Visual coronary calcium scoring to support opportunistic CAD screening: comparative evaluation of three established systems and introduction of a novel scoring system
Different visual scoring offers excellent reproducibility and diagnostic accuracy for CAC classification, with strong correlation to the Agatston score. The newly-derived WES score could be useful in providing a practical balance regarding volumetric information (CAC densitiy) and anatomical distribution of CAC. These findings support the implementation of structured visual CAC scoring in clinical and opportunistic CT settings.
Authors
- Rafael Adolf (ORCID: https://orcid.org/0000-0002-8456-7164)
- Philipp Nicol
- Adnan Kastrati
- Leif-Christopher Engel
- Martin Hadamitzky
- Michael Joner
- Heribert Schunkert
- Salvatore Cassese
Institutions
- Deutsches Herzzentrum München (DE)
Publication Details
- Journal
- IJC Heart & Vasculature
- Published
- 2026-01-19
- DOI
- https://doi.org/10.1016/j.ijcha.2026.101875
- Primary Topic
- Cardiac Imaging and Diagnostics
- Type
- article
- Field-Weighted Citation Impact
- 0.00