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Updated: Jun 6, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Advanced coronary artery calcification and cerebral small vessel diseases in the healthy elderly
Beom Joon Kim1, Seung-Hoon Lee, Chi Kyung Kim
1Department of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.
Insights
Coronary artery calcification (CAC) is linked to cerebral small vessel diseases (SVDs) like white matter lesions. This suggests shared underlying processes contribute to both heart and brain conditions.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Radiology
Background:
- Coronary artery calcification (CAC) scores predict coronary heart disease risk and link to atherosclerosis.
- Cerebral small vessel diseases (SVDs), including white matter lesions (WML), silent lacunar infarction (SLI), and cerebral microbleeds (CMB), are associated with pro-atherogenic conditions.
Purpose of the Study:
- To investigate the association between CAC scores and the presence of SVDs in the brain.
- To determine if CAC is an independent predictor of cerebral SVDs.
Main Methods:
- 312 individuals aged ≥65 years with health screening data and brain MRIs were analyzed.
- CAC scores were measured using multi-detector computed tomography.
- Cerebral SVDs (WML, SLI, CMB) were independently assessed by two blinded raters.
Main Results:
- The prevalence of CAC (CAC>0) was 71.7% in men and 50.0% in women.
- Moderate-to-extensive CAC (CAC score ≥100) was significantly associated with WML (aOR 4.99), SLI (aOR 5.04), and CMB (aOR 6.07) after adjusting for confounders.
Conclusions:
- Significant associations exist between CAC and cerebral SVDs.
- These findings suggest shared systemic pathogenic processes underlie both cerebral SVDs and CAC.
Background:
Coronary artery calcification (CAC) scores are widely accepted to predict risk of coronary heart diseases and are associated with atherosclerosis in other vasculatures. Cerebral small vessel diseases (SVDs), including white matter lesions (WML), silent lacunar infarction (SLI) and cerebral microbleeds (CMB), are considered to develop in conjunction with pro-atherogenic conditions, measured by CAC scores.
Methods And Results:
Of 672 individuals aged ≥65 years that underwent health screening, 312 subjects with brain magnetic resonance imagings (MRIs) were enrolled in this study. The distribution of baseline characteristics among individuals with or without MRIs was not different. Clinical and laboratory information was collected and CAC scores were measured using multi-detector computed tomography. Cerebral SVD were independently assessed by 2 raters who were unaware of the CAC scores. The prevalence of CAC (CAC>0) was 71.7% in men and 50.0% in women. The associations between moderate-to-extensive CAC (CAC score ≥100) and WML (adjusted odds ratio and 95% confidence interval, 4.99 and 1.33-18.73), SLI (5.04 and 1.86-13.63) and CMB (6.07 and 1.54-23.94) remained significant after adjusting for relevant confounders.
Conclusions:
This study documents significant associations between CAC and cerebral SVDs. The findings suggest that SVDs in the brain and CAC in the heart may develop under similar systemic pathogenic processes.
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