Describing the risk demonstrated on cardiac CT imaging: the C-PLUSS approach

The C-PLUSS approach can be used to describe the risk-related features demonstrated on cardiac CT imaging. This approach incorporates features relating to coronary calcium together with plaque and vessel specific features, which have been shown to relate to cardiovascular risk. A descriptive risk comment, as part of the cardiac CT report, can then be generated, helping the referring clinician to understand their patient’s potential future risks and so provide optimal care.