Purpose <p>This review explores the clinical utility of spectral CT in interventional radiology (IR), including applications in pre-procedural planning, intra-procedural guidance, and post-procedural evaluation.</p> Methods <p>A narrative review was conducted exploring the use of spectral CT in IR, examining its applications across the clinical workflow.</p> Results <p>Spectral CT demonstrates strong potential to enhance diagnostic precision and procedural safety in IR practice.</p> Conclusion <p>Spectral computed tomography (CT) is an emerging imaging modality that offers numerous benefits including enhanced tissue characterization, improved lesion detection, and artifact reduction compared to conventional CT. Future implications of this modality include integration of artificial intelligence, photon-counting technology, and integration into clinical workflows</p> Graphical Abstract <p></p>