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172 Chapter 9 Figure 1. Cover image patient information folder Though in some caseswewere able to create detailed 3D reconstructions of presumably complete coronary branches, we did not feel confident to rely on the coronary CT- angiography for the diagnosis of stenosis. A narrowing of an artery might as well have been an artifact due post-mortem clots 127 (we could not flush the arteries before introducing the contrast agent) or pressure of the surrounding tissue due to gravity (we could not turn the body on its side). Moreover, the presence of stenosis does not in itself imply acute myocardial ischaemia. For the detection of ischemic heart disease, the importance of histological examination cannot be stressed enough. 90,269-271 There should be a standard histological examination of the heart included in the MIA-protocol, like in the CA-protocol. 159 We advocate that CT-guided tissue biopsies should preferably be targeted based on MR images and at least obtained from both left and right ventricle (anterior, lateral, and posterior wall), and the septum.