We read with great interest the article by Komaki et al., “Coronary computed tomography angiography radiomics for predicting major adverse cardiovascular events after percutaneous coronary interventions,” recently published in the Journal of Cardiovascular Computed Tomography.1 The authors provide an innovative perspective on integrating radiomics into conventional coronary artery calcium (CAC) scoring to enhance risk prediction in patients with chronic coronary syndrome undergoing PCI. We comme…