128-Slice Cardiac CT Scan: An Informational Guide
A 128-slice cardiac CT scan is an advanced imaging technique that provides detailed views of the heart and blood vessels. This non-invasive procedure helps doctors detect blockages and assess coronary artery health. A 2024 study showed that coronary CT angiography (CTA) achieved 94.6% sensitivity and 76.3% specificity for detecting coronary artery disease 1. This high accuracy enables early detection and timely intervention for heart disease.
In this blog, we explain the CT scan purpose and its crucial role in diagnosing cardiovascular conditions.
Key Takeaways:
- A 128-slice cardiac CT scan offers high-resolution imaging to detect coronary artery blockages and heart abnormalities with low radiation.
- The procedure provides detailed, accurate views of blood vessels, plaque buildup, and heart function, aiding early heart disease detection.
- ECG-gated technology and advanced algorithms ensure precise imaging, enabling doctors to assess heart health and plan timely treatments.

Why Do You Need a 128-Slice CT Scan?
A cardiac CT scan on a 128-slice system provides a comprehensive view of the coronary vessels, plaque deposits, and vessel diameter. The test is a critical parameter when there is excruciating chest pain and any form of uncertain symptoms in your heart.
Here are some factors necessary to consider when undergoing a 128-slice CT scan:
- The test differentiates calcified and soft plaques within vessel walls. Moreover, the test allows healthcare professionals to assess plaque behaviour and the risk of a sudden heart blockage.
- The procedure helps assess lumen size in each coronary branch with fine-section detail. The examination helps determine the amount of blood which flows below a safe level.
- The test helps provide information on the calcium score that is associated with long-term cardiac risks. Moreover, the procedure offers preventive advice to people with diabetes or high blood pressure.
- A CT scan evaluates the patency and position of bypass grafts or stents from prior cardiac procedures. The test helps healthcare professionals assess the number of treated vessels which remain open and stable.
Finally, the test evaluates vessel course, coronary origin, and aortic root size with high partial resolution. The examination enables sage planning for valve procedures and structural heart correction.
Primary Features of a 128-Slice Cardiac CT Scanner
A cardiac CT scan on a 128-slice scanner rotates at high speed, and data extraction is synchronised to the cardiac phase, which results in fewer motion artefacts. The sub-millimetre section width helps early assessment of early plaques and contrasts pass in a controlled flow across the coronary tree.
Here are some of the features that are characteristic of a 128-slice cardiac CT scan:
- High-Speed imaging: The CT scanner captures images in a fraction of a second, which reduces the overall time patients ned to remain still and reduces the occurrence of artefacts.
- Temporal Resolution: One of the hallmarks of a 128-slice cardiac CT scan is its potential to deliver temporal resolution near 0.3 to 0.35 seconds per rotation. It reduces overall motion blur within the coronary vessels.
- Spatial Detail: It holds sub-millimetre isotropic voxel size across coronary segments. Your physician can assess the plaque edges and lumen borders at a higher resolution.
- Better Image Quality: With a 128-slice cardiac CT scan, you can gather high-resolution images for small structures and abnormalities within the cardiac tissues.
- ECG-Gated Control: The CT scanner supports both prospective and retrospective ECG gating to select the optimal cardiac phases. Moreover, it helps maintain overall dose control and vessel clarity.
- Multi-Phase Imaging & User-Friendly Interface: The CT scan procedure is designed to be user-friendly and enables healthcare professionals to operate efficiently, avoiding bottlenecks. In addition, it can perform multi-phase scans and assess dynamic processes such as blood flow and organ function.
Also read: MRI Scan: Understanding Procedure, Safety, and Clinical Applications.
Preparation for a CT Scan Procedure
An appropriate cardiac CT scan requires some basic steps, such as avoiding stimulants like coffee or tea on the day of the scan.
Here’s a comprehensive step-by-step process for preparing for a CT scan procedure:
Step 1: Food Gap
It is advised to avoid eating for 3 to 4 hours before the examination. A calm digestive state helps your heart remain steady at all times.
Step 2: No Stimulants
It is best to avoid tea, coffee, and other high-caffeine drinks. A relaxed heart helps support coronary detail.
Step 3: Medicine Guidance
The next step is to continue regular cardiac medicine, unless your doctor advises otherwise. Moreover, it is important to inform the CT scan team regarding blood thinners and past contrast reactions.
Step 4: Heart Rate Control:
Your doctor may provide additional medications to maintain the optimal condition of your heart. The 128-slice cardiac CT scan performs best when coronary motion remains stable.
Step 5: Clothing and Comfort
The wide detector range in the 128-slice unit covers long vessel sections within fewer sections. Heart and coronary CT scans performed on a 128-slice unit reduce table time and streamline the entire procedure.
Let’s now understand how a cardiac CT scan improves imaging and diagnosis.
How does a Cardiac CT-Scanner Work?
A cardiac CT scan on a 128-slice system records X-ray data of your heart while it remains in a natural motion. ECG references the calmer point in the heartbeat that allows the scan to gather better coronary details with clear borders.
Here’s what happens during a cardiac CT scan:
- Rotation Around the Chest: The scanner rotates around your chest and collects data of a thin section of the heart. Each section contributes to a complete overview of the heart.
- ECG Phase Selection: The 125-slice system reads your ECG and selects a steady phase of the heartbeat and improve the clarity of plaque and vessel walls
- Contrast Entry Through a Small Vein: The small tube in your arm allows contrast to enter your bloodstream easily. The contrast outlines the coronary vessels, and each path appears distinct in the final image.
- Computer Processing for Clarity: The system transfers the recorded data into a computer. The contrast creates a clear picture with no grain or blur.
Clinical Applications for a 128-Slice CT Scan
The 128-slice cardiac CT scan system provides a comprehensive overview of the coronary vessels, plaque deposits, and vessel wall thickness. It supports early detection, post-treatment follow-up, and future cardiac care.
Here are some of the applications of a 128-slice cardiac scan you must know:
- Plaque Detection: It distinguishes soft plaque from calcified plaque, helping physicians assess plaque behaviour and future risk.
- Stenosis Assessment: Appropriate measurement of lumen width across major and minor coronary branches to ensure blood flows below safe levels.
- Calcium Score Review: It assigns a calcium score that relates to long-term coronary risk. This provides practical preventive advice for persons with diabetes, raised cholesterol, or a family history.
- Pre-Procedure Planning: It confirms patency of bypass grafts or stents placed in earlier procedures. This allows direct comparison with previous findings for clear follow-up.
- Post-Procedure Follow-Up: It records the coronary origin, branch course, and aortic root size with fine resolution. This supports safe preparation for valve replacement or structural heart correction.
Also read: Comprehensive Radiology Care in India: Eskag Sanjeevani Radiology’s Impact on Diagnostics.
Why Choose Eskag Sanjeevani Radiology for a CT Scan Procedure?
When choosing a CT scan provider, it is essential to consider both the technology and the expertise offered. Look for centres equipped with advanced scanners, such as the 128-slice cardiac CT, which ensures high accuracy with lower radiation exposure. Additionally, choose a centre where trained radiologists can deliver quick, precise results to support timely treatment.
Eskag Sanjeevani Radiology stands out as a leading CT scan centre with state-of-the-art 128-slice cardiac CT scanners. With our advanced imaging technology, we deliver detailed, precise results for a range of cardiac and vascular conditions. At Eskag Sanjeevani Radiology, you can trust in expert care and efficient service, ensuring your diagnostic needs are met with the utmost accuracy and professionalism.
References:
Yes, a cardiac CT scan can detect coronary artery blockages by visualising blood flow and identifying narrowing or obstruction. It provides detailed images of the heart’s blood vessels, helping doctors assess the severity of blockages or plaque buildup that could lead to heart disease.
A cardiac CT scan is generally safe, with minimal risks. The primary concern is exposure to ionising radiation, but modern scanners, such as 128-slice CT scanners, significantly reduce radiation dose while maintaining diagnostic quality. Additionally, the use of contrast agents may cause mild allergic reactions in some patients, but these are rare and typically manageable.
Doctors order a cardiac CT to assess heart and blood vessel conditions, such as coronary artery disease. It’s often used when a patient has chest pain or shortness of breath, or to evaluate heart disease risk.
Cardiac CT is often preferred for visualising coronary artery blockages and assessing heart anatomy due to its fast scan time and high-resolution images. On the contrary, MRI is more effective for soft tissue imaging, such as heart muscle and valve function, and is ideal for conditions like cardiomyopathy. The choice depends on the specific clinical indication and patient condition.
Clogged arteries can cause chest pain, shortness of breath, and fatigue. Numbness or dizziness often signals restricted blood flow to organs or limbs.

