What is this test?
Magnetic Resonance Imaging (MRI) of the thoracic spine is an advanced, non-invasive diagnostic tool that produces highly detailed images of the mid-back region. This area includes the twelve thoracic vertebrae, the intervertebral discs between them, the spinal cord running through the spinal canal, nerve roots, ligaments, muscles, and other soft tissues. The MRI uses powerful magnets and radiofrequency waves to generate clear cross-sectional images without any exposure to ionizing radiation.
What is it used for?

• Detecting spinal cord compression caused by herniated discs, tumors, or other masses
• Identifying fractures or structural abnormalities in the thoracic vertebrae
• Diagnosing infections or inflammatory conditions such as osteomyelitis or discitis
• Evaluating unexplained mid-back pain, stiffness, or neurological symptoms such as numbness, tingling, or weakness in the torso or legs
• Assessing spinal deformities such as scoliosis or kyphosis
• Monitoring known spinal diseases or trauma for progression or healing
• Investigating causes of myelopathy (spinal cord dysfunction) or radiculopathy (nerve root irritation) originating in the thoracic spine

Who should get this test?

• Patients experiencing persistent or severe mid-back pain that does not improve with conservative treatments
• Individuals with neurological symptoms including sensory changes, weakness, or altered reflexes affecting the trunk or lower limbs
• Those with suspected spinal cord injury or trauma to the thoracic region
• Patients with known or suspected tumors, infections, or inflammatory diseases of the spine
• People with spinal deformities requiring detailed imaging for diagnosis and management
• Patients being evaluated prior to or after thoracic spine surgery

Preparation Required:

• Standard MRI preparation includes removal of all metal objects such as jewelry, watches, or piercings
• Inform the MRI technologist of any implanted devices, pacemakers, or metal fragments in your body
• No fasting or medication adjustments are typically needed unless contrast is planned, which will be communicated by your physician

How is the procedure performed?
You will lie flat on the MRI table, often positioned with a cushion or strap to help keep the thoracic spine still during scanning. The table slides slowly into the MRI machine’s tunnel-shaped magnet. The procedure usually lasts between 30 and 45 minutes. The machine will emit rhythmic tapping or knocking sounds during image acquisition, for which ear protection is provided. Staying very still is important to achieve sharp images.
Risks & Safety:

• MRI uses no ionizing radiation and is considered very safe for most patients
• Some exams use gadolinium-based contrast agents to enhance visualization of certain conditions; kidney function is assessed beforehand to ensure safety
• Patients with claustrophobia may experience discomfort inside the MRI tube; sedation or alternative open MRI scanners may be options
• MRI is contraindicated for patients with certain metal implants or devices that are not MRI-compatible

Results:
A radiologist with expertise in spinal imaging interprets the scans, assessing vertebral alignment, disc integrity, spinal cord condition, nerve root status, and soft tissue abnormalities. The report details any findings such as disc herniations, spinal stenosis, tumors, fractures, inflammation, or infections. This information is vital for neurologists, orthopedic surgeons, and spine specialists to determine the best treatment strategy.
Short Statement:
A detailed, radiation-free MRI scan of the mid-back (thoracic spine) providing clear images of bones, discs, spinal cord, and nerves to diagnose pain, nerve compression, tumors, or injuries.
Call to Action:
Dealing with persistent upper or mid-back pain, numbness, or weakness? Schedule your Thoracic Spine MRI today for comprehensive evaluation and to guide your path toward effective treatment.