{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T18:36:05Z","timestamp":1757615765084,"version":"3.44.0"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalimaging.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Imaging"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1016\/j.clinimag.2025.110595","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T17:25:20Z","timestamp":1756401920000},"page":"110595","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Prognostic value of incidental coronary artery calcium detected on routine chest computed tomography: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"126","author":[{"given":"Arthur Santos","family":"Lima","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"de Carvalho Villela","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo Nunes","family":"Pustilnik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz Dacach","family":"Assis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Andion","family":"Torre\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Eduardo Fonteles","family":"Ritt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.clinimag.2025.110595_bb0005","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jcct.2016.11.003","article-title":"2016 SCCT\/STR guidelines for coronary artery calcium scoring of noncontrast noncardiac chest CT scans: a report of the Society of Cardiovascular Computed Tomography and Society of Thoracic Radiology","volume":"11","author":"Hecht","year":"2017","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.clinimag.2025.110595_bb0010","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2012.11.002","article-title":"The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: a report from the American College of Cardiology","volume":"60","author":"Laslett","year":"2012","journal-title":"J Am Coll Cardiol"},{"issue":"25","key":"10.1016\/j.clinimag.2025.110595_bb0015","doi-asserted-by":"crossref","first-page":"2350","DOI":"10.1016\/j.jacc.2023.11.007","article-title":"Global burden of cardiovascular diseases and risks, 1990\u20132022","volume":"82","author":"Mensah","year":"2023","journal-title":"J Am Coll Cardiol"},{"issue":"5","key":"10.1016\/j.clinimag.2025.110595_bb0020","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.jcmg.2015.02.006","article-title":"Coronary artery calcium scanning: past, present, and future","volume":"8","author":"Hecht","year":"2015","journal-title":"JACC Cardiovasc Imaging"},{"issue":"1","key":"10.1016\/j.clinimag.2025.110595_bb0025","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.jcct.2016.10.001","article-title":"Estimation of cardiovascular risk on routine chest CT: ordinal coronary artery calcium scoring as an accurate predictor of Agatston score ranges","volume":"11","author":"Azour","year":"2017","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.clinimag.2025.110595_bb0030","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/S0140-6736(13)61752-3","article-title":"The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective","volume":"383","author":"Mahmood","year":"2014","journal-title":"The Lancet"},{"issue":"17","key":"10.1016\/j.clinimag.2025.110595_bb0035","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1016\/j.jacc.2010.06.029","article-title":"Coronary calcium score improves classification of coronary heart disease risk in the elderly: the Rotterdam study","volume":"56","author":"Elias-Smale","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.clinimag.2025.110595_bb0040","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1056\/NEJMoa072100","article-title":"Coronary calcium as a predictor of coronary events in four racial or ethnic groups","volume":"358","author":"Detrano","year":"2008","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.clinimag.2025.110595_bb0045","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.jacc.2005.02.088","article-title":"Coronary calcification, coronary disease risk factors, C-reactive protein, and atherosclerotic cardiovascular disease events: the St. Francis heart study","volume":"46","author":"Arad","year":"2005","journal-title":"J Am Coll Cardiol"},{"issue":"9","key":"10.1016\/j.clinimag.2025.110595_bb0050","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1007\/s00392-004-0120-2","article-title":"Prognostic value of electron-beam computed tomography-derived coronary calcium scores compared with clinical parameters in patients evaluated for coronary artery disease","volume":"93","author":"Schmermund","year":"2004","journal-title":"Z Kardiol"},{"issue":"9","key":"10.1016\/j.clinimag.2025.110595_bb0055","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1161\/CIRCULATIONAHA.115.018524","article-title":"Role of coronary artery calcium score of zero and other negative risk markers for cardiovascular disease: the Multi-Ethnic Study of Atherosclerosis (MESA)","volume":"133","author":"Blaha","year":"2016","journal-title":"Circulation"},{"key":"10.1016\/j.clinimag.2025.110595_bb0060","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.tcm.2017.04.004","article-title":"Incidental coronary calcifications on routine chest CT: clinical implications","volume":"27","author":"Pakdaman","year":"2017","journal-title":"Trends Cardiovasc Med"},{"issue":"2","key":"10.1016\/j.clinimag.2025.110595_bb0065","first-page":"88","article-title":"Coronary calcium score: where and when does it make a difference in clinical practice Revista da Sociedade de Cardiologia do Estado de S\u00e3o Paulo","volume":"27","author":"Lara Fernandes","year":"2017"},{"key":"10.1016\/j.clinimag.2025.110595_bb0070","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.pcad.2016.01.007","article-title":"Computed tomography for coronary artery calcification scoring: mammogram for the heart","volume":"58","author":"Qazi","year":"2016","journal-title":"Prog Cardiovasc Dis"},{"issue":"2","key":"10.1016\/j.clinimag.2025.110595_bb0075","first-page":"101","article-title":"Coronary calcium score and cardiovascular risk: the potential of routine CT","volume":"143","author":"Greenland","year":"2021","journal-title":"Circulation"},{"issue":"9","key":"10.1016\/j.clinimag.2025.110595_bb0080","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1161\/CIRCULATIONAHA.122.062746","article-title":"Incidental coronary artery calcium: opportunistic screening of previous nongated chest computed tomography scans to improve statin rates (NOTIFY-1 project)","volume":"147","author":"Sandhu","year":"2023","journal-title":"Circulation"},{"key":"10.1016\/j.clinimag.2025.110595_bb0085","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.lungcan.2019.10.006","article-title":"Decreased cardiovascular mortality in the ITALUNG lung cancer screening trial: analysis of underlying factors","volume":"138","author":"Puliti","year":"2019","journal-title":"Lung Cancer"},{"issue":"15","key":"10.1016\/j.clinimag.2025.110595_bb0090","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1056\/NEJMoa2208681","article-title":"Five-year outcomes of the Danish Cardiovascular Screening (DANCAVAS) Trial","volume":"387","author":"Lindholt","year":"2022","journal-title":"N Engl J Med"},{"issue":"3","key":"10.1016\/j.clinimag.2025.110595_bb0095","doi-asserted-by":"crossref","first-page":"159","DOI":"10.3109\/14017431.2015.1039572","article-title":"Coronary artery calcification detected in lung cancer screening predicts cardiovascular death","volume":"49","author":"Rasmussen","year":"2015","journal-title":"Scand Cardiovasc J"},{"issue":"2","key":"10.1016\/j.clinimag.2025.110595_bb0100","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1148\/radiol.10100383","article-title":"Ordinal scoring of coronary artery calcifications on low-dose CT scans of the chest is predictive of death from cardiovascular disease","volume":"257","author":"Shemesh","year":"2010","journal-title":"Radiology"},{"issue":"4","key":"10.1016\/j.clinimag.2025.110595_bb0105","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s00380-003-0759-z","article-title":"Coronary artery calcification detected by a mobile helical computed tomography unit and future cardiovascular death: 4-year follow-up of 6120 asymptomatic Japanese","volume":"19","author":"Itani","year":"2004","journal-title":"Heart Vessels"},{"key":"10.1016\/j.clinimag.2025.110595_bb0110","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.ijcard.2021.06.046","article-title":"Coronary artery calcium on standard chest computed tomography predicts cardiovascular events after liver transplantation","volume":"339","author":"Zorzi","year":"2021","journal-title":"Int J Cardiol"},{"issue":"12","key":"10.1016\/j.clinimag.2025.110595_bb0115","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1016\/j.jcmg.2016.03.001","article-title":"Improving the CAC score by addition of regional measures of calcium distribution: multi-ethnic study of atherosclerosis","volume":"9","author":"Blaha","year":"2016","journal-title":"J Am Coll Cardiol Img"},{"key":"10.1016\/j.clinimag.2025.110595_bb0120","doi-asserted-by":"crossref","first-page":"4459","DOI":"10.1007\/s00330-023-10439-z","article-title":"Prevalence and clinical implications of coronary artery calcium scoring on non-gated thoracic computed tomography: a systematic review and meta-analysis","volume":"34","author":"Osborne-Grinter","year":"2024","journal-title":"Eur Radiol"},{"issue":"4","key":"10.1016\/j.clinimag.2025.110595_bb0125","first-page":"514","article-title":"Validation and prognosis of coronary artery calcium scoring in nontriggered thoracic computed tomography: systematic review and meta-analysis","volume":"6","author":"Xie","year":"2013","journal-title":"Circ: Cardiovasc Imaging"},{"issue":"3","key":"10.1016\/j.clinimag.2025.110595_bb0130","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1148\/radiol.2020200463","article-title":"Chest CT findings in coronavirus disease-19 (COVID-19): relationship to duration of infection","volume":"295","author":"Bernheim","year":"2020","journal-title":"Radiology"},{"issue":"22","key":"10.1016\/j.clinimag.2025.110595_bb0135","doi-asserted-by":"crossref","first-page":"2400","DOI":"10.1001\/jama.2012.5960","article-title":"Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996\u20132010","volume":"307","author":"Smith-Bindman","year":"2012","journal-title":"JAMA"},{"issue":"15","key":"10.1016\/j.clinimag.2025.110595_bb0140","doi-asserted-by":"crossref","first-page":"1643","DOI":"10.1016\/j.jacc.2015.08.035","volume":"66","author":"McClelland","year":"2015","journal-title":"J Am Coll Cardiol"},{"issue":"3","key":"10.1016\/j.clinimag.2025.110595_bb0145","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1590\/0100-3984.2015.0235","article-title":"Coronary artery calcium score: current status","volume":"50","author":"Neves","year":"2017","journal-title":"Radiol Bras"},{"issue":"15","key":"10.1016\/j.clinimag.2025.110595_bb0150","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1016\/j.jacc.2011.01.019","article-title":"Impact of coronary artery calcium scanning on coronary risk factors and downstream testing: the EISNER (early identification of subclinical atherosclerosis by noninvasive imaging research) prospective randomized trial","volume":"57","author":"Rozanski","year":"2011","journal-title":"J Am Coll Cardiol"},{"issue":"18","key":"10.1016\/j.clinimag.2025.110595_bb0155","doi-asserted-by":"crossref","first-page":"1860","DOI":"10.1016\/j.jacc.2006.10.079","article-title":"Long-term prognosis associated with coronary calcification: observations from a registry of 25,253 patients","volume":"49","author":"Budoff","year":"2007","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"10.1016\/j.clinimag.2025.110595_bb0160","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1001\/jamacardio.2021.2321","article-title":"Assessment of coronary artery calcium scoring to guide statin therapy allocation according to risk-enhancing factors: the multi-ethnic study of atherosclerosis","volume":"6","author":"Patel","year":"2021","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.clinimag.2025.110595_bb0165","article-title":"Reporting the presence of coronary artery calcium in the final impression of non-gated CT chest scans increases the appropriate utilization of statins","author":"Fisher","year":"2024","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.clinimag.2025.110595_bb0170","doi-asserted-by":"crossref","first-page":"e338","DOI":"10.5114\/pjr.2023.130198","article-title":"Importance of incidental coronary artery calcification in early diagnosis of obstructive coronary artery disease","volume":"88","author":"Ilgar","year":"2023","journal-title":"Pol J Radiol"},{"author":"Sandhu","key":"10.1016\/j.clinimag.2025.110595_bb0175"}],"container-title":["Clinical Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899707125001950?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899707125001950?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T14:54:54Z","timestamp":1757084094000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0899707125001950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":35,"alternative-id":["S0899707125001950"],"URL":"https:\/\/doi.org\/10.1016\/j.clinimag.2025.110595","relation":{},"ISSN":["0899-7071"],"issn-type":[{"type":"print","value":"0899-7071"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prognostic value of incidental coronary artery calcium detected on routine chest computed tomography: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Clinical Imaging","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clinimag.2025.110595","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"110595"}}