London Spine Clinic

Nociscan MR spectroscopy

Also known as: MR spectroscopy, MRS

At The London Clinic, our expert radiographers and radiologists perform Nociscan MR spectroscopy alongside conventional MRI techniques to gather information on the chemical composition and structural integrity of spinal discs.

The London Clinic is currently the only UK provider of Nociscan.

Nosciscan plays a significant role assessing lower back pain and disc related issues. However, it particularly focuses on identifying painful lumbar disc issues that contribute to chronic lower back pain – a condition that impacts up to 60% of the adult population at some point in their lifetime (NICE, 2024).

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Diagnostic overview

Nociscan MR spectroscopy is a cutting-edge, evidence-backed non-invasive imaging test that works alongside traditional magnetic resonance imaging (MRI).

While conventional MRI techniques can provide crucial structural information, they often fall short in pinpointing the actual source of pain – especially in cases of chronic lower back pain.

Nociscan fills this gap by providing detailed insights into the chemical make-up and structural integrity of tissues in the body, particularly within the spine. This allows our physicians to distinguish between painful and non-painful spinal discs, and provide our patients with more accurate diagnoses.

It answers questions such as “Does my disc cause my back pain?”, “How damaged is the disc?”.

Nociscan uses an MRI scanner to produce detailed images of the body’s internal structures by analysing the chemical changes within tissues. However, its key advantage comes through its ability to differentiate between discs that are damaged and causing pain, and those that are damaged but not painful.

Understanding this difference is essential for accurately diagnosing conditions related to chronic back pain, while also ensuring patients receive more tailored treatment plans.

Nociscan MR spectroscopy is completely painless, doesn’t involve any radiation and doesn’t require any anaesthesia, making it safe for everyone to use, including children and pregnant women.

By using it as a diagnostic tool, our radiologists can obtain crucial information to not only diagnose and treat many painful lower back conditions but also deliver improved outcomes to all our patients.

Is MR spectroscopy the same as an MRI scan?

No, MRI spectroscopy is not the same as a standard MRI scan.

While both use MRI technology, an MRI scan provides detailed images of the body’s internal structures, whereas MR spectroscopy focuses on the chemical composition of tissues.

In effect, MR spectroscopy provides an additional layer of information for our radiologists to use when assessing specific metabolites in certain tissues. This information can be crucial when identifying specific abnormalities that may not always be clear when using an MRI scan by itself.

Benefits of Nociscan MR spectroscopy

Using Nociscan MR spectroscopy can offer a number of benefits:

  • It’s incredibly detailed: Since the technique can provide detailed information about the chemical make-up of tissues, it can help to accurately visualise, diagnose and monitor a wide variety of conditions.
  • It’s safe and non-invasive: Using Nociscan MR spectroscopy doesn’t require surgery, radiation exposure or any other invasive techniques. It only uses magnetic fields and radio waves, which have no known side effects.
  • It’s efficient: Nociscan MR spectroscopy works alongside MRI scans to give a more comprehensive view of the area being examined. This use reduces the need for multiple diagnostic tests and improves diagnostic efficiency.

Getting your results

After you’ve undergone the Nociscan MR spectroscopy procedure, the images and data will need to be analysed by a radiologist and made into a report.

When your results are ready (usually within 2 working days), they will be sent to the doctor who referred you for their review. They will then set up a follow-up appointment with you to discuss your results in more detail and, if necessary, outline any next steps.

Frequently asked questions (FAQs)

Nociscan MR spectroscopy is an advanced imaging technique that enhances the abilities of a standard MRI scan by providing detailed information about the chemical composition and structural integrity of tissues, particularly within the spine.

Unlike a standard MRI, which is mainly used to produce structural images, Nociscan MR spectroscopy helps to identify the presence and concentration of specific chemicals within tissues. This allows our radiologists to distinguish between painful and non-painful spinal discs, offering detailed insights to help diagnose conditions like chronic lower back pain.

Your consultant will discuss all diagnostic tests with you. You may not be eligible if you have any metalwork in your spine from a previous surgery or injury. If the discs are very collapsed, the Nociscan MR spectroscopy is not suitable.

Your doctor may refer you for Nociscan MR spectroscopy for one of several reasons. For example, they may use it to:

  • Identify whether a spinal disc is the source of your back pain
  • Distinguish between painful and non-painful spinal discs
  • Assess the structural integrity of spinal discs
  • Provide additional information to support a standard MRI scan
  • Evaluate the chemical composition of tissues in the spine
  • Monitor the effectiveness of a particular treatment plan

If you have any questions or concerns about why you might need Nociscan MR spectroscopy, speak to our team and we will be able to help put your mind at ease.

The entire process of Nociscan MR spectroscopy, including both the MRI imaging and spectroscopy procedures, will usually take between 30 and 90 minutes. The total time will vary depending on the size of the area you’re having examined.

If you are having a Nociscan only, this takes around 20 to 30 minutes. To ensure clear images, it is important to remain still throughout until the radiographer tells you to relax. The MRI scanner makes loud tapping noises at certain times, caused by electrical currents in the coils, and earplugs or headphones may be provided.

It is best to allow for extra time before and afterwards to discuss any questions you may have with the radiologist.

The time it takes to get your results can vary depending on factors like how complex your analysis is, how busy the radiology department is at the time and whether the radiologist needs to discuss your results with a specialist.

When your results are ready (usually within 2 working days), your doctor will set up an appointment with you to discuss your results and let you know any next steps if needed.

Nociscan MR spectroscopy is a very safe procedure that carries minimal risks. It’s also non-invasive and generally painless, with the only mild complaint being the slight discomfort you might experience from lying still in the MR machine for an extended period of time.

Any discomfort is usually only minor and your radiologist will do all they can to ensure you’re as comfortable as possible throughout.

Since 2025, Mr John Sutcliffe has carried out some marketing activities for Aclarion. His earnings from the company are not linked to the number of Nociscan scans performed or any other activity based measures. Mr Sutcliffe works with Aclarion as a consultant, offering expert advice on clinical, technical and product development matters, as well as medical and scientific guidance.

Nociscan MR spectroscopy: the process

There are various stages involved with receiving Nociscan MR spectroscopy. This typically includes:

Step 1: Preparation Step 2: MR procedureStep 3: Spectroscopy procedureStep 4: Completion
What patients choose London Spine Clinic?

What patients choose London Spine Clinic?

We understand that each patient is unique and deserves individualised care. Whether you're a fitness enthusiast who has sustained an exercise-induced injury, an older adult seeking relief from chronic back pain, or someone who has previously sought treatment elsewhere but didn't get the results they needed, our team of world-class specialists are here to listen and provide you with the very best personalised care.

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