DXD allows motion analysis to quantify alteration of motion segment integrity in ways standard X-rays, MRIs, and CT scans cannot. DXD measures spinal abnormalities—when translation (anterior-posterior slippage) in the cervical spine exceeds 3.5 mm and angulation (posterior wedging) exceeds 11 degrees.

DXD XRAY technology visualizes the human body while in motion. DXD Quantifies ligament laxity correlating with AMA guides.
AOMSI (Alteration of Motion Segment Integrity) digital imaging evaluates spinal instability and ligament laxity using dynamic stress X-rays (flexion/extension). Unlike static MRI or CT scans, this technique measures minute millimeter shifts to objectively quantify spinal injuries, which is vital for AMA permanent impairment ratings.
AOMSI imaging utilizes specialized digital methodologies and software (such as Digital Radiographic Motion Analysis or AI-powered measurement systems) to generate objective reports. The clinical process generally involves:
Stress Views: Acquiring precise lateral flexion and extension radiographs of the cervical or lumbar spine.
Translation & Angulation Measurement: Using digitizing software to calculate anterior-posterior slippage (translation) and rotational changes (angulation) between adjacent vertebrae.
Impairment Rating: Comparing metrics against the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment to diagnose abnormal or ratable spinal integrity changes.
This type of imaging is highly specialized and frequently utilized in chiropractic care, personal injury documentation, and specialized orthopedic clinics to provide clear evidence for insurance peer-to-peer reviews and litigation.
PI or MVA injuries that result in permanent physical damage can easily document line drawings to demonstrate AOMSI ligament laxity (Alteration of motion segment integrity) or abnormal postinjury spinal findings to generate an automated impairment-ratable report for PI (Auto Injuries) cases using criteria based on AMA Guidelines (5th and/or 6th Editions) for final settlement in these cases. This documentation will establish the final result of an injury to the cervical or lumbar spine from the effects of the automobile traumatic injury. In conjunction with final Narrative report if requested.