Cardiac CT Calcium Scoring Quick Reference Guide for Physicians

A cardiac CT scan is a non-invasive way of obtaining information about the location and extent of calcified plaque in the coronary arteries—the vessels that supply oxygen-containing blood to the heart wall. Calcified plaque results when there is a build-up of fat and other substances under the inner layer of the artery. This material can calcify which signals the presence of atherosclerosis. People with this disease have an increased risk for heart attacks. In addition, over time, this coronary artery disease can narrow the arteries or even close off blood flow to the heart. The result may a heart attack. Because calcium is a marker of CAD, the amount of calcium detected on a cardiac CT scan is a helpful prognostic tool. The findings on cardiac CT are expressed as a calcium score, as shown below:

Calcium Score Presence of CAD
0 No evidence of CAD
1-10 Minimal evidence of CAD
11-100 Mild evidence of CAD
101-400 Moderate evidence of CAD
Over 400 Extensive evidence of CAD

Patient Preparation 

No preparation is required.

CPT Code

Patient Weight Limit

Our CT Scan tables have a weight limit of 660 pounds.

 

Cost

Some insurance may cover this, patients will need to check with their insuracne.  Guilford Radiology offers this exam for a same day cash price of $100.

 

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General Information about CT Scanning

What is CT scanning?

CT scanning combines special x-ray equipment with sophisticated computers to produce multiple images of the inside of the body. These cross-sectional images are then examined on a computer monitor by a radiologist. They also can be printed or transferred to a CD. CT scans of internal organs, bones, soft tissue and blood vessels provide greater clarity and reveal more details than regular x-ray exams. Using specialized equipment and expertise to create and interpret CT scans of the body, radiologists can more easily diagnose problems such as cancers, cardiovascular disease, infectious disease, appendicitis, trauma and musculoskeletal disorders.

There has been considerable work done recently on radiation dose from CT scans. At our offices, our CT scanners adjust the radiation dose for each patient to use the lowest possible dose. 

How does the procedure work?

In many ways CT scanning works very much like other x-ray examinations. Different body parts absorb the x-rays in varying degrees.

In a conventional x-ray exam, a small burst of radiation is aimed at and passes through the body, recording an image on photographic film or a special image recording plate. Bones appear white on the xray; soft tissue shows up in shades of gray and air appears black.

With CT scanning, numerous x-ray beams and a set of electronic x-ray detectors rotate around the patient, measuring the amount of radiation being absorbed throughout his/her body. At the same time, the examination table is moving through the scanner, so that the x-ray beam follows a spiral path. A special computer program processes this large volume of data to create two-dimensional cross-sectional images of the body, which are then displayed on a monitor. This technique is called helical or spiral CT.

The CT scanner at our office is a 80 slice multidetector scanner, allowing thinner slices to be obtained in a shorter period of time, resulting in more detail and additional view capabilities. Our scanner is so fast it can scan through large sections of the body in just a few seconds. Such speed is beneficial for all patients but especially children, the elderly and critically ill. For children, the CT scanner technique will be adjusted to reduce the radiation dose. For some CT exams, a contrast material is used to enhance visibility in the area of the body being studied.

Contact us

Hours:
M-F 7:30AM to 5PM
Sat. 8AM to Noon

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