Then when the application opens you will see something like these images below

You should check the vessel that you are going to label and then click a seeding method below, one click seed is usually easiest

Now go to your CT and look at the vessel

• You are looking for pink dots in the vessel - these are calcs labeled by the computer - click on them while you have the correct vessel selected

  • IE do not click a right coronary calc while you have the LAD selected

• If you see a calc (bright white dot) that is not pink and in the vessel distribution (not in the heart/myocardium, not a calcified node, etc) then you should add it by clicking on it with the seeding as well

Once you have done this for all the coronary vessels you will see an auto-populated Agatston score listed in the chart below

• This is the values you will report in the CT template

Be sure to note any variant anatomy that may be present

Be sure to look at lungs, chest wall , and all other stuff in the CT that is not just the heart/coronaries

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