Heart scan

Invasive but visual? Angiography

Non-Invasive? MRI or Echo cardiogram

Contrast and radiographic? MIBI
https://www.sciencedirect.com/science/article/abs/pii/S0021915020315951

I have heard pros and cons about the three methods I inquired about. Supposedly Cleerly is SOTA. But my MD wants me to have the calcium.. if I’m going to get it done I want the best images.

Useful reference. Thanks for posting.

I was not aware of the Cleery until you posted it. It may be the ticket for you, but if it's not 'handy' at the moment, and you'd rather have a more immediate assessment (do NOT rely on the calcium score! It's only a current assessment of your general risk, NOT what is actually deposited. If you want real measurements of what is in place, of what is deposited, then you need imaging), an angiogram gives a cardiologist a good look at the openings around your aorta, any heart-feeding arteries whose openings he/she can access, and as importantly, at the valves.

One's carotid arteries, and not just the left anterior descending (LAD), are great indicators of deposition there and elsewhere. My dad's first imaging showed 100% blockage in his right carotid, and 90% in the left. The vascular surgeon said she could save the left, but that his right side was a total loss....forever. To get a good image of the carotid arteries, a Doppler ultrasound is a great investment.

Was your dad having symptoms of heart problems?

So when do you get a calcium score? Even though I have family history of heart disease and have type 1, diabetes, I haven’t had any tests for it, except for the carotid ultrasound several months ago, due to pain in my neck. It was fine. Years ago, I had 2 imaging stress tests, which showed no problems.

I’m thinking US for initial. Want to stay away from radiation.

I don't understand your question...sorry. You get a calcium score after the formal assessment, and when you get the results after that assessment is up to the authority reading the result and placing you in a risk range, and then when that person can contact youto explain what the results are.
https://www.webmd.com/heart-disease/coronary-calcium-scan

Excellent info in link. Due to my t1 diabetes and family history, I assume that I will likely have it, so will continue trying to reduce risks to the max with statin, keeping BP down, BG in range, exercise, tight diet, etc.