I wonder if it is worthwhile to do a CCTa , for possible use in the future when AI can look for inflammation? , hmm re: "While I have been against the use of calcium score yet very supportive of coronary CT angiograpy when indicated for select patients, this is likely to change. The CT that could only provide data on calcium, which does not reflect obstructive disease in many patients, will soon be AI interpretable for presence and severity of coronary inflammation. Trials of future anti-inflammation drug candidates will be able to get a low cost chest CT and enroll participants who actually have evidence of coronary artery inflammation. That has exciting potential to help catalyze our hunt for safe and potent drugs. Until the right trials are done, with enrollment of patients with heart disease, not kidney disease, with bona fide coronary inflammation, it would be misguided to refute such a compelling body of evidence. "
