Braber TL, et al. – The purpose of this study was to investigate the role of cardiac imaging to detect coronary artery disease (CAD) in older sportspersons. The highest potential for pre–participation screening was possibly found in cardiac Computed Tomography (CT) (coronary artery calcium scoring (CACS) and contrast–enhanced CT angiography (CCTA)). It exhibited high diagnostic value to detect CAD and low radiation dose. Insufficient evidence, however, was yielded for incorporating routine cardiac imaging in the pre–participation screening of asymptomatic sportspersons over 35 years.