Incidental Finding of Coronary and Non-Coronary Artery Calcium: What Do Clinicians Need To Know?

IF 5.2 2区医学 Q1 PERIPHERAL VASCULAR DISEASE

Current Atherosclerosis Reports Pub Date : 2025-07-12 DOI:10.1007/s11883-025-01318-7

Christian Haudenschild, Shyon Parsa, Fatima Rodriguez

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引用次数: 0

Abstract

Purpose of review: This review summarizes the role of incidentally and non-incidentally discovered coronary artery calcification (CAC) and the evolving role of non-coronary artery calcification in atherosclerotic cardiovascular disease (ASCVD) risk assessment. Additionally, this review explores the emerging use of artificial intelligence (AI), machine learning (ML), radiomics, and natural language processing (NLP) for automated detection, quantification, and communication of these incidentally discovered findings.

Recent findings: This review summarizes recent findings in the space, including the development of various AI/ML-based approaches for automated calcification quantification and detection. Recent work leverages the use of incidentally discovered CAC and non-coronary calcification (e.g. aortic valve, aortic arch, carotid artery, breast arterial calcification) and their influence on clinical decision-making and prescribing practices. CAC and various forms of non-coronary artery calcifications are increasingly recognized as powerful and additive predictors of ASCVD risk. Advances in AI, ML, and radiomics enable scalable, automated measurement of both incidental and non-incidental CAC and non-coronary calcifications, which will facilitate more precise, personalized ASCVD risk stratification.

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偶然发现的冠状动脉和非冠状动脉钙：临床医生需要知道什么？

综述目的：本文综述了偶然发现和非偶然发现的冠状动脉钙化（CAC）的作用，以及非冠状动脉钙化在动脉粥样硬化性心血管疾病（ASCVD）风险评估中的作用。此外，本文还探讨了人工智能（AI）、机器学习（ML）、放射组学和自然语言处理（NLP）在这些偶然发现的发现的自动检测、量化和交流方面的新兴应用。最新发现：本综述总结了该领域的最新发现，包括各种基于AI/ ml的自动钙化量化和检测方法的发展。最近的研究利用偶然发现的CAC和非冠状动脉钙化（如主动脉瓣、主动脉弓、颈动脉、乳腺动脉钙化）及其对临床决策和处方实践的影响。CAC和各种形式的非冠状动脉钙化越来越被认为是ASCVD风险的有力预测因素。人工智能、机器学习和放射组学的进步使偶发和非偶发CAC和非冠状动脉钙化的可扩展、自动化测量成为可能，这将促进更精确、个性化的ASCVD风险分层。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Atherosclerosis Reports 医学-

CiteScore

9.00

自引率

3.40%

发文量

审稿时长

6-12 weeks

期刊介绍： The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.