Evidence map›Paper›PMID 33053316›Full record

ArticleThe British journal of radiology2021

Reporting incidental coronary, aortic valve and cardiac calcification on non-gated thoracic computed tomography, a consensus statement from the BSCI/BSCCT and BSTI.

Michelle Claire Williams, Ausami Abbas, Erica Tirr, Shirjel Alam, Edward Nicol, James Shambrook, Matthias Schmitt, Gareth Morgan Hughes, James Stirrup, Ben Holloway and 9 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Methods to assess atherosclerotic cardiovascular risk in chronic respiratory diseases: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
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  4. Review
  5. Observational
  6. Dyslipidaemias in cancer patients.European heart journal · 2026
    Review
  7. Observational
  8. Article
  9. Article
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  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 13 institutions in 1 country.

Michelle Claire WilliamsUniversity of Edinburgh/British Heart Foundation Centre for Cardiovascular Science, Edinburgh, UK.ORCID https://orcid.org/0000-0003-3556-2428
Ausami AbbasUniversity Hospital Southampton, Southampton, UK.
Erica TirrManchester University NHS Foundation Trust, Manchester, UK.
Shirjel AlamManchester University NHS Foundation Trust, Manchester, UK.
Edward NicolDepartments of Cardiology and Radiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
James ShambrookUniversity Hospital Southampton, Southampton, UK.
Matthias SchmittManchester University NHS Foundation Trust, Manchester, UK.
Gareth Morgan HughesPlymouth Hospitals NHS Trust, Derriford Road, Plymouth, UK.
James StirrupRoyal Berkshire Hospital NHS Foundation Trust, Craven Road, Reading, UK.
Ben HollowayQueen Elizabeth Hospital, Birmingham, UK.
Deepa GopalanImperial College London & Cambridge University Hospital, Cambridge, UK.
Aparna DeshpandeGlenfield Hospital, University Hospitals of Leicester, Leicester, UK.
Jonathan Weir-McCallUniversity of Cambridge School of Clinical Medicine, Cambridge, UK.
Bobby AgrawalRoyal Papworth Hospital NHS Foundation Trust, Cambridge, UK.
Jonathan C L RodriguesRoyal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Adrian J B BradyGlasgow Royal Infirmary, 16 Alexandra Parade, Glasgow, UK.
Giles RoditiGlasgow Royal Infirmary, 16 Alexandra Parade, Glasgow, UK.
Graham RobinsonRoyal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Russell BullRoyal Bournemouth Hospital, Castle Lane East, Bournemouth, UK.
Manchester University NHS Foundation Trust · GBGlasgow Royal Infirmary · GBRoyal Berkshire Hospital · GBRoyal United Hospital Bath NHS Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBGlenfield Hospital · GBPapworth Hospital NHS Foundation Trust · GBPlymouth Hospital · GBQueen Elizabeth Hospital Birmingham · GBRoyal Bournemouth Hospital · GBRoyal Brompton & Harefield NHS Foundation Trust · GBUniversity College Hospital · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incidental coronary and cardiac calcification are frequent findings on non-gated thoracic CT. We recommend that the heart is reviewed on all CT scans where it is visualised. Coronary artery calcification is a marker of coronary artery disease and it is associated with an adverse prognosis on dedicated cardiac imaging and on non-gated thoracic CT performed for non-cardiac indications, both with and without contrast. We recommend that coronary artery calcification is reported on all non-gated thoracic CT using a simple patient-based score (none, mild, moderate, severe). Furthermore, we recommend that reports include recommendations for subsequent management, namely the assessment of modifiable cardiovascular risk factors and, if the patient has chest pain, assessment as per standard guidelines. In most cases, this will not necessitate additional investigations. Incidental aortic valve calcification may also be identified on non-gated thoracic CT and should be reported, along with ancillary findings such as aortic root dilation. Calcification may occur in other parts of the heart including mitral valve/annulus, pericardium and myocardium, but in many cases these are an incidental finding without clinical significance.

Indexed as

Incidental FindingsAortic ValveAortic Valve StenosisCalcinosisCoronary Artery DiseaseHeartHumansSocieties, MedicalTomography, X-Ray ComputedUnited KingdomVascular Calcification

Identifiers

PMID33053316
PMCPMC7774698
OpenAlexW3092735361

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.