{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T19:18:18Z","timestamp":1786475898328,"version":"build-2736575974"},"reference-count":47,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofcardiovascularct.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiovascular Computed Tomography"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.jcct.2025.06.007","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T11:16:15Z","timestamp":1752750975000},"page":"648-655","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["CCTA and CACS for preoperative cardiovascular risk stratification in patients undergoing noncardiac surgery: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2970-088X","authenticated-orcid":false,"given":"Ioannis","family":"Kyriakoulis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8986-2704","authenticated-orcid":false,"given":"Konstantinos G.","family":"Kyriakoulis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Aznaouridis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5365-7135","authenticated-orcid":false,"given":"Sriram","family":"Sunil Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Schizas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damianos G.","family":"Kokkinidis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"8","key":"10.1016\/j.jcct.2025.06.007_bib1","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.024325","article-title":"Association between perioperative adverse cardiac events and mortality during one-year follow-up after noncardiac surgery","volume":"11","author":"Oh","year":"2022","journal-title":"J Am Heart Assoc"},{"issue":"6","key":"10.1016\/j.jcct.2025.06.007_bib2","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.bja.2023.02.030","article-title":"Risk assessment for major adverse cardiovascular events after noncardiac surgery using self-reported functional capacity: international prospective cohort study","volume":"130","author":"Lurati Buse","year":"2023","journal-title":"Br J Anaesth"},{"issue":"5","key":"10.1016\/j.jcct.2025.06.007_bib3","first-page":"550","article-title":"Incidence of major adverse cardiac events following non-cardiac surgery","volume":"10","author":"Sazgary","year":"2021","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"2","key":"10.1016\/j.jcct.2025.06.007_bib4","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1001\/jamacardio.2016.4792","article-title":"Perioperative major adverse cardiovascular and cerebrovascular events associated with noncardiac surgery","volume":"2","author":"Smilowitz","year":"2017","journal-title":"JAMA Cardiol"},{"issue":"9","key":"10.1016\/j.jcct.2025.06.007_bib5","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1007\/s12630-013-9988-5","article-title":"The Revised Cardiac Risk Index in the new millennium: a single-centre prospective cohort re-evaluation of the original variables in 9,519 consecutive elective surgical patients","volume":"60","author":"Davis","year":"2013","journal-title":"Can J Anaesth"},{"issue":"1","key":"10.1016\/j.jcct.2025.06.007_bib6","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.bja.2020.03.015","article-title":"Myocardial infarction after noncardiac surgery in Sweden: a national, retrospective observational cohort study","volume":"125","author":"Hallqvist","year":"2020","journal-title":"Br J Anaesth"},{"issue":"35","key":"10.1016\/j.jcct.2025.06.007_bib7","doi-asserted-by":"crossref","first-page":"2372","DOI":"10.1093\/eurheartj\/ehu044","article-title":"Perioperative risk of major non-cardiac surgery in patients with severe aortic stenosis: a reappraisal in contemporary practice","volume":"35","author":"Tashiro","year":"2014","journal-title":"Eur Heart J"},{"issue":"19","key":"10.1016\/j.jcct.2025.06.007_bib8","doi-asserted-by":"crossref","first-page":"e351","DOI":"10.1161\/CIR.0000000000001285","article-title":"2024 AHA\/ACC\/ACS\/ASNC\/HRS\/SCA\/SCCT\/SCMR\/SVM guideline for perioperative cardiovascular management for noncardiac surgery: a report of the American college of cardiology\/American heart association joint committee on clinical practice guidelines","volume":"150","author":"Thompson","year":"2024","journal-title":"Circulation"},{"issue":"39","key":"10.1016\/j.jcct.2025.06.007_bib9","doi-asserted-by":"crossref","first-page":"3826","DOI":"10.1093\/eurheartj\/ehac270","article-title":"2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery","volume":"43","author":"Halvorsen","year":"2022","journal-title":"Eur Heart J"},{"issue":"24","key":"10.1016\/j.jcct.2025.06.007_bib10","doi-asserted-by":"crossref","first-page":"2215","DOI":"10.1161\/CIR.0000000000000105","article-title":"2014 ACC\/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines","volume":"130","author":"Fleisher","year":"2014","journal-title":"Circulation"},{"issue":"10","key":"10.1016\/j.jcct.2025.06.007_bib11","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1016\/j.jacc.2020.06.076","article-title":"Coronary computed tomography angiography from clinical uses to emerging technologies: JACC state-of-the-art review","volume":"76","author":"Abdelrahman","year":"2020","journal-title":"J Am Coll Cardiol"},{"issue":"6","key":"10.1016\/j.jcct.2025.06.007_bib12","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.jcct.2020.02.001","article-title":"Head-to-head comparison of prognostic accuracy in patients undergoing noncardiac surgery of dobutamine stress echocardiography versus computed tomography coronary angiography (PANDA trial): a prospective observational study","volume":"14","author":"Ahn","year":"2020","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.jcct.2025.06.007_bib13","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.h1907","article-title":"Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study","volume":"350","author":"Sheth","year":"2015","journal-title":"Bmj"},{"issue":"6","key":"10.1016\/j.jcct.2025.06.007_bib14","first-page":"668","article-title":"Current understanding of coronary artery calcification","volume":"12","author":"Liu","year":"2015","journal-title":"J Geriatr Cardiol"},{"issue":"2","key":"10.1016\/j.jcct.2025.06.007_bib15","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1016\/j.atherosclerosis.2011.08.038","article-title":"Differentiation of severe coronary artery calcification in the Multi-Ethnic Study of Atherosclerosis","volume":"219","author":"Coylewright","year":"2011","journal-title":"Atherosclerosis"},{"issue":"10","key":"10.1016\/j.jcct.2025.06.007_bib16","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/j.jcmg.2012.06.006","article-title":"Prognostic value of coronary CT angiography and calcium score for major adverse cardiac events in outpatients","volume":"5","author":"Hou","year":"2012","journal-title":"JACC Cardiovasc Imaging"},{"issue":"5","key":"10.1016\/j.jcct.2025.06.007_bib17","doi-asserted-by":"crossref","DOI":"10.1177\/14791641221125190","article-title":"Coronary artery calcium score and coronary computed tomography angiography predict one-year mortality in patients with type 2 diabetes and peripheral artery disease undergoing partial foot amputation","volume":"19","author":"Shalaeva","year":"2022","journal-title":"Diabetes Vasc Dis Res"},{"key":"10.1016\/j.jcct.2025.06.007_bib18","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.ijcard.2016.06.165","article-title":"Coronary artery calcium score and coronary computed tomographic angiography for major perioperative cardiovascular complications in symptomatic diabetic patients undergoing trans-femoral amputation","volume":"221","author":"Shalaeva","year":"2016","journal-title":"Int J Cardiol"},{"issue":"6","key":"10.1016\/j.jcct.2025.06.007_bib19","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics11061072","article-title":"Coronary computer tomography angiography in 2021-acquisition protocols, tips and tricks and heading beyond the possible","volume":"11","author":"Giusca","year":"2021","journal-title":"Diagnostics"},{"key":"10.1016\/j.jcct.2025.06.007_bib20","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"12","key":"10.1016\/j.jcct.2025.06.007_bib21","doi-asserted-by":"crossref","first-page":"2154","DOI":"10.1016\/j.amjcard.2017.09.001","article-title":"Comparison of the coronary artery calcium score and number of calcified coronary plaques for predicting patient mortality risk","volume":"120","author":"Arnson","year":"2017","journal-title":"Am J Cardiol"},{"issue":"3","key":"10.1016\/j.jcct.2025.06.007_bib22","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"},{"key":"10.1016\/j.jcct.2025.06.007_bib23","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"issue":"6","key":"10.1016\/j.jcct.2025.06.007_bib25","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.jacc.2012.09.060","article-title":"Risk stratification using computed tomography coronary angiography in patients undergoing intermediate-risk noncardiac surgery","volume":"61","author":"Ahn","year":"2013","journal-title":"J Am Coll Cardiol"},{"issue":"5","key":"10.1016\/j.jcct.2025.06.007_bib26","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/MEG.0b013e3283522df3","article-title":"Prognostic value of preoperative coronary computed tomography angiography in patients treated by orthotopic liver transplantation","volume":"24","author":"Cassagneau","year":"2012","journal-title":"Eur J Gastroenterol Hepatol"},{"issue":"3","key":"10.1016\/j.jcct.2025.06.007_bib27","doi-asserted-by":"crossref","first-page":"170","DOI":"10.4070\/kcj.2014.44.3.170","article-title":"Clinical utility of coronary CT angiography with stress perfusion CT in preoperative cardiac risk evaluation","volume":"44","author":"Chang","year":"2014","journal-title":"Korean Circ J"},{"issue":"7","key":"10.1016\/j.jcct.2025.06.007_bib28","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.2967\/jnumed.111.100206","article-title":"Coronary calcium score as an adjunct to nuclear myocardial perfusion imaging for risk stratification before noncardiac surgery","volume":"53","author":"Ghadri","year":"2012","journal-title":"J Nucl Med"},{"key":"10.1016\/j.jcct.2025.06.007_bib29","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijcard.2024.132015","article-title":"Coronary artery calcium assessment on non-gated chest CT to optimize pre-operative cardiac screening in liver transplantation","volume":"407","author":"Groen","year":"2024","journal-title":"Int J Cardiol"},{"issue":"3","key":"10.1016\/j.jcct.2025.06.007_bib30","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCIMAGING.114.002582","article-title":"Assessment of perioperative cardiac risk of patients undergoing noncardiac surgery using coronary computed tomographic angiography","volume":"8","author":"Hwang","year":"2015","journal-title":"Circ Cardiovasc Imaging"},{"issue":"14","key":"10.1016\/j.jcct.2025.06.007_bib31","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10143132","article-title":"Prognostic value of computed tomographic coronary angiography for long-term major adverse cardiac events after liver transplantation","volume":"10","author":"Kim","year":"2021","journal-title":"J Clin Med"},{"issue":"3","key":"10.1016\/j.jcct.2025.06.007_bib32","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1093\/bja\/aeu384","article-title":"Preoperative coronary calcium score is predictive of early postoperative cardiovascular complications in liver transplant recipients","volume":"114","author":"Kong","year":"2015","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.jcct.2025.06.007_bib33","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejrad.2024.111688","article-title":"The predictive value of coronary computed tomography angiography-derived fractional flow reserve for perioperative cardiac events in lung cancer surgery","volume":"180","author":"Ma","year":"2024","journal-title":"Eur J Radiol"},{"issue":"6","key":"10.1016\/j.jcct.2025.06.007_bib34","doi-asserted-by":"crossref","first-page":"2050","DOI":"10.1016\/j.athoracsur.2022.04.023","article-title":"Nongated computed tomography predicts perioperative cardiovascular risk in lung cancer surgery","volume":"114","author":"Yang","year":"2022","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"10.1016\/j.jcct.2025.06.007_bib35","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s42492-022-00125-0","article-title":"Cardiac CT blooming artifacts: clinical significance, root causes and potential solutions","volume":"5","author":"Pack","year":"2022","journal-title":"Vis Comput Ind Biomed Art"},{"key":"10.1016\/j.jcct.2025.06.007_bib36","article-title":"Consequences of preoperative cardiac stress testing-A cohort study","volume":"90","author":"Pappas","year":"2023","journal-title":"J Clin Anesth"},{"issue":"27","key":"10.1016\/j.jcct.2025.06.007_bib37","doi-asserted-by":"crossref","first-page":"2795","DOI":"10.1056\/NEJMoa041905","article-title":"Coronary-artery revascularization before elective major vascular surgery","volume":"351","author":"McFalls","year":"2004","journal-title":"N Engl J Med"},{"issue":"17","key":"10.1016\/j.jcct.2025.06.007_bib38","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1016\/j.jacc.2006.11.052","article-title":"A clinical randomized trial to evaluate the safety of a noninvasive approach in high-risk patients undergoing major vascular surgery: the DECREASE-V Pilot Study","volume":"49","author":"Poldermans","year":"2007","journal-title":"J Am Coll Cardiol"},{"issue":"4","key":"10.1016\/j.jcct.2025.06.007_bib39","article-title":"Coronary computed angiography and coronary artery calcium score for preoperative cardiovascular risk stratification in patients undergoing noncardiac surgery","volume":"12","author":"Kyriakoulis","year":"2025","journal-title":"J Cardiovasc Dev Dis"},{"issue":"4","key":"10.1016\/j.jcct.2025.06.007_bib40","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1007\/s12350-019-01779-9","article-title":"Complementary pre-operative risk assessment using coronary computed tomography angiography and nuclear myocardial perfusion imaging in non-cardiac surgery: a VISION-CTA sub-study","volume":"27","author":"Dowsley","year":"2020","journal-title":"J Nucl Cardiol"},{"issue":"12","key":"10.1016\/j.jcct.2025.06.007_bib41","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1111\/imj.13629","article-title":"Negative predictive value of dobutamine stress echocardiography for perioperative risk stratification in patients with cardiac risk factors and reduced exercise capacity undergoing non-cardiac surgery","volume":"47","author":"Go","year":"2017","journal-title":"Intern Med J"},{"issue":"8","key":"10.1016\/j.jcct.2025.06.007_bib42","doi-asserted-by":"crossref","first-page":"1741","DOI":"10.1007\/s10554-013-0275-x","article-title":"Dobutamine stress echocardiography in patients undergoing orthotopic liver transplantation: a pooled analysis of accuracy, perioperative and long term cardiovascular prognosis","volume":"29","author":"Nguyen","year":"2013","journal-title":"Int J Cardiovasc Imag"},{"issue":"9","key":"10.1016\/j.jcct.2025.06.007_bib43","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/j.amjcard.2003.06.003","article-title":"Usefulness of preoperative stress perfusion imaging in predicting prognosis after liver transplantation","volume":"92","author":"Zoghbi","year":"2003","journal-title":"Am J Cardiol"},{"issue":"1","key":"10.1016\/j.jcct.2025.06.007_bib44","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcct.2014.11.007","article-title":"Analysis of ventricular function by CT","volume":"9","author":"Rizvi","year":"2015","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.jcct.2025.06.007_bib45","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.clinimag.2022.08.005","article-title":"Interobserver variability among expert readers quantifying plaque volume and plaque characteristics on coronary CT angiography: a CLARIFY trial sub-study","volume":"91","author":"Jonas","year":"2022","journal-title":"Clin Imag"},{"issue":"5","key":"10.1016\/j.jcct.2025.06.007_bib46","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.crad.2014.12.013","article-title":"The diagnostic performance of CT-derived fractional flow reserve for evaluation of myocardial ischaemia confirmed by invasive fractional flow reserve: a meta-analysis","volume":"70","author":"Li","year":"2015","journal-title":"Clin Radiol"},{"issue":"2","key":"10.1016\/j.jcct.2025.06.007_bib47","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1148\/radiol.2482071804","article-title":"Prospective versus retrospective ECG-gated 64-detector coronary CT angiography: assessment of image quality, stenosis, and radiation dose","volume":"248","author":"Hirai","year":"2008","journal-title":"Radiology"},{"issue":"3","key":"10.1016\/j.jcct.2025.06.007_bib48","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s11886-022-01837-8","article-title":"Current and future applications of artificial intelligence in cardiac CT","volume":"25","author":"Joshi","year":"2023","journal-title":"Curr Cardiol Rep"}],"container-title":["Journal of Cardiovascular Computed Tomography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934592525003715?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934592525003715?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T19:48:06Z","timestamp":1779306486000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1934592525003715"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":47,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S1934592525003715"],"URL":"https:\/\/doi.org\/10.1016\/j.jcct.2025.06.007","relation":{},"ISSN":["1934-5925"],"issn-type":[{"value":"1934-5925","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"CCTA and CACS for preoperative cardiovascular risk stratification in patients undergoing noncardiac surgery: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Cardiovascular Computed Tomography","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcct.2025.06.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}