ArticleJournal of thoracic disease2020
Coronary artery calcium scoring on non-gated, non-contrast chest computed tomography (CT) using wide-detector, high-pitch and fast gantry rotation: comparison with dedicated calcium scoring CT.
Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 34 citations in OpenAlex.
- Quantifying the impact of slice thickness on cardiovascular risk stratification in lung cancer screening: a multi-center "RESCUE" study.Quantitative imaging in medicine and surgery · 2026Article
- Impact of scanning parameters on deep learning coronary artery calcium scoring in non‑gated chest CT.BMC medical imaging · 2026Article
- Early detection of cardiovascular disease in chest population screening: challenges for a rapidly emerging cardiac CT application.The British journal of radiology · 2025Review
- Advances in Artificial Intelligence for Non-ECG-Gated Coronary Artery Calcium Scoring: A Scoping Review.Cureus · 2025Review
- Incidental Finding of Coronary and Non-Coronary Artery Calcium: What Do Clinicians Need To Know?Current atherosclerosis reports · 2025Review
- Quantification of abdominal aortic calcification using photon-counting CT angiography: an imaging biomarker for high-risk cardiovascular patients.La Radiologia medica · 2025Article
- Comparison of chest computed tomography in Turbo FLASH mode with conventional mode for coronary artery disease screening: radiation dose, image quality, and calcium scoring performance.Quantitative imaging in medicine and surgery · 2025Article
- Updates on CAD risk assessment: using the coronary artery calcium score in combination with traditional risk factors.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025Review
- The role of coronary artery calcium scoring in the prediction of coronary artery disease based on non-contrast non-cardiac chest CT scans in airline pilots.Frontiers in cardiovascular medicine · 2025Article
- Lesion-specific coronary artery calcium score to predict stent underexpansion.Frontiers in cardiovascular medicine · 2025Article
- Longitudinal anemia status and risk for adverse outcomes in former smokers with COPD.Respiratory research · 2024Article
- Thoracic versus coronary calcification for atherosclerotic cardiovascular disease events prediction.Heart (British Cardiac Society) · 2024Article
- Feasibility and limitations of deep learning-based coronary calcium scoring in PET-CT: a comparison with coronary calcium score CT.European radiology · 2024Article
- Calcium score of the entire thoracic aorta is an independent predictor of all-cause mortality in patients referred to chest computed tomography.The international journal of cardiovascular imaging · 2024Article
- Low-dose, high-pitch, spiral (FLASH) mode versus conventional sequential method for coronary artery calcium scoring: A derivation-validation study.Journal of cardiovascular and thoracic research · 2024Article
- Computed Tomography-Based Coronary Artery Calcium Score Calculation at a Reduced Tube Voltage Utilizing Iterative Reconstruction and Threshold Modification Techniques: A Feasibility Study.Diagnostics (Basel, Switzerland) · 2023Article
- Predictive Value of Deep Learning-derived CT Pectoralis Muscle and Adipose Measurements for Incident Heart Failure: Multi-Ethnic Study of Atherosclerosis.Radiology. Cardiothoracic imaging · 2023Article
- Association of Coronary Artery Calcium Detected by Routine Ungated CT Imaging With Cardiovascular Outcomes.Journal of the American College of Cardiology · 2023Article
- Coronary artery calcification as a predictor of adverse outcomes in patients hospitalized with COVID-19.American heart journal plus : cardiology research and practice · 2023Article
- Urine and Plasma Markers of Platelet Activation and Respiratory Symptoms in COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOur study assessed the reliability of non-gated, non-contrast chest computed tomography (NCCT) (with high pitch, wide coverage, and fast gantry rotation time, reconstructed at various slice thicknesses), compared with the electrocardiography (ECG)-gated calcium scoring cardiac computed tomography (CaCT), for quantifying coronary artery calcification (CAC).
methodsPatients aged ≥50 years who required clinical NCCT were prospectively enrolled. All CT scans were performed with 256-detector rows; z-axis coverage, 8 cm; pitch, 1.5; and gantry rotation time, 280 ms (table feed, 42.86 cm/s). NCCT was followed by ECG-gated CaCT. The NCCT images were reconstructed at 0.625-, 1.25-, and 2.5-mm slice intervals. The CAC score was calculated on four sets of CT images with a commercially available software using the Agatston method. The CAC scores were divided into four standard Agatston scoring categories (Agatston scores: 0, 1-100, 101-400, and >400). The inter-observer and inter-technique agreements were evaluated for the CAC scores.
resultsTwenty-six patients (M:F, 14:12; mean age, 66.04±6.97 years) were evaluated. Agatston scores showed near-perfect correlation between CaCT and NCCT for each slice thickness. On Bland-Altman analysis, the mean differences of Agatston scores between CaCT and NCCT (slice thicknesses: 0.625, 1.25, and 2.5 mm) were 37.54, 6.67, and -41.04, respectively. Inter-technique concordance was high for the four Agatston scoring categories with linear-weighted kappa values of 0.599, 0.609, and 0.597 for NCCT (slice thicknesses: 0.625, 1.25, and 2.5 mm, respectively). NCCT with 1.25-mm slice thickness showed the strongest correlation with CaCT.
conclusionsCAC quantification with NCCT using a wide detector, high pitch, and high temporal resolution scanning modes correlates very highly with ECG-gated CaCT, and 1.25-mm slice thickness NCCT images are more reliable than other NCCT images.
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