Sandfort V, Bluemke D A
Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Diagn Interv Imaging. 2017 Jan;98(1):3-10. doi: 10.1016/j.diii.2016.06.007. Epub 2016 Aug 5.
Cardiovascular risk assessment has assumed a prominent role in the course of preventive care of all adults. Traditionally cardiovascular risk assessment has been performed using risk factors including gender, age, smoking history, lipid status, diabetes status, and family history. Increasingly, imaging has been deployed to directly detect coronary atherosclerotic disease. Quantification of coronary calcium (e.g., Agatston method, calcium mass and volume) is readily detected using helical CT scanners. Large multicenter cohort studies have enabled a better understanding of the relevance of coronary calcium detection. The purpose of this review is to review the methods for quantification of coronary artery calcium, as well as to present current and future perspectives on calcium scoring for cardiovascular risk stratification.
心血管风险评估在所有成年人的预防保健过程中发挥着重要作用。传统上，心血管风险评估是通过包括性别、年龄、吸烟史、血脂状况、糖尿病状况和家族史等风险因素来进行的。越来越多地，影像学已被用于直接检测冠状动脉粥样硬化疾病。使用螺旋CT扫描仪可以很容易地检测冠状动脉钙化的量化指标（如阿加斯顿方法、钙质量和体积）。大型多中心队列研究有助于更好地理解冠状动脉钙化检测的相关性。本综述的目的是回顾冠状动脉钙化的量化方法，以及介绍心血管风险分层中钙化评分的当前和未来观点。
