Risk evaluation in asymptomatic patients: what is the current and future role of CT angiography?

Ronak Rajani and Carlos Collet discuss the role of coronary CT angiography in cardiovascular risk assessment among asymptomatic individuals. They review current approaches to risk stratification and examine whether imaging can provide incremental value beyond traditional clinical risk factors.

The conversation explores the growing range of information available from coronary CT angiography, including stenosis severity, plaque characteristics, functional assessment, and emerging markers of plaque activity such as pericoronary adipose tissue.

How do these advances fit within current guidelines, and what evidence supports their use? This discussion examines the present and future role of CT angiography in preventive cardiology.

This interview was filmed at EuroPCR 2026: see more videos here.