When it comes to spine imaging, an MRI is the preferred method for evaluating soft tissues like discs, nerves, and the spinal cord. However, a CT scan is useful for assessing bone structures or detecting fractures. Imaging can focus on areas like the cervical (neck), thoracic (mid-back), or lumbar (lower back), depending on where symptoms exist. The goal is to check for issues such as herniated discs, nerve compression, fractures, tumors, or degenerative changes.

A cervical spine MRI is often used for neck pain, nerve symptoms, or suspected disc herniation. A thoracic spine MRI is for mid-back pain or spinal cord compression concerns. A lumbar spine MRI evaluates lower back pain, sciatica, or nerve irritation.

Flexion-extension X-rays may be ordered to check for spinal instability, with images taken while bending forward and backward to see if there’s excessive vertebrae movement. Combined, an MRI provides detailed soft tissue images, and X-rays help assess spinal stability.

While MRIs are favored for spine imaging, CT scans are used, especially if there's a trauma history or detailed bone structure assessment is needed. X-rays may serve as an initial step, and a PET/CT might be considered for cancer concerns.

MRI is radiation-free, making it safer for most patients, but requires stillness inside the scanner. Preparation involves removing metal objects and ensuring no contraindications, like implanted devices. CT scans might require contrast agents and fasting.

After the scan, you can resume normal activities unless sedation was used. If you have conditions like pregnancy or kidney concerns, inform the medical team for necessary precautions.