the structure (the lumen) of the coronary arteries. This exam is typically used to detect narrowed or blocked coronary arteries, which may cause chest pain or a heart attack.
Benefits:
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Non-invasive
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No radiation is left in your body after the scan is finished
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Provides very detailed images of many types of tissue
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Fast and simple
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Cost-effective for a wide range of medical problems
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Less sensitive to patient movement than MRI
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Implanted medical device of any kind will not prevent you from having a CT scan
For patients who have:
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Suspected abnormal anatomy of the coronary arteries
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Low or intermediate risk for coronary artery disease, including patients who have chest pain and normal, non-diagnostic or unclear lab and ECG results
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Low to intermediate risk atypical chest pain in the emergency department
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Non-acute chest pain
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New or worsening symptoms with a previous normal stress test result
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Unclear or inconclusive stress test results
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New onset heart failure with reduced heart function and low or medium risk for coronary artery disease
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Intermediate risk of coronary artery disease before non-coronary cardiac surgery
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Coronary artery bypass grafts
American Heart Association and the American College of Cardiology Risk Calculator
How CCTA with FFR CT works
CT with Fractional Flow Reserve (FFR CT) is a physiologic simulation technique that models coronary flow from routine Coronary CT Angiography (CTA). At Lenox Hill Radiology, FFR CT is always interpreted in correlation with clinical and anatomic coronary CTA findings.
FFR CT increases the specificity in the detection and evaluation of coronary artery disease, and decreases the prevalence of non-obstructive disease in invasive coronary angiography (ICA), which helps with decisions regarding revascularization vs. pharmacologic or other forms of treatment.
How can CCTA with FFR CT help:
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Without additional patient tests, the Fractional Flow Reserve Analysis quickly and non-invasively delivers functional information (FFR CT values) about each blockage
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Completing the picture for each patient leads to better clinical decision-making and improved patient outcomes
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Recognized in ACC/AHA Chest Pain Guidelines to help guide treatment for patients with CAD
Demonstrates:
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Diagnostic confidence that delivers increased per-vessel diagnostic performance relative to other non-invasive cardiac tests
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Visualize disease other non-invasive cardiac tests may miss
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Enables physicians to confidently identify patients who can be treated optimally with pharmacologic therapies alone
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Enables providers to present patients a compelling visual understanding of their disease state and impact it has on their heart
How CCTA with AI Plaque Analysis works
If your cardiologist recommends a CCTA with AI plaque analysis, a standard CCTA can be processed through machine learning software to analyze atherosclerosis (plaque) and stenosis for an additional cost (not covered by insurance). The AI Plaque Analysis generates a 3D model of the coronary arteries, identifies their lumen and vessel walls, locates and quantifies stenoses, and identifies, quantifies and categorizes plaque. This additional process helps clinicians precisely identify and define atherosclerosis earlier.
How can CCTA with AI plaque analysis help:
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Non-invasive tests for patients that may help identify issues before symptoms occur
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Cardiac providers may improve evaluation and individualized approach to their patient's cardiovascular care
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Employers can improve employee health outcomes and reduce potential healthcare costs
What is Cardiac MRI?
Cardiac magnetic resonance imaging (MRI) uses a powerful magnetic field and radio waves to produce very detailed pictures of the structures within and around the heart. Doctors use Cardiac MRI to detect or monitor cardiac disease and use it to evaluate the anatomy and function of the heart in patients with both heart disease present at birth (congenital) and heart diseases that develop after birth. Cardiac MRI does not use radiation, and it may provide the best images of the heart for certain conditions.
Lenox Hill Radiology’s subspecialized cardiac imaging radiologists are the New York metro region’s experts at the acquisition and interpretation of Cardiac MRI imaging. Lenox Hill Radiology uses the most advanced MRI acquisition techniques to ensure optimal data and the most accurate diagnosis.
Benefits:
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Lenox Hill Radiology's fleet of new MRI units are the region's most advanced
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No radiation
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MR images of the heart are better than other imaging techniques for many conditions
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Allows your doctor to evaluate the structures and function of the heart and major vessels without the risk of radiation exposure associated with other procedures or exams
Please Note: LHR does NOT scan patients with pacemakers, defibrillators or other implanted electronic devices.
What is Nuclear Medicine Stress Test?
It's an imaging test that shows how blood flows to the heart at rest and during exercise (stress). It uses a small amount of radioactive material, called a radiotracer, administered by IV. An imaging camera records pictures of how the tracer moves through the heart's arteries. The test also shows areas of poor blood flow or damage in the heart.
Nuclear Medicine Stress Test is only scheduled by the following:
Phone: (212) 599-5555
Email: LHROMICscheduling@RadNet.com
Cardiac Radiologists
