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Updated: Feb 22, 2026
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Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
Published on: May 7, 2019
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Current concept in upright spinal MRI
R Botchu1, A Bharath2, A M Davies2
1Department of Musculoskeletal Radiology, The Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, B31 2AP, UK. rajesh.botchu@nhs.net.
Summary
Upright MRI offers a new way to image the spine in weight-bearing positions, potentially revealing hidden issues missed by traditional supine MRI scans for better spinal diagnostics.
Area of Science:
- Radiology
- Medical Imaging
- Orthopedics
Background:
- Conventional Magnetic Resonance Imaging (MRI) is standard for spinal evaluation.
- The supine position in conventional MRI does not replicate physiological forces during upright posture and ambulation.
- This limitation may lead to occult spinal pathology being missed.
Purpose of the Study:
- To discuss the imaging technique of upright spinal MRI.
- To outline the current clinical indications for upright spinal MRI.
- To highlight the potential of upright MRI in diagnosing spinal conditions.
Main Methods:
- Utilizes upright Magnetic Resonance Imaging (MRI) technology.
- Scans patients in various weight-bearing positions.
- Compares findings with conventional supine MRI.
Main Results:
- Upright MRI allows for imaging under physiological load.
- Potential to visualize pathology not apparent in supine scans.
- Demonstrates the utility of weight-bearing spinal imaging.
Conclusions:
- Upright MRI provides a valuable alternative for spinal assessment.
- It can detect occult spinal pathology missed by conventional MRI.
- Clinical indications for upright spinal MRI are expanding.
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