Optimization of the CT Angiography Protocol in Aortic Dissection: Technical Criteria for Strengthening Diagnostic Quality in Noncommunicable Diseases

Aortic dissection is a life-threatening cardiovascular emergency that requires rapid diagnosis and accurate anatomical characterization to guide timely management. Computed tomography angiography (CTA) is currently one of the most widely used imaging modalities for evaluating suspected aortic dissection because it provides rapid visualization of the aortic lumen, intimal flap, true and false lumens, branch-vessel involvement, and associated complications, this report describes the role of CTA in the diagnosis and structured assessment of aortic dissection, emphasizing the technical aspects of image acquisition, contrast synchronization, multiplanar reconstruction, and systematic reporting. Particular attention is given to the Stanford classification, proximal and distal extension of the dissection, identification of the entry tear, differentiation between the true lumen and false lumen, evaluation and detection of rupture-related findings, an optimized CTA protocol, including appropriate anatomical coverage, arterial phase acquisition, optional non-contrast and delayed phases, and the use of electrocardiographic synchronization when the ascending aorta is involved, is essential to improve diagnostic accuracy and reduce interpretive errors, this report highlights the importance of integrating imaging findings with clinical urgency to support surgical, endovascular, or medical decision-making in patients with aortic dissection.