Measurement and Application of Incidentally Detected Coronary Calcium: JACC Review Topic of the Week
- PMID: 38631775
- DOI: 10.1016/j.jacc.2024.01.039
Measurement and Application of Incidentally Detected Coronary Calcium: JACC Review Topic of the Week
Abstract
Coronary artery calcium (CAC) scoring is a powerful tool for atherosclerotic cardiovascular disease risk stratification. The nongated, noncontrast chest computed tomography scan (NCCT) has emerged as a source of CAC characterization with tremendous potential due to the high volume of NCCT scans. Application of incidental CAC characterization from NCCT has raised questions around score accuracy, standardization of methodology including the possibility of deep learning to automate the process, and the risk stratification potential of an NCCT-derived score. In this review, the authors aim to summarize the role of NCCT-derived CAC in preventive cardiovascular health today as well as explore future avenues for eventual clinical applicability in specific patient populations and broader health systems.
Keywords: cardiovascular imaging; coronary artery calcium; heart disease; patient-centered care pathways; personalized medicine; preventive health.
Copyright © 2024 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Conflict of interest statement
Funding Support and Author Disclosures Dr Joshi has received grant support from Novartis, Novo Nordisk, Kaneka, and Amgen; has received consulting fees from Novartis; and has received equity in G3 Therapeutics. Dr Rao has received grant support from Quest; and has received consulting fees from CSL, Raydel, Johnson and Johnson, JP Morgan, and Quest. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
Similar articles
-
Incidental Coronary Artery Calcium: Opportunistic Screening of Previous Nongated Chest Computed Tomography Scans to Improve Statin Rates (NOTIFY-1 Project).Circulation. 2023 Feb 28;147(9):703-714. doi: 10.1161/CIRCULATIONAHA.122.062746. Epub 2022 Nov 7. Circulation. 2023. PMID: 36342823 Free PMC article. Clinical Trial.
-
Comparison of Nongated Chest CT and Dedicated Calcium Scoring CT for Coronary Calcium Quantification Using a 256-Dector Row CT Scanner.Acad Radiol. 2019 Oct;26(10):e267-e274. doi: 10.1016/j.acra.2018.12.005. Epub 2019 Jan 23. Acad Radiol. 2019. PMID: 30685312
-
Association between coronary artery calcium score on non-contrast chest computed tomography and all-cause mortality among patients with congestive heart failure.Heart Vessels. 2022 Feb;37(2):262-272. doi: 10.1007/s00380-021-01906-y. Epub 2021 Jul 22. Heart Vessels. 2022. PMID: 34292390
-
Computed Tomography for Coronary Artery Calcification Scoring: Mammogram for the Heart.Prog Cardiovasc Dis. 2016 Mar-Apr;58(5):529-36. doi: 10.1016/j.pcad.2016.01.007. Epub 2016 Feb 15. Prog Cardiovasc Dis. 2016. PMID: 26892393 Review.
-
Expert review on coronary calcium.Vasc Health Risk Manag. 2008;4(2):315-24. doi: 10.2147/vhrm.s1160. Vasc Health Risk Manag. 2008. PMID: 18561507 Free PMC article. Review.
Cited by
-
Artificial Intelligence in Ischemic Heart Disease Prevention.Curr Cardiol Rep. 2025 Feb 1;27(1):44. doi: 10.1007/s11886-025-02203-0. Curr Cardiol Rep. 2025. PMID: 39891819 Review.
-
Incidental Finding of Coronary and Non-Coronary Artery Calcium: What Do Clinicians Need To Know?Curr Atheroscler Rep. 2025 Jul 12;27(1):71. doi: 10.1007/s11883-025-01318-7. Curr Atheroscler Rep. 2025. PMID: 40650862 Review.
-
Predictive value of tibial and coronary artery calcification scores for cardiac and lower extremity events.J Vasc Surg. 2025 Aug;82(2):591-598.e2. doi: 10.1016/j.jvs.2025.03.196. Epub 2025 Mar 28. J Vasc Surg. 2025. PMID: 40158754
-
Artificial Intelligence in Cardiovascular Disease Prevention: Is it Ready for Prime Time?Curr Atheroscler Rep. 2024 Jul;26(7):263-272. doi: 10.1007/s11883-024-01210-w. Epub 2024 May 23. Curr Atheroscler Rep. 2024. PMID: 38780665 Free PMC article. Review.
-
A missed opportunity: Incidental coronary artery calcification prior to acute coronary syndrome.Int J Cardiol Heart Vasc. 2025 Jun 3;59:101713. doi: 10.1016/j.ijcha.2025.101713. eCollection 2025 Aug. Int J Cardiol Heart Vasc. 2025. PMID: 40521050 Free PMC article. No abstract available.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical