Coronary calcium scoring: the first step in case of suspected significant coronary atherosclerosis.

To the editor: We read with interest the article by Leschka and colleagues concerning the assessment of coronary atherosclerosis by dual-source computed tomography coronary angiography (CTCA) and calcium scoring (CS).1 The authors propose an imaging pathway consisting of dual-source CTCA and selective CS in patients with suspicion of significant coronary atherosclerosis. We have two remarks. First, as the authors indicate in the “Results” …