Imaging of the aorta has greatly benefited from the recent development of h
elical computed tomography. This noninvasive and widespread imaging techniq
ue could be considered as a viable alternative to invasive modalities in ao
rtic disease assessment, especially in the acute onset. Radiologists should
be familiar with the principles of this technique and its clinical applica
tions. This report develops technical aspects, typical and atypical feature
s of a variety of noncongenital aortic diseases including dissections, aort
ic trauma, aneurysms, nonaneurysmal atherosclerotic diseases and arteritis.
The role of helical CT as noninvasive tool for imaging the aorta and its b
ranches is compared to the other imaging methods.