We read with great interest the article by Ahmed et al. evaluating coronary computed tomography angiography (CCTA) utilization in spontaneous coronary artery dissection (SCAD) hospitalizations across the United States from 2017 to 2022.1 The study provides a valuable large-scale overview of national trends; however, several critical aspects deserve further scrutiny to contextualize the role of CCTA in SCAD management.