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Updated: Dec 12, 2025

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
The Vulnerable Plaque: Recent Advances in Computed Tomography Imaging to Identify the Vulnerable Patient
Faheemullah Beg1, Hasan Rehman1, Mouaz H Al-Mallah2
1Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, 6550 Fannin Street, Suite 1801, Houston, TX, 77030, USA.
Purpose Of Review:
This review aims to summarize the role of coronary computed tomography plaque analysis in identifying high-risk patients and plaques.
Recent Findings:
In this review, we will describe the histopathological features of a vulnerable plaque as well as the coronary computed tomography characteristics including spotty calcification, low-attenuation fatty core, positive remodeling, and thin fibrous cap. We will also review several studies that assessed features of a vulnerable plaque on non-invasive imaging and evaluated them as risk predictors of future acute coronary events. Multiple recent studies suggested that coronary computed tomography angiography can accurately identify high-risk features of plaque that will predict future events.
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