We have read with great interest the recent publication by Pagonis C et al., entitled “An in-depth analysis of coronary computed tomography angiography segmental findings in acute spontaneous coronary artery dissection – a prospective multicenter study”.1 In this study, segment-level agreement between coronary computed tomography angiography (CCTA) and invasive coronary angiography (ICA) for the diagnosis of acute spontaneous coronary artery dissection (SCAD) is analyzed. This study adds value t…