The present invention relates to an imaging system (10) for a vertebral level, an identification method for a vertebral level, a computer program element for controlling such system and a computer readable medium having stored such computer program element. The imaging system (10) comprises a determination unit (11), a definition unit (12), an imaging unit (13), and a processing unit (14). The determination unit (11) determines a target vertebral level. The definition unit (12) defines an anatomical landmark of a spine. The imaging unit (13) provides a series of X-ray images along the spine based on the landmark. The processing unit (14) identifies the target vertebral level in at least one of the X-ray images. The processing unit (14) further stitches the X-ray images to a continuous panoramic image of the spine and identifies the target vertebral level in the panoramic image.
