Myelogram

What is a Myelogram?

A myelogram is a specialized diagnostic imaging procedure used to evaluate the spinal canal, spinal cord, nerve roots, and surrounding structures. It combines a contrast dye injection into the spinal fluid (cerebrospinal fluid) with advanced imaging, most commonly CT scanning, to produce highly detailed images of the spine. By outlining the spinal cord and nerve roots, a myelogram helps physicians identify abnormalities that may not be clearly visible on standard MRI or CT scans.

Myelograms are especially valuable when patients cannot undergo MRI or when MRI findings are inconclusive. The contrast material flows through the spinal canal, highlighting areas of compression, narrowing, or structural abnormalities that may be causing pain, numbness, weakness, or other neurologic symptoms.

Myelograms are commonly used to evaluate:

  • Herniated or bulging spinal discs
  • Spinal stenosis (narrowing of the spinal canal)
  • Nerve root compression or impingement
  • Spinal tumors, cysts, or infections
  • Bone spurs (osteophytes) affecting nerves
  • Post-surgical spine complications or scar tissue
  • Cerebrospinal fluid (CSF) leaks

Myelogram Services at American Health Imaging

American Health Imaging is in-network with 99% of insurance plans and offers myelogram imaging with savings of up to 60% compared to hospital-based imaging. Our outpatient centers provide high-quality, physician-referred myelogram services, focusing on patient comfort, safety, and efficiency.

Myelogram Imaging Centers Near You

American Health Imaging offers myelogram services at select imaging centers in metro Atlanta and Birmingham. Our centers provide convenient access, same-day and next-day appointments with shorter wait times, and a comfortable outpatient setting compared to hospital imaging departments.

Find Your Nearest Myelogram Imaging Center

What is a Myelogram used for?

A myelogram is used when detailed visualization of the spinal canal and nerve roots is required to accurately diagnose the cause of back pain, neck pain, or neurologic symptoms. It is particularly useful for evaluating conditions that affect the spine dynamically or in patients with metal implants, spinal hardware, or devices that degrade MRI quality.

Physicians often use myelograms to assess complex spinal conditions, plan surgical or interventional procedures, and clarify findings when other imaging studies do not fully explain a patient’s symptoms.

Why Your Doctor May Recommend a Myelogram Scan

  • Persistent Back or Neck Pain: When chronic pain does not respond to treatment and MRI findings are unclear or unavailable.
  • Nerve-Related Symptoms: Evaluation of numbness, tingling, weakness, or radiating pain in the arms or legs.
  • Spinal Stenosis: To determine the severity and exact location of spinal canal narrowing.
  • Herniated Discs: Identifying disc material pressing on nerve roots.
  • Post-Surgical Evaluation: Assessing scar tissue, hardware placement, or recurrent disc herniation after spine surgery.
  • MRI Limitations: When patients have pacemakers, spinal stimulators, or metal implants that make MRI unsafe or less effective.

Types of Myelogram Scans We Offer

A 1.2T High Field Open MRI is a type of Open MRI scanner that has a strong magnet (1.2 Tesla) and an open design, making it more comfortable for people who feel claustrophobic or have a larger body. The Open MRI has an open front and sides designed to provide increased comfort. The “high field” means it has a stronger magnetic field than some other MRI machines, which helps in getting more accurate images.

A 1.5T High Field MRI is a medical imaging machine that uses a strong magnetic field (1.5 Tesla) to create clear and detailed pictures of the inside of your body. The “high field” means it has a stronger magnetic field than some other MRI machines, which helps in getting more accurate images.

A 1.5T Wide Bore MRI is a type of medical imaging machine that uses a strong magnetic field (1.5 Tesla) to take detailed pictures of the inside of your body. The “wide bore” part means the opening of the machine is larger at 27 ½” wide, making it more comfortable for people who feel anxious or are larger in size. Many of our 1.5T Wide Bore MRIs feature faster scanning technology to reduce most exams to 15 minutes.

A 16-slice CT scanner is a medical imaging machine that takes detailed X-ray pictures of your body in thin slices, which are then combined to create a complete image. The “16-slice” part means it can capture 16 slices of images at once, allowing for faster and more detailed scans.

3D mammography, or tomosynthesis, is an advanced x-ray technology that takes multiple images of breast tissue to create a 3-dimensional picture of the breast. It differs from traditional mammography in that traditional mammography yields only a single image. A 3D image of the breast allows for better assessment of masses and reduces the likelihood of a false positive or an unnecessary biopsy.

A 3T MRI is a medical imaging machine that uses an even stronger magnetic field (3 Tesla) to take very detailed pictures of the inside of your body. Because of its high strength, it can capture clearer images and is often used for more complex scans. Often used for prostates and different types of brain imaging. The “wide bore” part means the opening of the machine is larger at 27 ½” wide, making it more comfortable for people who feel anxious or are larger in size.

A 64-slice CT scanner is a medical imaging machine that takes very detailed X-ray pictures of your body by capturing 64 slices of images at once. This allows for faster scans and even more detailed images, which is useful for diagnosing complex conditions. Our 64-slice CT features innovative technology that automates dose according to your size, weight, and anatomy, providing high-quality images with minimal radiation.

ABUS Breast Cancer Screening uses sound waves to create 3D pictures of the breast tissue. ABUS breast cancer screening technology is specifically developed and FDA-approved for women with dense breast tissue.

An arthrogram visualizes the inside of a joint, such as the shoulder, knee, hip, or wrist. A contrast dye is injected into the joint to make the joint structures, including ligaments, tendons, cartilage, and the joint capsule, more visible on X-ray or MRI images.

Coronary Calcium CT – also called Cardiac Scoring – measures calcified (hard) plaque inside the arteries that can grow and restrict blood flow to the muscles of the heart identifying potential Coronary Artery Disease (CAD) before you have symptoms.

A DEXA scan is a medical imaging technique used to measure bone mineral density. It is commonly performed to diagnose osteoporosis or assess the risk of developing fractures as we age.

Diffusion Tensor Imaging (DTI) is a special type of MRI technique that helps doctors see the pathways of nerve fibers in the brain. By looking at these images, doctors can better understand how the brain’s wiring works and diagnose conditions like brain injuries, tumors, or diseases that affect these connections.

Faster scanning MRI technology reduces the time patients spend on the table for scans by up to 50% to an average scan time of less than 15 minutes providing a more comfortable imaging experience for anxious patients or anyone in pain. AI technology delivers high quality images with reduced motion artifacts and noise distortions for the diagnostic insights providers need to determine next steps in patient care.

Fluoroscopy uses injected contrast dye and an X-Ray machine to take a continuous series of X-rays instead of individual snapshots. It is most commonly used to evaluate parts of your body that are moving in order to create a short video of your body system in motion. It is particularly useful for observing the digestive, urinary, respiratory, and reproductive systems and their functioning.

A screening mammography is a specialized X-ray of the breasts that takes images from different angles. These images can reveal abnormalities in breast tissues. This exam is annually recommended for all women over the age of 40.

Our MRI machines use a powerful magnetic field, radio waves, and a computer to generate detailed images of organs, tissues, bones, and other structures inside the body. With a larger bore or tunnel-like opening compared to traditional MRI machines, our wide-bore MRI provides high quality images without compromising patient comfort.

Our MRI machines use a powerful magnetic field, radio waves, and a computer to generate detailed images of organs, tissues, bones, and other structures inside the body. With a larger bore or tunnel-like opening compared to traditional MRI machines, our wide-bore MRI provides high quality images without compromising patient comfort.

Myelogram imaging is used to evaluate the spinal cord, nerve roots, and surrounding structures in the spine with an injectable contrast dye to enhance the visibility of the spinal cord and nerves on X-ray images.

Specialty post processing technology used for brain MRI to assess brain volume and atrophy for neurological diseases including dementia, Alzheimers, seizures, MS lesions and Traumatic Brain Injuries.

The Open Upright MRI, also known as a stand-up MRI, is the only MRI scanner able to scan you in multiple positions, including sitting, standing, bending (for flexion and extension) or lying down. This unique MRI provides natural weight-bearing imaging and is helpful for your doctor to diagnose the area where you experience pain. The Open Upright MRI is open in front of you, behind you, and above you. This open design may be more comfortable for people who feel anxious or are larger in size.

A PET/CT (Positron emission tomography) is a non-invasive exam that uses small amounts of radioactive materials called radiotracers to reveal how internal organs are functioning. The scan takes about 60 minutes and images are captured via CT as your body processes the radioactive material. This offers great insight into the root of the disease process or the source of symptoms.

What to Expect During Your Myelogram Appointment

Your myelogram is a two‑step procedure designed to give your care team clear answers while keeping you as comfortable as possible. The appointment typically takes 30–60 minutes. It begins with a radiologist gently injecting contrast material into your spinal canal using real‑time X‑ray guidance; the area is cleaned and numbed beforehand to ensure comfort. Once the contrast is in place, you’ll be positioned carefully so it can flow through the spinal canal, and then you’ll move to a CT scan that lasts about 10–20 minutes. These detailed images help your doctor evaluate the spine and nerve roots with precision.

Throughout the process, our imaging team supports you, monitors you closely, and keeps you informed. Afterward, you’ll be observed briefly before heading home with clear post‑procedure instructions.

Why Choose American Health Imaging for Your Myelogram

American Health Imaging combines advanced technology with compassionate, patient-focused care to deliver accurate spinal imaging you can trust.

  • In-network with 99% of insurance plans
  • Savings of up to 60% compared to hospital-based myelogram imaging
  • Advanced CT scanners optimized for high-resolution spinal imaging
  • Board-certified radiologists with expertise in spine and neurologic imaging
  • Fluoroscopic guidance for precise and safe contrast placement
  • Scanslated® patient-friendly reports that clearly explain your results
  • 97% patient satisfaction score for quality, service, and experience

We offer convenient outpatient locations, efficient scheduling, and a supportive environment designed to reduce stress and wait times.

Schedule Your Myelogram Today

Scheduling your Myelogram with American Health Imaging is made easy in just a few steps:

  1. Obtain a referral from your physician (required for insurance coverage)
  2. Confirm myelogram availability at your preferred American Health Imaging location
  3. Schedule your appointment online or by phone
  4. Verify insurance coverage and authorization—we handle the process for you
  5. Follow the preparation instructions provided prior to your exam

Common Questions About Myelogram Scans

What is a myelogram?

A myelogram is a specialized diagnostic imaging procedure that uses contrast dye injected into the spinal fluid, followed by CT imaging, to evaluate the spinal cord, nerve roots, and spinal canal. This advanced imaging technique provides detailed information that helps diagnose the cause of back pain, neck pain, and neurologic symptoms.

How it works:
• Contrast dye is injected into the cerebrospinal fluid (CSF) in your spinal canal
• The dye outlines the spinal cord and nerve roots on imaging
• CT scan creates detailed cross-sectional images
• Reveals abnormalities not always visible on standard MRI or CT
• Takes 60–90 minutes from start to finish

Myelograms are ideal for:
• Patients who cannot undergo MRI due to metal implants, pacemakers, or spinal hardware
• Complex spinal conditions requiring detailed visualization
• Cases where MRI findings are inconclusive
• Pre-surgical planning for spine procedures
• Evaluating nerve root compression or spinal stenosis

Conditions diagnosed include herniated discs, spinal stenosis, nerve root compression, spinal tumors, bone spurs affecting nerves, post-surgical complications, and cerebrospinal fluid leaks.

Why did my doctor order a myelogram?

Your doctor ordered a myelogram because you need detailed visualization of your spinal canal and nerve roots to accurately diagnose the cause of your symptoms when other imaging hasn’t provided enough information.

Common reasons for ordering a myelogram:
• Persistent back or neck pain that doesn’t respond to treatment and MRI findings are unclear
• Nerve-related symptoms such as numbness, tingling, weakness, or radiating pain
• Spinal stenosis to determine severity and exact location of narrowing
• Herniated discs pressing on nerve roots
• Post-surgical evaluation of scar tissue, hardware placement, or recurrent disc herniation
• MRI limitations due to pacemakers, spinal stimulators, or metal implants

The benefit: Myelograms provide exceptional detail of the spinal canal and nerve roots, helping your doctor determine the exact cause of your symptoms and develop the most effective treatment plan.

Do I need a referral for a myelogram?

Yes, you need a referral (also called a doctor’s order or prescription) to get a myelogram.

What your referral does:
• Provides clinical information about your spinal condition and symptoms
• Is required for insurance coverage, including Medicare
• Ensures the procedure is medically appropriate
• Allows for proper follow-up and treatment planning

Once your doctor sends the order to American Health Imaging, we’ll contact you to schedule your appointment, verify insurance coverage, and provide preparation instructions.

How do I schedule a same-day myelogram?

Scheduling a myelogram at American Health Imaging is straightforward, though same-day appointments may be limited due to the specialized nature of this procedure.

Scheduling options:
• Call us or request an appointment online
• Next-day appointments are often available
• Prior authorization is typically required before scheduling
• Preparation instructions are provided when you schedule

Myelograms are performed at select locations in metro Atlanta and Birmingham. Once your referral and insurance authorization are complete, we’ll schedule your appointment as quickly as possible.

Schedule your myelogram:
https://americanhealthimaging.com/request-appointment/

What imaging centers near me offer myelograms?

American Health Imaging offers myelogram services at select locations in Georgia and Alabama.

Georgia locations:
• American Health Imaging of Newnan
• American Health Imaging of Sandy Springs

Alabama locations:
• American Health Imaging of Greystone
• American Health Imaging of Homewood

Important: Not all American Health Imaging centers perform myelograms. Please call ahead to confirm availability.

View imaging centers:
https://americanhealthimaging.com/location/

What does a myelogram diagnose?

Myelograms diagnose spinal conditions by revealing abnormalities in the spinal canal, spinal cord, and nerve roots that may not be fully visible on standard imaging.

Conditions diagnosed with myelograms:
• Herniated or bulging discs
• Spinal stenosis
• Nerve root compression
• Spinal tumors, cysts, or infections
• Bone spurs affecting nerves
• Post-surgical complications
• Cerebrospinal fluid (CSF) leaks

Why myelograms are valuable:
• Provide dynamic views of the spine
• Work well for patients with metal implants
• Clarify inconclusive MRI findings
• Offer exceptional detail for surgical planning

How should I prepare for my myelogram?

Preparing for a myelogram requires following specific instructions to ensure safety and optimal imaging results.

Before your appointment:
• Follow fasting instructions if provided
• Continue regular medications unless advised otherwise
• Inform the imaging center of allergies to contrast dye or anesthetics
• Tell us about blood thinners or anticoagulant medications
• Arrange for someone to drive you home

Day of your appointment:
• Wear comfortable, loose-fitting clothing
• Bring photo ID, insurance card, and medication list
• Plan for 2–3 hours total time

You’ll receive detailed preparation instructions when scheduling.

What should I expect during a myelogram?

During your myelogram, you’ll undergo a two-step procedure: contrast injection into the spinal canal followed by CT imaging.

What happens:
• Check-in and preparation
• Positioning on the fluoroscopy table
• Injection site cleaned and numbed
• Contrast dye injected using real-time X-ray guidance
• Table positioning to allow contrast flow
• CT scan lasting 10–20 minutes
• Brief post-procedure observation

Total procedure time is typically 30–60 minutes.

What happens after my myelogram is complete?

After your myelogram, you’ll be monitored briefly before going home and must follow post-procedure instructions.

Immediately after:
• Observation period of 15–30 minutes
• Someone must drive you home
• Rest for the remainder of the day

First 24 hours:
• Keep your head elevated
• Drink plenty of fluids
• Avoid strenuous activity
• Expect possible mild headache or nausea

Most patients resume normal activities after 24–48 hours.

When will I get my myelogram results?

Your doctor typically receives results within a few hours after the report is completed.

You will receive:
• A text message with a link to your imaging report within 48 hours
• Easy-to-understand explanations
• Anatomical diagrams

Board-certified radiologists interpret the images and send a comprehensive report to your physician.

How accurate is a myelogram?

Myelograms are highly accurate for visualizing the spinal canal, nerve roots, and areas of compression.

Accuracy highlights:
• Exceptional detail of nerve root anatomy
• Direct visualization of contrast flow
• Particularly accurate for spinal stenosis and nerve impingement
• Excellent alternative when MRI is contraindicated

Myelograms are considered a gold standard for certain spinal conditions.

How long does a myelogram take?

The full myelogram procedure takes 60–90 minutes.

Time breakdown:
• Preparation and positioning: 10–15 minutes
• Contrast injection: 15–20 minutes
• CT imaging: 10–20 minutes
• Post-procedure observation: 15–30 minutes

Plan for 2–3 hours total time including check-in.

How much does a myelogram cost?

The cost of a myelogram varies depending on insurance coverage and benefits.

Cost details:
• Most insured patients pay only their standard copay, coinsurance, or deductible
• American Health Imaging offers up to 60% savings compared to hospital imaging
• Self-pay rates are significantly lower than hospital pricing

We verify coverage, obtain authorization, and provide transparent cost estimates.

Will my insurance cover a myelogram?

Yes, most insurance plans, including Medicare, cover medically necessary myelograms when ordered by a physician.

Generally covered for:
• Herniated discs
• Spinal stenosis
• Persistent back or neck pain with neurologic symptoms
• Pre-surgical spine evaluation
• Post-surgical complications

American Health Imaging handles insurance verification and authorization.

Is a myelogram painful?

Most patients experience only mild discomfort during a myelogram.

What you may feel:
• Brief stinging from local anesthetic
• Pressure during needle placement
• Warmth as contrast is injected

After the procedure:
• Mild headache is the most common side effect
• Headaches usually resolve within 24–48 hours
• Mild soreness or dizziness may occur

The procedure is generally well tolerated, and comfort measures are provided throughout.

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Myelogram Articles and Resources

Do you need to schedule a Myelogram?

American Health Imaging offers same-day and next-day appointment options to make getting an imaging scan convenient. Get a referral from your doctor, find the American Health Imaging center closest to you, and then call to schedule an imaging appointment.