ESCEuropean Heart Journal-Cardiovascular Imaging(2023)00.1-21EACVI DOCUMENTEuropean Society https://doiorg/10.1093/ehjci/jead024of CardiologyMultimodality imaging in thoracic aortic diseases:a clinical consensus statement from the EuropeanAssociation of Cardiovascular Imagingand the European Society of Cardiology workinggroup on aorta and peripheral vascular diseasesArtur Evangelista,Marta Sitges23,Guillaume Jondeau,Robin Nijveldt5,Mauro Pepi,Hug Cuellar7.8,Gianluca Pontone 9,Eduardo Bossone 10Maarten Groenink11,Marc R.Dweck12,Jolien W.Roos-Hesselink13,14,L.Mazzolai15,Roland van Kimmenade16,Victor Aboyans 17,and Jose Rodriguez-Palomares1Servei de Cardiologia.Hospital Vall dHebron.aBERCV.Universitat Autonoma de Barcelona Vall d'Hebron Research Institute.VHIR.Barcelona.Spain:"Cardiovascular Institute Hospitalinic.University of Barcebm.Villamoel 170.08036 Barcelona Spain:CIBERCV.Institut Investigscions BiomediquesAugust Pii Sunyer (IDIBAPS).Villarroe 17.0836 Barcelona SpainReference Center for Marfan Syndrome and rebted diseases.Cardobgy Department.VASCERN HTAD European Reference Centre Hoptal Bichat,APHP.INSERM U1148.Universte deParis.France Department of Cardiology.Radboud University Nijmegen Medical Centre.Nimegen.The Nethertands:Centro Cardiologco Monzino IRCCS.Via Carb Parea 4.Miano,ltaly:Radiology Department.Institut de Dignostic per la Imatge Hospital Valld'Hebron,Barceloma.SpainUniversitat Autonoma de Barcelona.Valld'Hebron Research Institute(VHIR).Barcelona.Spain:Department of Perioperative Cardiology and CardiovascubrImaingCentro Crdiologico Monzino IRCCS Min.tay1Cardiology Division.Antono Cardarelli Hospital Via AntonioCardarelli 9.80131.Naples.ItalyDepartment of Cardiology and Radiobgy.Amsterdam University Medical Center.Amsterdam The Netherlands:BHF Centre for Cardiovascular ScienceUniversity of Edinburgh.Chancellors Building,Little France Crescent,Edinburgh EH16 4SB.UK:Cardiology Department,Erasmus MC University Medca Center Rotterdam Rotterdam.TheNetherlands:VASCERN HTAD European Reference Centre:DivisionofAngiology.Centre Hospitalier Universitaire Vaudois Lausanne Switzerbnd:1Departmert ofCardiology.RadboudUniversity Medical Center.Nijmegen.The Netherbnds:and Departmert of Cardiology.Dupuytren University Hospital Inserm U1094.Lmoges FranceRecelved 29 January 2023;accepted 30 lanuary 2023Imaging techniques play a pivotal role in the diagnosis,follow-up,and management of aorticdiseases.Multimodality imaging provides complementaryand essential information for this evaluation.Echocardiography,computed tomography,cardiovascular magnetic resonance,and nuclear imagingeach have strengths and limitations in the assessment of the aorta.This consensus document aims to review the contribution,methodology,andindications of each technique for an adequate management of patients with thoracic aortic diseases.The abdominal aorta will be addressed else-where.While this document is exclusively focused on imaging,it is of most importance to highlight th