Aim and Objective: The study aimed to estimate the relationship between Coronary Calcium
Scoring (CCS) and the presence of different degrees of obstructive coronary artery disease
(CAD) to avoid unnecessary examinations and hence unnecessary radiation exposure and contrast
Background: Coronary Calcium Scoring (CCS) is a test that uses x-ray equipment to produce pictures
of the coronary arteries to determine the degree of its narrowing by the build-up of calcified
plaques. Despite the lack of definitive data linking ionizing radiation with cancer, the American
Heart Association supports widely that practitioners of Computed tomography Coronary Angiography
(CTCA) should keep “patient radiation doses as low as reasonably achievable but consistent
with obtaining the desired medical information”.
Methods: Data obtained from 275 CTCA examinations were reviewed. Radiation effective doses
were estimated for both CCS and CTCA, and measures to keep them as low as possible were presented.
CCS and Framingham risk estimates were compared to obtain the final results of CTCA to
detect sensitivity and specificity of each one in detecting obstructive lesions.
Results: CCS is a strong discriminator for obstructive CAD with high sensitivity and specificity
and correlates well with the degree of obstruction even more than Framingham risk estimate,
which has high sensitivity and low specificity.
Conclusion: CCS helps to reduce the effective radiation dose if properly evaluated to skip unnecessary
CTCA if obstructive lesions are unlikely, and this as a test does not use contrast material, thus
harmful effect on the kidney will be avoided as most of the coronary atherosclerotic patients have