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Updated: Jul 19, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Role of computed tomography in risk assessment for coronary heart disease
Tarun K Mittal1, Mahmoud Barbir, Michael Rubens
1Department of Medical Imaging, Harefield Hospital, Royal Brompton & Harefield NHS Trust, Hill End Road, Middlesex UB9 6JH, UK. t.mittal@rbht.nhs.uk
Insights
Computed tomography (CT) can assess cardiovascular risk by imaging calcified plaque, a marker of atherosclerosis. This technology aids in identifying high-risk individuals for coronary heart disease, even those without symptoms.
Area of Science:
- Cardiology
- Radiology
- Preventive Medicine
Background:
- Coronary heart disease (CHD) is a leading cause of mortality globally.
- Cardiovascular diseases share common endpoints like myocardial infarction, stroke, and death.
- Early identification of high-risk individuals is crucial for effective intervention.
Purpose of the Study:
- To review the role of computed tomography (CT) in cardiovascular risk assessment.
- To evaluate CT's utility in identifying subclinical atherosclerosis.
- To discuss CT applications in both symptomatic and asymptomatic populations.
Main Methods:
- Review of studies utilizing electron beam CT and multislice CT.
- Focus on imaging of coronary artery calcified plaque as an atherosclerosis marker.
- Analysis of CT's contribution to risk stratification.
Main Results:
- Direct imaging of calcified plaque via CT is a studied method for detecting atherosclerosis.
- CT provides a direct marker for atherosclerotic disease.
- Risk assessment can be enhanced by incorporating CT findings.
Conclusions:
- Computed tomography is a valuable tool for assessing cardiovascular risk.
- CT enables direct visualization of coronary artery calcification.
- This imaging modality assists in identifying individuals at elevated risk for cardiovascular events.
Abstract:
Coronary heart disease is the most common cause of death in Western countries, with a rising incidence in developing countries. It is part of the spectrum of cardiovascular diseases that have common end points of myocardial infarction, stroke and death. As these end points often occur suddenly and often in those with no known disease, identification of those people at high risk is important. Besides the known traditional risk factors, direct imaging of the calcified plaque as a marker for atherosclerotic disease has been extensively studied with electron beam computed tomography and now with multislice computed tomography. This review discusses the role of computed tomography in assessment of cardiovascular risk in both people with or without symptoms.
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