{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:34:55Z","timestamp":1789259695724,"version":"build-2803163510"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":44,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Aortic diseases, including aneurysmal and occlusive pathologies of the thoracic and abdominal aorta, represent a significant source of cardiovascular morbidity and mortality. This narrative review explores the role of modern and emerging imaging modalities in the management of aortic disease and highlights the pivotal roles of computed tomography angiography (CTA), magnetic resonance imaging (MRI), and contrast-enhanced ultrasound (CEUS).<\/jats:p>\n               <jats:p>CTA remains the cornerstone for evaluating aneurysms, dissections, and traumatic injuries, offering high spatial resolution, rapid acquisition, and detailed anatomical assessment. MRI, particularly with advanced sequences such as 4D flow, provides comprehensive multiparametric evaluation without radiation exposure, making it ideal for younger patients and those requiring repeat imaging. Positron emission tomography (PET), especially when integrated with CTA or MRI, enables metabolic characterization of inflammation and infection in aortic walls. Ultrasound, particularly CEUS, remains indispensable in abdominal aortic aneurysm (AAA) screening and post-endovascular aortic aneurysm repair (EVAR) surveillance, especially in patients with renal impairment.<\/jats:p>\n               <jats:p>Emerging technologies, including hybrid imaging, radiomics, and artificial intelligence (AI) are reshaping the landscape of aortic diagnostics. These innovations enhance detection of subtle imaging features, automate measurements, and may enable prediction of disease progression or complications.<\/jats:p>","DOI":"10.1093\/ehjimp\/qyaf108","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T02:42:22Z","timestamp":1755139342000},"source":"Crossref","is-referenced-by-count":5,"title":["Aorta unveiled: the crucial role of imaging in diagnosing and managing aortic disease\u2014a review"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1912-900X","authenticated-orcid":false,"given":"Jean-Baptiste","family":"Ricco","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, University Hospital of Rangueil , 1 avenue Jean Poulhes, Cedex 09 Toulouse 31059 ,","place":["France"]},{"name":"University of Poitiers, Medical School, ABS-LAB , 2, rue de la Miletrie, 86021 Poitiers ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lien","family":"Hostalrich","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital of Rangueil , 1 avenue Jean Poulhes, Cedex 09 Toulouse 31059 ,","place":["France"]},{"name":"Haute-Garonne, Universit\u00e9 de Toulouse, Inserm UMR 1297, UT3 , Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Chaufour","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital of Rangueil , 1 avenue Jean Poulhes, Cedex 09 Toulouse 31059 ,","place":["France"]},{"name":"Haute-Garonne, Universit\u00e9 de Toulouse, Inserm UMR 1297, UT3 , Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"2025091917493888700_qyaf108-B1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ejvs.2023.11.002","article-title":"Editor\u2019s choice\u2014European Society for Vascular Surgery (ESVS) 2024 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms","volume":"67","author":"Wanhainen","year":"2024","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025091917493888700_qyaf108-B2","doi-asserted-by":"crossref","first-page":"3538","DOI":"10.1093\/eurheartj\/ehae179","article-title":"2024 ESC guidelines for the management of peripheral arterial and aortic diseases","volume":"45","author":"Mazzolai","year":"2024","journal-title":"Eur Heart J"},{"key":"2025091917493888700_qyaf108-B3","doi-asserted-by":"crossref","first-page":"680","DOI":"10.21037\/jtd.2019.12.109","article-title":"Management of acute type A intramural hematoma: upfront surgery or individualized approach? 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