Our Imaging Corelab is one of our key pillars to contribute to better and improved treatments for heart patients. We offer numerous affordable techniques to analyse medical image information.
Imaging Corelab Services
Analysis of electocardiograms (ECGs) by an independent Core Laboratory is critical to ensure high-quality data in your clinical trial.
At our Imaging Corelab, we carry out all ECG analyses following our Standard Operating Procedures (SOPs). Because of this, we can guarantee objectivity and reproducibility in the assessment of twelve ECG derivatives. Particularly the degree of success of reperfusion can be stipulated reliably by combining QCA and quantitative ECG analyses.
Quantitative ECG analysis
We quantitatively analyse ECGs on rhythm, conductance and repolarisation. Of course here, by derivation, all fragments and the dynamics of depolarisation and repolarisation are measured. The variables will be defined in the eCRF for each trial.
Coronary angiography (CAG) is the golden standard for visualisation of coronary intervention. Using intra-coronary catheters, with which the right and left coronary artery can be selectively sounded, contrast administration in the coronary artery takes place. Images of the coronary arteries and the left ventricle are made using X-ray. These images are digitally stored and can be analyzed both quantitatively and qualitatively at our Imaging Corelab.
Quantitative analysis (QCA) is a valuable technique within intervention cardiology to obtain objective and reproducible measurements of coronary vessels. This technique is used for examining the direct and long term results of Percutaneous Coronary Interventions (PCI), either in combination with another treatment strategy or as a standalone.
Intravascular ultrasound (IVUS) provides a cross-section analysis of vessels. IVUS is mainly applied to assess the coronary arteries before after stent implantation. The Imaging Corelab provides extensive IVUS analysis regarding plaque composition and stent apposition and healing for research purposes.
Optical Coherence Tomography (OCT) is a research method using Infrared to provide high-resolution images as compared to IVUS.
The OCT is used to gather additional information about the morphology of the atheromas. Furthermore, it can analyze vessel healing after stent implantation to coronary arteries. Our Imaging Corelab provides extensive OCT analysis for research purposes including lesions analysis as well as analysis of implanted stent.
Intravascular Near Infrared Spectroscopy (NIRS) detects with high precision the lipid deposition within coronary arteries. Our Imaging Corelab provides a combined NIRS and IVUS analysis.
Cardiac MRI analysis
Magnetic Resonance Imaging (MRI) is a non-invasive method with no use of X-ray radiation but of magnetism and radio waves, and which is extremely suitable as a result of this, to reveal differences between soft tissues. The contrast between the tissues can be varied by the use of several sequences of radio waves. In monitored periods during the heart cycle, prerecordings can be made which can reveal the movement of the heart. Cardiac MRI provides a unique quantitative analysis of the heart contractility and valves functions. Furthermore, it can recognize myocardial ischemia and inflammation. The Imaging Corelab provides Cardiac MRI analysis for research purposes.
A holter is a small wearable device that can track the heart rhythm and other variables like conduction disturbances, ST, QT and heart rate variability. Holter analysis can be facilitated by our Imaging Corelab.
Computed tomography (CT) of coronary arteries and heart structures provides a deep insight before any planned procedures. CT can visualise plaque composition and stenosis of coronary arteries. Regarding the heart structure CT is available to reconstruct the heart anatomy before transcatheter valve implantation, cryoablation of pulmonary veins and left atrial appendage closure. The Corelab provides heart CT analysis for research purposes.
Intravascular hemodynamic assessment
We perform the following intravascular hemodynamic assessments at our Imaging Corelab:
- Coronary Flow Reserve (CRF)
- Fraction Flow Reserve (FFR)
- Instantaneous pressure ratio (IFR)
- The novel Relative Flow Reserve (RFR)