Current and future applications of CT coronary calcium assessment

Christian Tesche; Taylor M. Duguay; U. Joseph Schoepf; Marly van Assen; Carlo N. De Cecco; Moritz H. Albrecht; Akos Varga-Szemes; Richard R. Bayer; Ullrich Ebersberger; John W. Nance; Christian Thilo

doi:10.1080/14779072.2018.1474347

Current and future applications of CT coronary calcium assessment

Christian Tesche, Taylor M. Duguay, U. Joseph Schoepf, Marly van Assen, Carlo N. De Cecco, Moritz H. Albrecht, Akos Varga-Szemes, Richard R. Bayer, Ullrich Ebersberger, John W. Nance, Christian Thilo

Houston Methodist

Research output: Contribution to journal › Review article › peer-review

10 Scopus citations

Abstract

Introduction: Computed tomographic (CT) coronary artery calcium scoring (CAC) has been validated as a well-established screening method for cardiovascular risk stratification and treatment management that is used in addition to traditional risk factors. The purpose of this review is to present an update on current and future applications of CAC. Areas covered: The topic of CAC is summarized from its introduction to current application with focus on the validation and clinical integration including cardiovascular risk prediction and outcome, cost-effectiveness, impact on downstream medical testing, and the technical advances in scanner and software technology that are shaping the future of CAC. Furthermore, this review aims to provide guidance for the appropriate clinical use of CAC. Expert commentary: CAC is a well-established screening test in preventive care that is underused in daily clinical practice. The widespread clinical implementation of CAC will be decided by future technical advances in CT image acquisition, cost-effectiveness, and reimbursement status.

Original language	English (US)
Pages (from-to)	441-453
Number of pages	13
Journal	Expert Review of Cardiovascular Therapy
Volume	16
Issue number	6
DOIs	https://doi.org/10.1080/14779072.2018.1474347
State	Published - Jun 3 2018

Keywords

Computed tomography
coronary artery calcium scoring
outcome
radiation dose
risk prediction

ASJC Scopus subject areas

Internal Medicine
Cardiology and Cardiovascular Medicine

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10.1080/14779072.2018.1474347

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title = "Current and future applications of CT coronary calcium assessment",

abstract = "Introduction: Computed tomographic (CT) coronary artery calcium scoring (CAC) has been validated as a well-established screening method for cardiovascular risk stratification and treatment management that is used in addition to traditional risk factors. The purpose of this review is to present an update on current and future applications of CAC. Areas covered: The topic of CAC is summarized from its introduction to current application with focus on the validation and clinical integration including cardiovascular risk prediction and outcome, cost-effectiveness, impact on downstream medical testing, and the technical advances in scanner and software technology that are shaping the future of CAC. Furthermore, this review aims to provide guidance for the appropriate clinical use of CAC. Expert commentary: CAC is a well-established screening test in preventive care that is underused in daily clinical practice. The widespread clinical implementation of CAC will be decided by future technical advances in CT image acquisition, cost-effectiveness, and reimbursement status.",

keywords = "Computed tomography, coronary artery calcium scoring, outcome, radiation dose, risk prediction",

author = "Christian Tesche and Duguay, {Taylor M.} and Schoepf, {U. Joseph} and {van Assen}, Marly and {De Cecco}, {Carlo N.} and Albrecht, {Moritz H.} and Akos Varga-Szemes and Bayer, {Richard R.} and Ullrich Ebersberger and Nance, {John W.} and Christian Thilo",

note = "Publisher Copyright: {\textcopyright} 2018 Informa UK Limited, trading as Taylor & Francis Group.",

year = "2018",

month = jun,

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doi = "10.1080/14779072.2018.1474347",

language = "English (US)",

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T1 - Current and future applications of CT coronary calcium assessment

AU - Tesche, Christian

AU - Duguay, Taylor M.

AU - Schoepf, U. Joseph

AU - van Assen, Marly

AU - De Cecco, Carlo N.

AU - Albrecht, Moritz H.

AU - Varga-Szemes, Akos

AU - Bayer, Richard R.

AU - Ebersberger, Ullrich

AU - Nance, John W.

AU - Thilo, Christian

PY - 2018/6/3

Y1 - 2018/6/3

N2 - Introduction: Computed tomographic (CT) coronary artery calcium scoring (CAC) has been validated as a well-established screening method for cardiovascular risk stratification and treatment management that is used in addition to traditional risk factors. The purpose of this review is to present an update on current and future applications of CAC. Areas covered: The topic of CAC is summarized from its introduction to current application with focus on the validation and clinical integration including cardiovascular risk prediction and outcome, cost-effectiveness, impact on downstream medical testing, and the technical advances in scanner and software technology that are shaping the future of CAC. Furthermore, this review aims to provide guidance for the appropriate clinical use of CAC. Expert commentary: CAC is a well-established screening test in preventive care that is underused in daily clinical practice. The widespread clinical implementation of CAC will be decided by future technical advances in CT image acquisition, cost-effectiveness, and reimbursement status.

AB - Introduction: Computed tomographic (CT) coronary artery calcium scoring (CAC) has been validated as a well-established screening method for cardiovascular risk stratification and treatment management that is used in addition to traditional risk factors. The purpose of this review is to present an update on current and future applications of CAC. Areas covered: The topic of CAC is summarized from its introduction to current application with focus on the validation and clinical integration including cardiovascular risk prediction and outcome, cost-effectiveness, impact on downstream medical testing, and the technical advances in scanner and software technology that are shaping the future of CAC. Furthermore, this review aims to provide guidance for the appropriate clinical use of CAC. Expert commentary: CAC is a well-established screening test in preventive care that is underused in daily clinical practice. The widespread clinical implementation of CAC will be decided by future technical advances in CT image acquisition, cost-effectiveness, and reimbursement status.

KW - Computed tomography

KW - coronary artery calcium scoring

KW - outcome

KW - radiation dose

KW - risk prediction

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Current and future applications of CT coronary calcium assessment

Abstract

Keywords

ASJC Scopus subject areas

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