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Updated: Aug 19, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
[Coronary artery calcification, diagnosis and treatment]
1Mitsui Memorial Hospital, Division of cardiology.
Insights
Coronary calcification, linked to atherosclerosis, is hard to treat. Current methods diagnose it, but no direct treatment exists, complicating interventions and surgery.
Area of Science:
- Cardiovascular Medicine
- Radiology
- Interventional Cardiology
Context:
- Coronary calcification is a significant marker of coronary atherosclerosis.
- Diagnosis relies on imaging techniques like coronary angiography, intravascular ultrasound, and CT scans.
- Calcified coronary arteries present therapeutic challenges.
Purpose:
- To review the relationship between coronary calcification and atherosclerosis.
- To outline current diagnostic modalities for coronary calcification.
- To discuss treatment difficulties and current limitations.
Summary:
- Coronary calcification demonstrates a linear correlation with coronary atherosclerosis.
- Diagnostic tools include traditional coronary angiography, intravascular ultrasound, electron beam CT, and multi-slice CT.
- Interventional procedures like rotablation and bypass surgery require specific considerations for calcified vessels, with no direct treatment for calcification currently available.
Impact:
- Highlights the diagnostic landscape of coronary calcification.
- Underscores the challenges in managing patients with calcified coronary arteries.
- Emphasizes the unmet need for direct therapeutic interventions for coronary calcification.
Abstract:
Coronary calcification has a linear correlation with coronary atherosclerosis. Diagnosis methods are traditional coronary angiography, intravascular ultrasound, electron beam CT and multi-slice CT. Treatment for patients with calcified coronary arteries are difficult. In intervention, rotablator should be performed. In bypass surgery, calcium should be avoided for grafts. Treatment for coronary calcification itself is not available at present.
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