[New innovations in cross-sectional imaging diagnostics of the aorta]

Imaging, particularly computed tomography (CT) and magnetic resonance imaging (MRI), plays a central role in the diagnostics, treatment planning and follow-up of aortic diseases. While ultrasound is often used for the initial assessment, CT enables rapid and comprehensive imaging of the aorta. The MRI is a radiation-free and when necessary, contrast agent-free alternative and provides functional imaging methods. Positron emission tomography (PET) is particularly relevant for inflammatory vascular diseases. Cross-sectional imaging has recently undergone significant development, particularly with respect to image quality and the required doses of ionizing radiation and contrast agents, spatial resolution and newer methods, such as material decomposition and functional imaging. This article provides an overview of current developments in CT angiography (CTA) and magnetic resonance angiography (MRA) and their use in selected aortic diseases in the context of the latest guidelines.