Upright MRI vs. Open MRI: Which Is Right for You?

Posted on November 14, 2025

A digital X-ray of a knee joint on a tablet with the radiologist pointing to it with a pen.Magnetic Resonance Imaging (MRI) is a powerful diagnostic tool that allows doctors to see detailed images of the body’s organs, tissues, and joints. If you’ve been recommended for an MRI, you may notice there are different types, including upright MRI and open MRI. Understanding the differences can help you make an informed choice for your comfort and diagnostic needs.

What Is an Upright MRI? 

An upright MRI allows patients to sit, stand, or lean during the scan, rather than lying flat. This type of imaging is particularly useful for: 

  • Evaluating spine conditions such as herniated discs or scoliosis 
  • Assessing joint problems in natural weight-bearing positions 
  • Diagnosing conditions that worsen when standing or sitting 

The Benefits of Upright MRI

  • Can replicate normal posture and stress on joints or spine 
  • Useful for patients who have difficulty lying flat due to pain or breathing issues 
  • Often reduces anxiety for patients with mild claustrophobia 

The Limitations of Upright MRI 

  • May not be available in all imaging centers 
  • Slightly longer scan times compared to traditional MRI 
  • Image resolution can sometimes be lower for certain body areas 

What Is an Open MRI?

An open MRI has a wider, more open design compared to a traditional MRI tunnel. Patients lie down, but the open sides reduce the feeling of confinement. Open MRI is commonly recommended for:

  • Patients with claustrophobia 
  • Larger body types or those who feel uncomfortable in standard MRI tubes 
  • Pediatric patients or those who need a more relaxed environment 

The Benefits of Open MRI

  • Less anxiety-inducing for patients who are claustrophobic 
  • More comfortable for larger or taller patients 
  • Can accommodate a variety of patient positions for different scans 

 The Limitations of Open MRI

  • Some open MRI machines may produce lower-resolution images for certain conditions 
  • Not all specialized scans may be possible 
  • Availability may be limited in some areas 

Making Your Choice

When deciding between an upright MRI and an open MRI, consider: 

  • Your comfort and anxiety levels in enclosed spaces 
  • Specific medical conditions and whether weight-bearing imaging is necessary 
  • Availability and recommendations from your healthcare provider

Both upright and open MRI scans provide valuable diagnostic insights. Discuss your concerns and medical needs with your physician or radiologist to determine which option best aligns with your situation. Understanding the differences allows you to make an informed choice that prioritizes both comfort and accurate diagnosis. At ImageCare Radiology, we are proud to offer upright MRI at our East Brunswick, NJ, location, giving access to advanced imaging tailored to your needs.