In primary prevention, CT calcium scoring has been suggested to help decision making surrounding statin use.

Some of the underlying concepts are somewhat complex, but the screening paradigm remains that of matching the intensity of preventive efforts with the individual’s absolute risk.

The appropriateness of CT calcium scoring in an individual patient therefore depends

• patient’s pretest probability of atherosclerotic cardiovascular risk

• potential benefits of preventive therapies

• negative aspects and risks of preventive therapies

• patient preference