4.5 Article

Coronary Artery Calcium Scoring: Current Status and Future Directions

期刊

RADIOGRAPHICS
卷 42, 期 4, 页码 947-967

出版社

RADIOLOGICAL SOC NORTH AMERICA (RSNA)
DOI: 10.1148/rg.210122

关键词

-

向作者/读者索取更多资源

Coronary artery calcium (CAC) scores obtained from CT scans have been proven to predict the risk of cardiovascular diseases and disease-specific mortality. However, there are challenges associated with the acquisition, calculation, and interpretation of this score. Current research focuses on improving scoring methods and image acquisition strategies.
Coronary artery calcium (CAC) scores obtained from CT scans have been shown to be prognostic in assessment of the risk for development of cardiovascular diseases, facilitating the prediction of outcome in asymptomatic individuals. Currently, several methods to calculate the CAC score exist, and each has its own set of advantages and disadvantages. Agatston CAC scoring is the most extensively used method. CAC scoring is currently recommended for use in asymptomatic individuals to predict the risk of developing cardiovascular diseases and the disease-specific mortality. In specific subsets of patients, the CAC score has also been recommended for reclassifying cardiovascular risk and aiding in decision making when planning primary prevention interventions such as statin therapy. The progression of CAC scores on follow-up images has been shown to be linked to risk of myocardial infarction and cardiovascular mortality. While the CAC score is a validated tool used clinically, several challenges, including various pitfalls associated with the acquisition, calculation, and interpretation of the score, prevent more widespread adoption of this metric. Recent research has been focused extensively on strategies to improve existing scoring methods, including measuring calcium attenuation, detecting microcalcifications, and focusing on extracoronary calcifications, and on strategies to improve image acquisition. A better understanding of CAC scoring approaches will help radiologists and other physicians better use and interpret these scores in their workflows. (C) RSNA, 2022

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据