A, Regions of interest (region of interest) are drawn on axial images that show calcifications. Care is taken to include the whole calcification and not to include any other high-attenuation structures (eg, skull base). Because a minimum attenuation of 500 HU is defined for the presence of calcifications, lumen can be included in this region of interest, for lumen will not reach such a high level of attenuation. All regions of interest of 1 patient are saved within 1 file. B, The polymeasure software uses the contour file, the 500-HU threshold, and the voxel dimensions (0.234 × 0.234 × 0.6 mm) to create a color overlay image and a statistics table. C, The color overlay image shows which pixels within the region of interest are above the predefined 500-HU threshold (blue) and which are below this threshold (red). D, The statistics table presents the amount of calcium pixels and the calcium volume (cubic millimeters).