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Magnetic Resonance Imaging of the Spine With and Without Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

An MRI scan of the spine, often performed before and after intravenous contrast, to evaluate the vertebrae, discs, spinal cord, and surrounding tissues.

Quick summary

["This imaging test uses magnetic fields and sometimes intravenous contrast to evaluate abnormalities in the spine."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
37277-1
Short code
MRA Spinal vv WO+W contr IV
Synonyms
MRA Spinal vv WO+W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mr-angio
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Spinal magnetic resonance imaging (MRI) creates detailed pictures of the spine using magnetic fields and radio waves. Depending on the protocol, images may be taken before and after an intravenous contrast injection is given.

Why might I need this test?

This test may be ordered to investigate back or neck pain, numbness, weakness, trouble walking, trauma, or symptoms suggesting pressure on the spinal cord. It can help evaluate the vertebrae, spinal discs, spinal cord, nerves, and surrounding soft tissues.

How is the test performed?

You will usually lie on a table inside the MRI scanner. The technologist may position you to obtain images of the requested area of the spine, and you may be given contrast through a small intravenous catheter. You will be asked to remain still and may be given instructions about holding your breath.

How do I prepare for the test?

Tell the imaging team if you have metal implants, a pacemaker or other implanted device, a history of contrast allergy, kidney disease, or any chance of pregnancy. Follow the center's instructions, remove loose metal objects, and arrive early to complete safety screening and consent.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may indicate problems such as disc disease, spinal stenosis, vertebral injury, infection, inflammation, cysts, or a mass affecting the spinal cord or nerves. The results should be interpreted by a radiologist together with your symptoms, examination, and other tests because abnormal-looking areas do not always represent the cause of a person's symptoms.

Short name

Spinal MRI with/without IV contrast

Frequently asked questions

Does a spinal MRI use radiation?
No. MRI uses magnetic fields and radio waves rather than ionizing radiation, so it does not expose you to X-ray radiation.
Why might the scan be done before and after contrast?
Images before contrast show the basic anatomy clearly, while contrast-enhanced images may better reveal inflammation, infection, or certain masses. The exact protocol depends on the reason for the examination.
Is the intravenous contrast injection safe?
Contrast is generally well tolerated, but allergies and certain kidney conditions can increase risk. Tell the imaging team about prior contrast reactions, kidney disease, and all medications before the injection.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy