Products

BoneMRI
MRIguidance B.V.
Radiology & Imaging AI
BoneMRI is an AI-enabled software by MRIguidance B.V. that provides radiation-free, CT-like 3D bone images from MRI scans for diagnostics and surgical planning in the spine and pelvic region.

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About MRIguidance B.V.

MRIguidance B.V. is a Dutch MedTech company that is pioneering radiation-free bone imaging through its flagship software solution, BoneMRI. This innovative technology allows for the generation of 3D CT-like images of both bone and soft tissue from conventional MRI scans, addressing a long-standing limitation where MRI was primarily used for soft tissue imaging and X-ray based techniques for bone visualization. For physicians, BoneMRI offers a comprehensive, one-stop solution for medical imaging, enabling detailed visualization and characterization of bone structures without exposing patients to harmful ionizing radiation. This is particularly beneficial for patient populations such as adolescents, where reducing radiation exposure is critical. [2, 3, 10, 12, 17, 22]

The software enhances diagnostic capabilities and improves surgical planning and navigation, especially for conditions affecting the hip, pelvic region, and various segments of the spine (cervical, thoracic, lumbar, and S1 vertebrae). [2, 3, 5, 12, 17, 18, 19, 20, 23, 26] By integrating AI technology, BoneMRI streamlines clinical workflows, potentially reducing the need for multiple pre-operative scans and optimizing resources, thereby contributing to value-based healthcare. [10, 13, 20, 25] The company is committed to advancing its technology through rigorous clinical validation and strategic partnerships to establish radiation-free bone imaging as a new standard of care. [3, 26]

Focus Areas

radiation-free bone imaging 3D CT-like images from MRI musculoskeletal diagnostics surgical planning spine imaging hip imaging AI in medical imaging advanced visualization software

Business Intelligence

Key InvestorsHealth Innovations, Mammoth Scientific, EIT Health, UtrechtInc, University Medical Centre Utrecht
PartnershipsOrthofix (for distribution of BoneMRI with 7D FLASH Navigation System), Ovidius Medical (for UK market distribution), Brainlab (Spine & Trauma Navigation System support), Siemens Healthineers (Digital Marketplace), Gillette Children's
TechnologyAI-enabled cloud-based software, integrates with conventional MRI scanners (GE, Siemens, Philips), DICOM processing, Windows Server compatible
FDA Clearances5 cleared products (estimated)

What Physicians Need to Know

Radiation-Free Bone Imaging
MRIguidance pioneers radiation-free bone imaging with BoneMRI, generating 3D CT-like images from standard MRI scans, eliminating harmful ionizing radiation exposure for patients.
3D CT-like Images from MRI
Their core product, BoneMRI, is software that creates high-resolution, 3D CT-like images of bone structures (e.g., spine, pelvis) directly from MRI data.
Comprehensive Musculoskeletal Diagnostics
BoneMRI visualizes and characterizes bone structures for a wide range of orthopedic conditions, assisting in diagnosis, monitoring, and treatment planning for pathologies such as radiculopathy, degenerative spine disease, scoliosis, spondyloarthritis, and avascular necrosis.
Enhanced Surgical Planning & Navigation
The technology improves surgical planning and navigation by providing detailed 3D anatomical insights, enabling pre-operative and intra-operative procedures.
AI in Medical Imaging
BoneMRI is an AI-enabled, cloud-based software that leverages deep learning for image synthesis, transforming MRI inputs into CT-like outputs with high accuracy.
Advanced Visualization Software
As an advanced visualization software developer, MRIguidance provides tools for detailed 3D imaging, offering geometrically accurate bone morphology and quantitative Hounsfield Unit contrast.
Physician Tip

For physicians, MRIguidance's BoneMRI offers a significant advantage by providing detailed 3D bone and soft tissue imaging from a single, radiation-free MRI exam. This streamlines workflows, reduces the need for multiple imaging modalities, and enhances diagnostic confidence, especially for radiation-sensitive patient populations like adolescents requiring repeat imaging for conditions such as scoliosis. The quantitative CT-like data supports more precise surgical planning and navigation, potentially leading to improved patient outcomes and more efficient resource utilization in the OR. Integration into existing PACS and compatibility with major MRI vendors ensures a smooth adoption process.

BoneMRI is designed for seamless integration into existing clinical workflows. It supports Enhanced DICOM processing and is compatible with standard reading environments (PACS). The software is cloud-based and compatible with a wide range of MRI scanners from GE, Siemens, and Philips (1.5T and 3T), and runs on Windows Server 2025 OS via the MRIguidance Gateway.

Products by MRIguidance B.V.

1 product in the directory

BoneMRI
MRIguidance B.V.
Radiology & Imaging AI
BoneMRI is an AI-enabled software by MRIguidance B.V. that provides radiation-free, CT-like 3D bone images from MRI scans for diagnostics and surgical planning in the spine and pelvic region.

What the Web Says

MRIguidance B.V. is a Dutch med-tech company that developed BoneMRI, an imaging technique that visualizes bone structures from MRI scans without harmful radiation. The company was founded in 2016 as a spin-off from UMC Utrecht and was recognized as Europe's best-in-class innovation in healthcare by the European Institute of Innovation & Technology in 2020. Their BoneMRI application is designed for imaging experts like radiologists and orthopedic surgeons and can be deployed on-premise or as a managed cloud service.

Overall: Mixed

Strengths

  • BoneMRI improves diagnosis and aids in surgical planning and guidance.
  • The technology visualizes all human tissues from one imaging exam without harmful radiation.
  • The BoneMRI application is available as fully on-premise software, ensuring no protected health information (PHI) leaves the clinic or hospital network.
  • The company offers a unique opportunity to join a growing med-tech scale-up with a positive impact on health.
  • Employees work in a team of smart and ambitious people with international partners.
  • The software is user-friendly and easy to navigate.

Limitations

  • BoneMRI images are not intended to replace CT images and should not be used for diagnosing or monitoring tumors.
  • The configuration process for their property management software can be time-consuming and prone to errors without proper training.
  • Some users report that the system can be slow at times and appears outdated compared to other products.
  • There can be additional costs due to software development to match specific environments.
  • Customer support has been described as frustrating, with delays and inadequate assistance for issue resolution.
  • The tenant ledger format in their property management software is confusing, and there's no way to transfer balances upon renewals.

Based on reviews from: accessdata.fda.gov, vertexaisearch.cloud.google.com

Last updated: 2026-07-19

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Press & Coverage

Imaging Technology News
MRIguidance Appoints New President
MRIguidance, a Dutch MedTech company, appointed Guido Zijl as CEO in February 2026, succeeding Roel Kellenaers. Zijl aims to accelerate the adoption of BoneMRI in the US and Europe and expand the company's platform capabilities.
2026-02
MRIguidance
BoneMRI Release Introduces New Stitching Functionality and Expands Scanner Support
In February 2026, MRIguidance released an update to BoneMRI, adding stitching functionality for combined anatomical regions and expanding compatibility with various MRI scanners and IT environments.
2026-02
MRIguidance
Leadership Transition at MRIguidance: Roel Kellenaers Steps Aside, Guido Zijl Appointed CEO
Guido Zijl was appointed CEO of MRIguidance in February 2026, bringing over 20 years of leadership experience to scale BoneMRI and expand its access.
2026-02
MRIguidance
BoneMRI Secures Trademark Registration in US, UK, and EU
BoneMRI achieved trademark registration in the EU, UK, and US in October 2025, solidifying its global brand identity and protecting its logo in the medical imaging industry.
2025-10
MRIguidance
BoneMRI receives Medicare billing code
In May 2025, BoneMRI received Medicare billing code G0566, establishing a clear reimbursement pathway for the radiation-free bone imaging solution in outpatient hospital settings in the US.
2025-05
MRIguidance
Brainlab Spine & Trauma Navigation System now supports BoneMRI
As of April 2025, the Brainlab Spine & Trauma Navigation System supports BoneMRI, enabling radiation-free spine navigation and optimizing workflow in spine surgery.
2025-04
Orthofix
Orthofix Announces Commercial Partnership with MRIguidance
Orthofix partnered with MRIguidance in January 2024 to distribute BoneMRI imaging software in the U.S., enabling radiation-free preoperative imaging and spinal navigation.
2024-01
MRIguidance
FDA Clears BoneMRI Lumbar Spine for GE Scanners and Cloud
In February 2023, MRIguidance received FDA clearance for its BoneMRI cloud solution and expanded support for BoneMRI Lumbar Spine on GE 1.5T scanners, increasing accessibility in the US market.
2023-02

Frequently Asked Questions

BoneMRI is MRIguidance B.V.'s flagship software that generates 3D CT-like images of bone structures from standard MRI scans, completely eliminating the need for ionizing radiation. It utilizes advanced AI and deep learning techniques to extract detailed bone morphology and quantitative radiodensity contrast, which traditionally required a CT scan. This allows for comprehensive visualization of both bone and soft tissue in a single, radiation-free examination.
BoneMRI is CE certified and FDA cleared for visualizing the total spine, including cervical, thoracic, and lumbar regions, as well as the pelvic region, encompassing hip bones and femoral heads. It is validated for assisting in the diagnosis, monitoring, and treatment planning of various orthopedic conditions, and has demonstrated feasibility and accuracy for radiation-free surgical planning and navigation in spine surgery.
MRIguidance ensures compliance by holding CE certification as a Class IIa medical device under EU MDR and FDA 510(k) clearance for the US market. The company also maintains ISO 13485 for its Quality Management System and ISO 27001 for Information Security Management, ensuring adherence to stringent data protection regulations like HIPAA, EU GDPR, and UK DPA.
BoneMRI is designed for seamless integration into standard radiological workflows, automatically reconstructing images and forwarding them to PACS. It is compatible with a wide range of major MRI scanners from GE, Siemens, and Philips at both 1.5T and 3T, and supports Enhanced DICOM processing. Recent updates also include stitching functionality for continuous total spine views, enhancing interoperability and ease of use.
MRIguidance has formed strategic partnerships to enhance its market presence and product utility, including a distribution agreement with Orthofix for integrating BoneMRI with the 7D FLASH Navigation System in the US. They also collaborate with research institutions like UMC Utrecht and have distribution partners such as Ovidius Medical in the UK. BoneMRI is also compatible with other surgical navigation platforms like Brainlab, Mazor, and Globus Excelsius.
Artificial intelligence, specifically deep learning, is the core technology behind BoneMRI, enabling it to synthesize high-resolution 3D CT-like images from MRI data. The AI model is trained on matched MRI and CT scans to accurately transform MRI voxels into expected CT intensity values, providing geometrically accurate bone morphology and quantitative radiodensity contrast.
MRIguidance, founded in 2016, is committed to continuous innovation and rigorous validation through clinical trials and strategic partnerships to establish BoneMRI as a standard of care. The company regularly releases updates, such as the February 2026 update enhancing workflow and compatibility, demonstrating ongoing development and a focus on long-term stability and impact in radiation-free imaging.

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