Tanaka T, et al. - In this retrospective analysis, researchers focused on the link between abdominal fat distribution and coronary artery plaques. Participants were consecutive patients (n=4,327) without a history of coronary artery disease (CAD), with mean age of 65 years (men, 66.4%), undergoing coronary computed tomography (CT) angiography. Segment stenosis score and segment involvement score were used to evaluate plaques. Using CT images, abdominal visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) areas were assessed. Findings revealed inverse correlation of higher SAT and lower VAT with the extent and severity of coronary artery plaques. For assessing risk and prognosis of CAD, a possible utility of fat distribution is suggested in this study.