Future Trends in Spinal Imaging

Abstract Imaging methods of the spine have greatly expanded since 1895, providing anatomical clarity for diagnosis and treatment of the cervical, thoracic, lumbar, and sacral vertebrae. The complex anatomy of the vertebrae and irregular contours and geometry of the spinal elements have influenced the rapid development of more precise imaging modalities. Various advancements to two- and three-dimensional imaging through plain radiographs, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and EOS imaging along with multiple dimensional views of the spine are continuously optimized. Future developments in imaging may improve the assessment of pedicle screw placement and image definition, reduce radiation, and provide autonomous spinal mapping using artificial intelligence.