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. 2019 Nov 18;14(3):154–163. doi: 10.15420/icr.2019.19.R1

Table 1: Comparisons of Imaging Techniques in for the Detection of Coronary Calcium.

Technique Advantages Disadvantages
Coronary CT
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  • Non-invasive technique

  • Calcium score in asymptomatic individuals

  • Prognostic role of calcium score

  • Calcium location along coronary vessels detected

  • Spotty calcifications are detected

  • Contrast medium

Coronary angiography
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  • Calcium location along coronary vessel detected

  • Invasive technique

  • Contrast medium

  • Low sensitivity

  • Only qualitative grading of calcium

  • Moderate calcifications are detected only during the cardiac cycle

Intravascular ultrasound
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  • No contrast medium

  • Superficial and deep calcium is detected

  • Semiquantitative grading of calcium: distribution, localisation, length, arc

  • Invasive technique

  • Deep calcium is hidden by acoustic shadow

  • Microcalcifications are not detected

  • Unable to assess calcium thickness

Optical coherence tomography
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  • Very high resolution

  • Calcium thickness can be measured

  • Quantitative grading of calcium: distribution, localisation, thickness, area, volume

  • Microcalcifications are detected

  • Invasive technique

  • Contrast medium

  • Limited depth penetration