The document discusses coronary artery calcium scoring, which is a noninvasive test that can help predict cardiovascular risk. It provides background on how calcium builds up in coronary arteries and how calcium scores correlate with future risk of a cardiovascular event. Higher calcium scores indicate more severe atherosclerosis and greater risk. The document recommends getting a calcium score for intermediate-risk asymptomatic adults to help guide prevention and treatment. While radiation exposure is a downside, the score provides prognostic value beyond traditional risk factors and can help identify those needing lifestyle changes or medication to lower risk.