How would you plan imaging workup of patients suspected to have cardiac ischemia?

CXR is needed to rule out other causes for chest pain.
Transthoracic echocardiography (TTE): As a screening test to evaluate cardiac function. Portable.
Treadmill and EKG study: usually the first study performed Stress Echocardiogram
Nuclear Medicine Myocardial Perfusion Imaging : Done after initial screening tests suggest ischemia. Evaluates extent of ischemia and reversibilty.
MUGA : May be indicated to evaluate cardiac function.
Coronary angiography and catheterization: Necessary to assess extent of stenosis of coronary vessels.
PET and MR imaging : Not extensively used clinically.

Myocardial perfusion and function scans