A variety of imaging techniques are available to visualize vascular calcification, including fluoroscopy, echocardiography, intravascular ultrasound, and electron beam computed tomography. These imaging modalities vary in sensitivity and specificity, as well as clinical application. In particular, EBCT has gained attention, owing to its relative sensitivity and noninvasive nature. Caution is warranted in the widespread application of EBCT, however, until the proper clinical interpretation of both positive and negative results is defined.