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The railway line runs along the Tyrrhenian Sea . From Genoa , it crosses the entire Ligurian Levant, i.e. the section of Liguria to the east of Genoa, and reaches the city of Pisa via the Tuscan coastal landscape of Versilia . It is consistently two-pronged and connects Genoa and Pisa with the provincial capitals Massa - Carrara and La Spezia . In the further south it connects to the Pisa – Rome railway line .
Rail traffic is operated and controlled by the Sistema di Comando e Controllo (SCC) monitoring system from the Rete Ferroviaria Italiana railway company . From the location in Pisa, the system organizes the traffic in the section from Rome (Maccarese) to Sestri Levante , a total of 420 kilometers of rail network. The SCC controls the Sestri Levante – Genoa line from another location in Genoa (Teglia).
The railway line was built in several sections between 1861 and 1874 and has a length of 165 kilometers.