{
  "abstract": "Advanced spine imaging has historically lagged behind brain and neck imaging for implementation into clinical practice. This is largely due to unique technical challenges including rectangular FOV, anatomic curvature, small cross section, multiple tissue interfaces, physiologic motion, and surgical hardware. For common indications such as low back pain, advanced imaging may not be necessary for routine care. However, for complex problem-solving, improved anatomic and functional spine assessment can have profound impacts on patient diagnosis, interventional planning, and outcomes. Advanced techniques can sensitively and quantitatively interrogate vertebrae, intervertebral discs, spinal canal, neural foramina, spinal cord, and nerves. This comprehensive review from the American Society of Spine Radiology Education and Standards Committee synthesizes technical principles and applications of advanced spine imaging for routine clinical use, complex problem-solving, and ongoing investigation. We present a didactic categorization of diffusion, perfusion, parametric, CSF, dynamic, anatomic, metabolic, functional, and miscellaneous techniques. Each section provides a high-level summary of technical background, key advantages and disadvantages, clinical readiness, and recommended use cases with correlative imaging examples.",
  "abstract_shown": true,
  "affiliations": [
    "From the Duke University Medical Center (A.A.M.), Durham, North Carolina",
    "MD Anderson Cancer Center (R.W.E., M.G.-M.), Houston, Texas",
    "University of Utah (L.M.S.), Salt Lake City, Utah",
    "Memorial Sloan-Kettering Cancer Center (A.S., K.K.P.), New York City, New York",
    "University of California, San Francisco (V.S.), San Francisco, California",
    "University of Missouri (L.C.P., M.-L.H.), Columbia, Missouri"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ajay A. Madhavan",
      "orcid": "0000-0003-1794-4502"
    },
    {
      "affs": [
        1
      ],
      "name": "Rami W. Eldaya",
      "orcid": "0000-0001-7801-1015"
    },
    {
      "affs": [
        2
      ],
      "name": "Lubdha M. Shah",
      "orcid": "0000-0003-1303-3533"
    },
    {
      "affs": [
        3
      ],
      "name": "Atin Saha",
      "orcid": "0000-0001-8446-6315"
    },
    {
      "affs": [
        3
      ],
      "name": "Kyung K. Peck",
      "orcid": "0000-0002-9841-3078"
    },
    {
      "affs": [
        4
      ],
      "name": "Vinil Shah",
      "orcid": "0000-0003-0803-5067"
    },
    {
      "affs": [
        1
      ],
      "name": "Maria Gule-Monroe",
      "orcid": "0000-0002-4418-3705"
    },
    {
      "affs": [
        5
      ],
      "name": "Lauren Clough Pringle",
      "orcid": "0000-0002-5854-6423"
    },
    {
      "affs": [
        5
      ],
      "name": "Mai-Lan Ho",
      "orcid": "0000-0002-9455-1350"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0map74dwk5q2b.bib",
  "cited_by": 0,
  "doi": "10.3174/ajnr.a9314",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13738328/",
  "id": "0map74dwk5q2b",
  "issns": [
    "0195-6108",
    "1936-959X"
  ],
  "landing_url": "https://doi.org/10.3174/ajnr.a9314",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Clinical"
    ],
    [
      "heading",
      "Spine Imaging and Spine Image-Guided Interventions"
    ],
    [
      "openalex",
      "2732|Spine and Intervertebral Disc Pathology"
    ]
  ],
  "openalex": "W7140494152",
  "pdf_url": null,
  "pmcid": "PMC13738328",
  "pmid": "41887744",
  "published": "2026-11-06",
  "publisher": "American Society of Neuroradiology",
  "ris": "https://research.draconitic.com/paper/0map74dwk5q2b.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:23:19Z",
      "native_id": "PMC13738328",
      "source": "pmc",
      "url": "https://doi.org/10.3174/ajnr.a9314"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2732|Spine and Intervertebral Disc Pathology",
      "subfield": "surgery"
    }
  ],
  "title": "Advanced Spine Imaging: Technical Updates and Practice Recommendations",
  "title_text": "Advanced Spine Imaging: Technical Updates and Practice Recommendations",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:23:19Z",
  "url": "https://research.draconitic.com/paper/0map74dwk5q2b",
  "venue": "AJNR: American Journal of Neuroradiology",
  "versions": []
}