| Literature DB >> 29734858 |
Christian Tesche1,2, Taylor M Duguay1, U Joseph Schoepf1,3, Marly van Assen1,4, Carlo N De Cecco1, Moritz H Albrecht1,5, Akos Varga-Szemes1, Richard R Bayer1,3, Ullrich Ebersberger1,2, John W Nance1, Christian Thilo6.
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
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Year: 2018 PMID： 29734858 DOI： 10.1080/14779072.2018.1474347
Source DB: PubMed Journal: Expert Rev Cardiovasc Ther ISSN： 1477-9072