Dynamic MRI or CT (Flexion/Extension or Rotational) – 2nd Radiology Opinion


Most patients prefer having a second set of eyes focusing on their healthcare.  According to a study, 88% of patients who sought a 2nd medical opinion for a complex condition received a refined or completely new diagnosis. 

The USA, UK, Indian and Australian trained Radiologists working under contract for Spine and Brain Advocate are committed to reviewing MRI imaging for Craniocervical Junction disorders, Spinal Cord abnormalities and more.  

For head and neck imaging, the Radiologist(s) will review your submitted head and neck MRI imaging and provide you with a detailed and comprehensive Radiology Report.  The Radiologist(s) will review and report on the following abnormalities: 

⋅  Craniocervical Abnormalities and Measurements such as ADI, CXA, BAI, BDI and Powers Ratio

⋅  Chiari Malformation

⋅  Brainstem Abnormalities

⋅  Hydrocephalus

⋅  Tonsillar Herniation

⋅  Vascular abnormalities

⋅  Ligamental injuries with grading

⋅  Odontoid Malformations

⋅  Congenital Malformations

⋅  Degeneration Disease

⋅  Facet Joint Abnormalities

⋅  Intracranial Hypertension

⋅  Tumors and Tarlov Cysts

⋅  Styloid Process Abnormalities

⋅  CSF abnormalities

⋅  Lymphatic Disease

⋅  Osteoarthritis

⋅  Swelling, Inflammation and signs of Infection 

⋅  Spinal Canal Stenosis & Interspinous Distance with measurements

⋅  Vertebral Misalignment and Rotation

⋅  Head Injuries

⋅  and more




Any other imaging such as thoracic, lumbar or brain imaging etc. can also be submitted and the Radiologist(s) will provide a detailed and comprehensive report.  

Historically, the USA, UK, Indian and Australian trained Radiologists used by Spine and Brain Advocate have provided more than double the amount of details and approximately 75% of the time have found new information to help Doctors make an accurate diagnosis.

Even if the 2nd Radiology opinion verifies the initial diagnosis, patients may feel more comfortable knowing that their health is being properly assessed. This is an extra level of reassurance that may put patients fears at ease and will allow for the best treatment plans to be developed.



Receive an expert MRI /CT Flexion & Extension or MRI/CT Left & Right Rotation 2nd Radiology Opinion Report for Craniocervical Junction disorders.

Before purchasing Dynamic MRI or CT (Flexion/Extension or Right/Left Rotation) 2nd Radiology Opinion, please make sure you have the Minimum MR Image requirements: 

1.  MR and CT images are in DICOM File format  

2.  MRI minimum 1.5T



STEP 1.  Purchase your desired 2nd Radiology Opinion

→  By purchasing a 2nd Radiology Medical Opinion, you are contracting Spine and Brain Advocate to act as a “3rd party Representative” on your behalf and agree to its terms, conditions and policies.

→  A MRI/CT Flexion & Extension Study is considered (1) quantity

→ A MRI/CT Left & Right Rotation Study is considered (1) quantity. 

If you have a MRI/CT Flexion, Extension and Right & Left Rotation Study, it is considered (2) quantity.  

STEP 2.  Submit Image Files

(i) Upload the applicable Radiology Image file(s) for review and Reporting as well as the original Report easily and securely via Google Drive share to:   spinebrainadvocate@gmail.com

(ii) In a separate email labelled “Supplementary Information”, upload any applicable supplementary Reports and imaging (i.e. EKG, Blood, previous related imaging in any format i.e. XRay, MRI, CT etc.) as well as any photos or videos of your symptoms (i.e. tremors, facial spasms, discoloured hands or feet etc.) that may provide the Radiologists with a broad picture of what’s happening with you.  This information is very helpful for the Radiologists when reviewing your case.  Submit this supplementary information securely via Google Drive share to: spinebrainadvocate@gmail.com

(iii) complete the Patient  Clinical History (click here)


STEP 3.  Receive 2nd Radiology Opinion Report from a certified Radiologist within approximately 1 week from the date that images and payment were received.  Radiology Report(s) are sent to the email address provided at Checkout.  Have questions or Questions?  All reasonable requests will be accepted.

Obtaining Multiple Medical Opinions is the most effective way to decrease medical error rates. CCJ Disorders are a complex disease.  For a peace of mind, verify your diagnosis or get more details about the original diagnosis through a 2nd medical opinion.

Teams of US, UK, Indian and Australian trained Radiologists are utilized by Spine and Brain Advocate in remote 2nd Radiology Opinions. 

The dedicated Radiologists working for clients that purchase a 2nd Radiology Opinion have internationally accreditation and over 8 years of experience in their field.  They can help you understand what your medical issues are with great breadth and depth. 

Why obtain a 2nd Radiology Opinion?  Multifaceted Healthcare for CCJ Disorders is required because it’s a complex disease.  The craniocervical junction (CCJ) represents a complex area between the cranium (head) and the upper cervical spine (C1-C2 vertebrae).  It contains vital nerve and vascular (i.e. blood vessels) structures and the spinal cord. That’s very complicated and critical to a person’s health and well-being!

A combination of ligament and bone structure allows for stability despite a large degree of motion.  The CCJ movement brings flexion, extension, rotation, oblique and other motions.

When the CCJ’s structure becomes wobbly, due to ligament damage or a bone fracture or break, the nerve and vascular structures and the spinal cord are compressed at and around the point of injury. This is called craniocervical instability (CCI) and it can cause obstructions and abnormal blood flow, nerve conduction, and cerebral spinal fluid (CSF) flow.  A MRI or CT Flexion / Extension/ Rotation 2nd Radiology Opinion is an excellent investigative approach to determining quantifiable craniocervical junction abnormalities.  

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