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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
The role of electron beam computed tomography for measuring coronary artery atherosclerosis
1Department of Medicine, Section of Diabetes and Metabolism (MC 797), University of Illinois, 1819 W Polk Street, Chicago, IL 60612, USA. tmazzone@uic.edu
Insights
Coronary artery calcium scoring offers valuable cardiac event prediction. Further research is needed to confirm if it surpasses traditional risk factors for routine patient evaluation.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Coronary artery calcium (CAC) scoring is recognized for predicting future cardiac events.
- The incremental value of CAC scoring over established risk factors requires further investigation.
Purpose of the Study:
- To evaluate the predictive significance of coronary artery calcium scoring for cardiac events.
- To determine if CAC scoring provides information significantly greater than traditional risk factors.
Main Methods:
- Analysis of established cardiovascular risk factors.
- Measurement of coronary artery calcium using electron beam computed tomography (EBCT).
Main Results:
- CAC scoring provides significant information for predicting cardiac events.
- The added benefit of CAC scoring compared to established risk factors is not yet fully resolved.
Conclusions:
- Electron beam computed tomography for routine patient evaluation is currently not fully justified.
- Coronary artery calcium measurement is valuable in specific clinical scenarios and as a research tool for stable coronary artery disease.
Abstract:
It is generally agreed that the coronary artery calcium score provides significant information for the prediction of future cardiac events. However, additional information is needed to determine whether or not this information is significantly greater than that available from the analysis of established risk factors. Until this is resolved, it is unlikely that electron beam computed tomography can be justified for routine evaluation of patients. However, measurement of coronary artery calcium may be valuable in selected clinical situations, and has potential as a research tool for studying the pathogenesis or treatment of stable coronary artery disease.
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