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Calcium scoring: a personalized probability assessment predicts the need for additional or alternative testing to coronary CT angiography.

Judit SimonLili SzárazBálint SzilveszterAlexisz PanajotuÁdám JermendyAndrea BartykowszkiMelinda BoussoussouBorbála VattayZsófia Dóra DrobniBéla MerkelyPál Maurovich-HorvatMarton Kolossvary
Published in: European radiology (2020)
• Anthropometric parameters on their own are insufficient predictors of downstream testing. Adding parameters of the Diamond and Forrester pre-test likelihood test significantly increases the power of prediction. • Total CACS is the most important independent predictor to identify patients in whom coronary CTA may not be recommended as CTA does not lead to a final decision regarding CAD management. • We determined specific CACS cutoff values based on the probability of downstream testing by angina-, arrhythmia-, and heart rate-based groups of patients to help individualize patient management.
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