Multi-detector CT scanners used to assess CAC had at least 16 slices (Siemens
16-slice Sensation, Philips
Brilliance 256 iCT, Philips
Brilliance 40 channel multi-detector CT, and GE
64-slice Lightspeed). CAC scores were calculated using the Agatston method [18 (
link)]. The square root transformed difference was calculated [√CAC score (follow-up)—√CAC score (baseline)], and CAC progression was defined as a square root transformed difference of >2.5 to minimize the effect of interscan variability [19 (
link), 20 (
link)]. For participants with more than two CT scans, the square root transformed difference was calculated for each follow-up CT scan, and the earliest follow-up scan with demonstrated CAC progression was included in the analysis. The CAC progression rate was calculated as the annualized difference between the square root of the baseline and last follow-up CAC scores.
Lee W., Yoon Y.E., Cho S.Y., Hwang I.C., Kim S.H., Lee H., Park H.E., Chun E.J., Kim H.K., Choi S.Y., Park S.H., Han H.W., Sung J., Jung H.O., Cho G.Y, & Chang H.J. (2021). Sex differences in coronary artery calcium progression: The Korea Initiatives on Coronary Artery Calcification (KOICA) registry. PLoS ONE, 16(4), e0248884.