Evidence map›Paper›PMID 41745699›Full record

ReviewTomography (Ann Arbor, Mich.)2026

Spectral Computed Tomography Angiography in Visceral Artery Aneurysms: Technical Principles and Clinical Applications.

Laura Maria Cacioppa, Michaela Cellina, Giacomo Agliata, Francesco Mariotti, Nicolo' Rossini, Tommaso Valeri, Giangabriele Francavilla, Alessandro Felicioli, Alessandra Bruno, Marzia Rosati and 2 more

Abstract readReview
In one paragraph

Review in Tomography (Ann Arbor, Mich.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Laura Maria CacioppaDepartment of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy.ORCID 0000-0001-7133-8509
Michaela CellinaRadiology Department, ASST Fatebenefratelli Sacco, 20121 Milan, Italy.ORCID 0000-0002-7401-1971
Giacomo AgliataDivision of Radiology, Department of Radiological Sciences, University Hospital "Azienda Ospedaliera Universitaria delle Marche", 60126 Ancona, Italy.
Francesco MariottiDepartment of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy.ORCID 0009-0005-8355-1020
Nicolo' RossiniDepartment of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy.
Tommaso ValeriDepartment of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy.
Giangabriele FrancavillaDepartment of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy.
Alessandro FelicioliDivision of Interventional Radiology, Department of Radiological Sciences, University Hospital "Azienda Ospedaliera Universitaria delle Marche", 60126 Ancona, Italy.
Alessandra BrunoDepartment of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy.
Marzia RosatiDivision of Interventional Radiology, Department of Radiological Sciences, University Hospital "Azienda Ospedaliera Universitaria delle Marche", 60126 Ancona, Italy.
Roberto CandelariDivision of Interventional Radiology, Department of Radiological Sciences, University Hospital "Azienda Ospedaliera Universitaria delle Marche", 60126 Ancona, Italy.
Chiara FloridiDepartment of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVisceral artery aneurysms (VAAs) are rare but potentially life-threatening vascular lesions often clinically silent until rupture. The widespread use of advanced imaging has increased incidental detection, highlighting the need for accurate, noninvasive diagnostic strategies. Dual-Energy Computed Tomography Angiography (DECTA) offers potential advantages over conventional CT across diagnostic and post-treatment settings; however, its role in VAAs remains incompletely defined. This narrative review summarizes current evidence on DECTA applications in VAAs, focusing on diagnosis, emergency evaluation, and post-treatment follow-up.

methodsA non-systematic literature search of PubMed and Embase focusing on English-language articles up to June 2025 was performed. The search included peer-reviewed original research articles, systematic reviews, and meta-analyses addressing dual-energy CT and spectral CT in vascular and aneurysmal imaging. Case reports without technical data and non-English articles were excluded.

resultsIn the diagnostic phase, DECTA enhances tissue differentiation through virtual monoenergetic images, iodine maps, and material decomposition reconstructions. In the post-treatment setting, DECTA supports assessment after endovascular procedures, including coil embolization or stent graft placement. In VAAs, these techniques may improve aneurysm delineation, reduce metal artifacts after endovascular treatment, enable accurate detection of endoleaks or residual perfusion, and support volumetric follow-up. Virtual Non-Contrast images may reduce radiation exposure without compromising diagnostic confidence.

conclusionsDECTA represents a versatile imaging modality with potential benefits across the diagnostic, emergency, and post-treatment phases of VAA management. Although many applications are extrapolated from aortic and peripheral vascular disease, emerging evidence supports its growing clinical relevance. Further dedicated studies are needed to define its role in VAA-specific decision-making and follow-up.

Indexed as

Computed Tomography AngiographyDual-Energy Computed Tomographyendoleakendovascular aneurysm repairimage reconstructionsspectral computed tomographyvisceral artery aneurysm

Identifiers

PMID41745699
PMCPMC12944208

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.