With the recognition of coronary CT angiography (CCTA) as a first-line imaging modality for coronary artery disease by various guidelines, there has been an increasing demand across the United States to offer CCTA both in emergency departments and as an outpatient. Frequently, large quaternary centers would be required to cater to a large catchment area, and there is a need to improve access to coronary CT scans in the community. However, several barriers hinder the scaling up of CCTA, including…