2016 SCCT/STR guidelines for coronary artery calcium scoring of noncontrast noncardiac chest CT scans: a report of the Society of Cardiovascular Computed Tomography and Society of Thoracic Radiology
Abstract
The Society of Cardiovascular Computed Tomography (SCCT) and the Society of Thoracic Radiology (STR) have jointly produced this document. Experts in this subject have been selected from both organizations to examine subject-specific data and write this guideline in partnership. A formal literature review, weighing the strength of evidence has been performed. When available, information from studies on cost was considered. Computed tomography (CT) acquisition, CAC scoring methodologies and clinical outcomes are the primary basis for the recommendations in this guideline. This guideline is intended to assist healthcare providers in clinical decision making. The recommendations reflect a consensus after a thorough review of the best available current scientific evidence and practice patterns of experts in the field and are intended to improve patient care while acknowledging that situations arise where additional information may be needed to better inform patient care.
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All coronary lesions were interpreted following the 2016 SCCT guidelines for their location, stenosis grade, composition (calcified, mixed, and non-calcified) as well as their vulnerability (positive remodeling, low-attenuation plaque, spotty calcification, and the napkin-ring sign).
“All coronary lesions were interpreted following the 2016 SCCT guidelines for their location, stenosis grade, composition (calcified, mixed, and non-calcified) as well as their vulnerability (positive remodeling, low-attenuation plaque, spotty calcification, and the napkin-ring sign).12,13”
From Lifelong endurance exercise and its relation with coronary atherosclerosis (2023) · cites this paper as [13]
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Coronary Artery Calcium Scoring
Blaha, M. J., Mortensen, M. B., Kianoush, S., Tota-Maharaj, R., & Cainzos-Achirica, M. (2017) · JACC: Cardiovascular Imaging · doi:10.1016/j.jcmg.2017.05.007 · Cited by 276 · see citing works
Self-citation2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia
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Lifelong endurance exercise and its relation with coronary atherosclerosis
De Bosscher, R., Dausin, C., Claus, P., Bogaert, J., Dymarkowski, S., Goetschalckx, K., Ghekiere, O., Van De Heyning, C. M., Van Herck, P., Paelinck, B., et al. (2023) · European Heart Journal · doi:10.1093/eurheartj/ehad152 · Cited by 140 · see citing works
“All coronary lesions were interpreted following the 2016 SCCT guidelines for their location, stenosis grade, composition (calcified, mixed, and non-calcified) as well as their vulnerability (positive remodeling, low-attenuation plaque, spotty calcification, and the napkin-ring sign).(12,13) A density of >130 HU define…”
MethodWriting Committee Members, Blumenthal, R. S., Morris, P. B., Gaudino, M., Johnson, H. M., Anderson, T. S., Bittner, V. A., Blankstein, R., Brewer, L. C., Cho, L., et al. (2026) · Circulation · doi:10.1161/cir.0000000000001423 · Cited by 122 · see citing works
Foraker, R., Sperling, L., Bratzke, L., Budoff, M., Leppert, M., Razavi, A. C., Rodriguez, F., Shapiro, M. D., Whelton, S., Wong, N. D., et al. (2025) · Circulation · doi:10.1161/cir.0000000000001382 · Cited by 44 · see citing works
Self-citationGarg, P. K., Jorgensen, N. W., McClelland, R. L., Leigh, J. A., Greenland, P., Blaha, M. J., Yoon, A. J., Wong, N. D., Yeboah, J., & Budoff, M. J. (2018) · Journal of Cardiovascular Computed Tomography · doi:10.1016/j.jcct.2018.10.001 · Cited by 26 · see citing works
Self-citationMeasurement and Application of Incidentally Detected Coronary Calcium
Parsa, S., Saleh, A., Raygor, V., Hoeting, N., Rao, A., Navar, A. M., Rohatgi, A., Kay, F., Abbara, S., Khera, A., et al. (2024) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2024.01.039 · Cited by 23 · see citing works
Self-citation
- Authors
- Hecht, H. S., Cronin, P., Blaha, M. J., Budoff, M. J., Kazerooni, E. A., Narula, J., Yankelevitz, D., & Abbara, S.
- Affiliations
- Michigan Medicine (US)
- Johns Hopkins Medicine (US)
- Harbor–UCLA Medical Center (US)
- Icahn School of Medicine at Mount Sinai (US)
- Mount Sinai Hospital (US)
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Abbara, Suhny
- ORCID
- Venue
- Journal of Cardiovascular Computed Tomography
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 11
- Issue
- 1
- Pages
- 74-84
- ISSN
- 1876-861X (ISSN-L)
- 1934-5925
- OpenAlex
- W2550578523
- Cited by
- 492
- References
- 7
- Citations by year
- 2026: 55 · 2025: 66 · 2024: 50 · 2023: 68 · 2022: 64 · 2021: 69 · 2020: 45 · 2019: 32 · 2018: 26 · 2017: 16
- FWCI
- 21.41
- Type
- journal article
- Language
- en
- Update notices
- erratum (2017-03-01)
- Open access
- closed
- Locations
- Journal of cardiovascular computed tomography (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiation Dose and Imaging
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Keywords
- coronary artery calcium scoring, CT acquisition parameters, clinical outcomes, cardiovascular risk stratification, clinical decision-making
- MeSH terms
- Adult, Aged, Coronary Artery Disease, Humans, Middle Aged, Predictive Value of Tests, Prognosis, Risk Factors, Severity of Illness Index, Radiography, Thoracic, Tomography, X-Ray Computed, Reproducibility of Results, Risk Assessment, Consensus, Incidental Findings, Vascular Calcification
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