The diagnostic accuracy of coronary computed tomography (CT) angiography against the reference standard of invasive coronary angiography (ICA) was established almost 20 years ago based on the visual assessment of coronary stenosis severity.1–3 In clinical practice, the evaluation of coronary CT angiography datasets is achieved through interactive assessment of the axial images, multiplanar reformatted reconstructions, and maximum intensity projection images.4,5 The visual assessment of coronary …