The 7th Spinal Cord MRI Workshop was held in London, UK in January 2020. Over the two-day workshop, there were sessions with keynote speakers presenting on topics related to spinal cord imaging, including new image processing methods, clinical outcomes, and networking between research groups. The workshop was well attended, with 83 participants from various countries. Discussions focused on measuring spinal cord cross-sectional area as a biomarker for multiple sclerosis. The workshop helped establish normative spinal cord MRI values that will be presented at an upcoming conference. Plans are underway for next year's workshop in London.