Evidence map›Paper›PMID 41137846›Full record

Observational studyJACC. Cardiovascular imaging2026

Indexed Aortic Valve Calcium Volume by Computed Tomography Angiography in Patients With Aortic Stenosis: Results of an International Multicenter Cohort Study.

Jolien Geers, Neil Craig, Kajetan Grodecki, Maria Lembo, Shruti S Joshi, Trisha Singh, Rong Bing, Jacek Kwieciński, Lorenzo Carnevale, Dorien Kimenai and 36 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in JACC. Cardiovascular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Continuous-wave Doppler interrogation in valvular heart disease: pearls and pitfalls.European heart journal. Imaging methods and practice · 2026
    Review
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

46 authors.

Jolien GeersBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom; Departments of Biomedical Sciences and Medicine, Cedars-Sinai Medical Center, Biomedical Imaging Research Institute, Los Angeles, California, USA; Department of Cardiology, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Neil CraigBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Kajetan GrodeckiDepartments of Biomedical Sciences and Medicine, Cedars-Sinai Medical Center, Biomedical Imaging Research Institute, Los Angeles, California, USA; 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Maria LemboDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
Shruti S JoshiBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Trisha SinghBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Rong BingBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Jacek KwiecińskiDepartment of Interventional Cardiology and Angiology, Institute of Cardiology, Warsaw, Poland.
Lorenzo CarnevaleDepartment of AngioCardioNeurology and Translational Medicine, IRCCS Neuromed, Pozzilli, Italy.
Dorien KimenaiBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Soongu KwakDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Seung-Pyo LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Kush PatelBarts Health NHS Trust and University College London, London, United Kingdom.
Thomas TreibelBarts Health NHS Trust and University College London, London, United Kingdom.
Aroa Ruiz MuñozDepartment of Cardiology, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain; Cardiovascular Diseases, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain; Department of Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Jose F Rodriguez PalomaresDepartment of Cardiology, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain; Cardiovascular Diseases, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain; Department of Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain; CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain.
Jae-Kwan SongDivision of Cardiology, Asan Medical Center Heart Institute, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Marie-Annick ClavelInstitut Universitaire de Cardiologie et de Pneumologie de Québec/Québec Heart and Lung Institute, Université Laval, Québec City, Québec, Canada.
Pamela PiñaCardiology Division, Montefiore Healthcare Network/Albert Einstein College of Medicine, New York, New York, USA.
Daniel LorenzattiCardiology Division, Montefiore Healthcare Network/Albert Einstein College of Medicine, New York, New York, USA.
Azeem LatibCardiology Division, Montefiore Healthcare Network/Albert Einstein College of Medicine, New York, New York, USA.
Leandro SlipczukCardiology Division, Montefiore Healthcare Network/Albert Einstein College of Medicine, New York, New York, USA.
Ronak RajaniDepartment of Cardiology and Cardiac Surgery, Guy's and St Thomas' Hospitals NHS Foundation Trust, London, United Kingdom.
Vitaliy AndroshchukDepartment of Cardiology and Cardiac Surgery, Guy's and St Thomas' Hospitals NHS Foundation Trust, London, United Kingdom.
Julia Niemierko2nd Department of Radiology, Medical University of Gdansk, Gdansk, Poland.
Marek Grygier12th Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.
Andrzej WalczakDepartment of Cardiac Surgery, Medical University of Lodz, Lodz, Poland.
Dariusz JagielakDepartment of Cardiac Surgery, Medical University of Gdansk, Gdansk, Poland.
Marcin ProtasiewiczDepartment of Cardiology, Wroclaw Medical University, Wroclaw, Poland.
Wojciech WojakowskiDivision of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Janusz Kochman1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Zenon Huczek1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Nils Sofus Borg MogensenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Jordi Sanchez DahlDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Vivek PatelCedars-Sinai Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Tulika GargCedars-Sinai Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Hasan JilaihawiCedars-Sinai Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Raj MakkarCedars-Sinai Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Steven DroogmansDepartment of Cardiology, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Bernard CosynsDepartment of Cardiology, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Piotr SlomkaDepartments of Biomedical Sciences and Medicine, Cedars-Sinai Medical Center, Biomedical Imaging Research Institute, Los Angeles, California, USA.
Michelle C WilliamsBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
David E NewbyBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Damini DeyDepartments of Biomedical Sciences and Medicine, Cedars-Sinai Medical Center, Biomedical Imaging Research Institute, Los Angeles, California, USA.
Marc R DweckBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom. Electronic address: marc.dweck@ed.ac.uk.
Contrast Aortic Stenosis Study Investigators

Funding

Integrated prediction of cardiovascular events by automated coronary plaque and pericoronary adipose tissue quantification from CT AngiographyR01HL148787 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI DEY, DAMINI · 2020 to 2023
$3.0M
AI-enabled characterization of fibrocalcific aortic valve disease and inflammation from CT Angiography: Patient-specific outcome predictionR01HL175875 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI Damini Dey · 2024 to 2026
$2.4M
NHLBI NIH HHS R01 HL148787NHLBI NIH HHS R01 HL175875
6 · The paper itself

Abstract

backgroundCalcium scoring from noncontrast computed tomography (CT) is used clinically to adjudicate aortic stenosis severity in patients with discordant echocardiography.

objectivesThe aim of this study was to investigate whether quantification of aortic valve calcium volume from computed tomography angiography (CTA) can provide robust diagnostic discrimination of disease severity and inform risk stratification of patients with aortic stenosis.

methodsPatients with mild to severe aortic stenosis who underwent concurrent CTA and echocardiography were included in a retrospective international multicenter observational cohort study. Accuracy of aortic valve calcium volume to diagnose severe aortic stenosis in patients with concordant disease on echocardiography was assessed. Association of aortic valve calcium volume with the incidence of aortic valve replacement or all-cause death was investigated.

resultsThe study included 1,521 patients (mean age: 74 ± 10 years; 44% female; median peak aortic jet velocity: 3.8 m/s [Q1-Q3: 3.1-4.5 m/s]). Indexed aortic valve calcium volume correlated with peak aortic jet velocity (ρ = 0.723; P < 0.001) and noncontrast CT calcium score (ρ = 0.896; P < 0.001). In the derivation cohort (n = 689), sex-specific thresholds for indexed calcium volume (men: 122 mm

conclusionsIn patients with aortic stenosis, indexed aortic valve calcium volume from CTA provides accurate discrimination of disease severity and additive prognostic information. This technique can be easily applied to patients undergoing CTA for transcatheter aortic valve replacement or coronary artery evaluation without the need for a separate noncontrast CT scan.

Indexed as

Aortic ValveAortic Valve StenosisCalcinosisComputed Tomography AngiographyMultidetector Computed TomographyAgedAged, 80 and overFemaleHeart Valve Prosthesis ImplantationHumansMaleMiddle AgedPredictive Value of TestsPrognosisReproducibility of ResultsRetrospective Studiesaortic valve calcium scoreaortic valve stenosiscomputed tomography angiographyprognosis

Identifiers

PMID41137846
PMCPMC13132100

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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.