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Intracoronary Imaging · Patient guide

IVUS versus OCT: how are they different?

IVUS uses ultrasound and OCT uses near-infrared light; each can answer different questions about vessel size, plaque, and a coronary procedure result.

The short answer

IVUS uses ultrasound and OCT uses near-infrared light; each can answer different questions about vessel size, plaque, and a coronary procedure result.

The meaning of a symptom, test, or diagnosis depends on the person’s history and complete clinical picture. A cardiovascular clinician can determine whether additional evaluation is appropriate.

How PICC approaches the question

PICC begins with the clinical problem, reviews prior information, and selects testing only when it can answer a meaningful question. Care stays connected across prevention, diagnosis, treatment, and follow-up.

Related PICC programAdvanced Coronary Intervention ProgramExplore program →

Questions to bring to your visit

  • What information from my prior tests is most useful?
  • What clinical question would another test answer?
  • How would the result change my care plan?
  • What symptoms should prompt urgent evaluation?
  • How does prevention fit into my next step?

Authoritative starting points

American Heart Association health topics ↗American College of Cardiology CardioSmart ↗FDA medical-device information ↗

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Related patient guides

What is IVUS?

Intravascular ultrasound uses a miniature ultrasound device inside the artery to show the vessel and plaque in cross-section.

What is OCT?

Optical coherence tomography uses light-based imaging inside a coronary artery to provide detailed information for selected procedures.

Patient education
Use this guide to prepare questions for your cardiovascular care team.

Last updated
August 22, 2026

Educational information only. It does not replace personal medical advice.