The prognostic importance of coronary plaque assessment has been established using various non-invasive and invasive imaging modalities. Studies have linked vulnerable plaques, identified using CCTA, to an increased risk of subsequent adverse cardiac events. Quantitative assessment of vulnerable plaques suggest that increased plaque volume and imaging markers of TCFA are associated with a higher risk of subsequent adverse cardiac events. However, the positive predictive value of vulnerable plaque features is low.
