CT – Coronary Calcium Scoring

This has become wildly popular over the past year. Seems like part of the routine screening we start getting in our fifth decade of life, some even opting to have it done in their 40’s. I have spoken with several cardiologist friends and colleagues. Most have had it done themselves! They highly recommend it. This is preventative maintenance for your heart. The calcium score has a strong correlation to degree of coronary artery disease. If caught early, medication may be started before significant plaque builds up. We are using these CTs to get people on medication BEFORE the problems get too far. This scan can and will prevent HEART ATTACKS! Check it out!

Sorry for the prolonged absence. Have too many responsibilities and obligations at this moment in life. Anything, anyone want to see in particular? Give me a shout out!

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I am an American Board of Radiology certified Diagnostic Radiologist with a certificate of additional qualification in Neuroradiology. I absolutely love my job. I have learned a tremendous amount about the human body, including its’ expected complications given our extraordinary complexity, and get to use that knowledge to help people. I personally have experienced emotional devastation and loss, which has made me compassionate and empathetic. I really care about people, and I hope I can use this site to help you. I graduated medical school in 2004 from New York Medical College. My wife and I had our first son in NY where we bought our 900 sf two bedroom one bath starter home. I stayed at Westchester Medical Center for radiology residency, where we had our second son. I obtained a neuroradiology fellowship position at Yale New Haven Medical Center commuting about an hour and a half each way for a year while we had our third boy. Upon graduation I was fortunate to return to Westchester Medical Center to work in Neuroradiology, Body Imaging, and Women’s Imaging departments, a rarity in academic medicine. Almost a decade later and I am living in a larger home in Reno working in a private practice community based outpatient radiology group which contracts with a rural hospital in Elko, Nevada. My wife and I now have four boys and gave up on the girl. We also have a male Bernese mountain Dog named Helmut and female Newfoundland named Lucy. Despite all its hardships and tremendous struggles, I have an absolutely amazing life, which is a gift I cherish. It’s down to my philosophy. I am a firm believer in teamwork. So much comes down to communication. When healthcare providers talk to each other one-on-one, the patient care is always improved, every time! We might not find an answer to your problem, but our collective knowledge sure can help improve your chances. At Yale the best conference I ever regularly attended was a head and neck tumor board. The head and neck surgeon (otolaryngologist = ENT) presented the patient’s clinical history, the radiologist showed the images, the oncologist discussed the tumor and chemotherapy options, and the patient came to the conference and we all did a physical exam looking into their mouth to directly visualize a tumor. It was incredible! Patients came from far and wide to see this highly trained, world-renowned, humble, Japanese, gentleman surgeon. It was also an epiphany. I found that when I see the patient, talk to them, listen to their story, examine them and discuss the patient with my colleagues, the patient felt better and I had a lot of fun. It’s weird but reminds me of seeing a comedy where it is always funnier in a packed theater with everyone laughing. Knowledge and compassion are both infectious and contagious. My greatest days are helping patients deal with some of their most difficult days, and I am good at it.

2 thoughts on “CT – Coronary Calcium Scoring

  1. That software looks awesome!
    So what is the correlation between the calcium and the plaque. Is the calcium in the plaque…?


    1. Yes, the calcium is the plaque. Plaque comes in two flavors, soft (not calcified) and hard (calcified) plaque. Generally, soft plaque will harden and calcify over time. So, if you have calcified plaque, odds are that you also have soft plaque too. The calcium/hard plaque correlates very well to a patients’ overall plaque burden (hard and soft). So, calcium scoring is a relatively accurate indirect assessment of someone’s overall coronary artery plaque burden. As an aside, calcified plaque is often seen on cervical spine x-rays in older patients. Look and you will find it!


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