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Updated: Sep 5, 2025

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Spinal Cord fMRI: A New Window into the Central Nervous System
Nawal Kinany1,2,3, Elvira Pirondini4,5,6, Silvestro Micera3,7
1Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland.
Summary
Functional magnetic resonance imaging (fMRI) can now explore the spinal cord, revealing its active role in human behaviors. This technique offers new insights into the central nervous system beyond the brain.
Area of Science:
- Neuroscience
- Human Physiology
- Medical Imaging
Background:
- The spinal cord, a key component of the central nervous system, is increasingly recognized for its active and plastic nature.
- Despite its significance, spinal cord research is less extensive compared to brain studies within human neuroscience.
- Functional magnetic resonance imaging (fMRI) is a powerful tool for studying brain function but has been underutilized for spinal cord investigations.
Purpose of the Study:
- To advocate for the extension of fMRI techniques to study spinal cord function in humans.
- To explore the potential of spinal cord fMRI in understanding human behaviors and sensorimotor circuits.
- To highlight the application of fMRI in addressing both fundamental and clinical questions related to the spinal cord.
Main Methods:
- Review of proposed strategies and methodologies for overcoming technical challenges in spinal cord fMRI.
- Discussion of existing applications of spinal cord fMRI in neuroscience research.
- Synthesis of guidelines and best practices for conducting spinal cord fMRI studies.
Main Results:
- Successful adaptation of fMRI techniques to image spinal cord activity.
- Demonstration of spinal cord fMRI's capability to provide insights into functional organization of sensorimotor circuits.
- Evidence of spinal cord fMRI's utility in investigating neurological disorders and basic science questions.
Conclusions:
- Spinal cord fMRI is a viable and promising technique for advancing our understanding of the human spinal cord.
- This imaging modality can bridge the gap in research between the brain and spinal cord.
- Further research and application of spinal cord fMRI are encouraged to explore its full potential in neuroscience and clinical settings.
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