Plaque burden (P-modifier)

P1 → P4 — what to use, when, and how it changes the management recommendation.

1 Picking the P value

Use Agatston when available, segment count otherwise. Visual assessment is a fallback when calcium isn’t quantified.

P valueAgatstonSegment countVisual
P11–991–2mild
P2100–2993–4moderate
P3300–9995–7severe
P4≥1000≥8extensive

Stub article — fill in the indication-specific guidance + figures.

References
1 — Cury RC et al. CAD-RADS 2.0. JCCT 2022;16(6):536–557. doi:10.1016/j.jcct.2022.07.002
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