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Updated: May 31, 2026

Scanning Dos and Don'ts: Using Magnetic Resonance Imaging in Awake Children Aged 3 to 5 Years to Assess Brain Structure and Function
Published on: March 10, 2026
Neurodevelopmental MRI brain templates for children from 2 weeks to 4 years of age
Carmen E Sanchez1, John E Richards, C Robert Almli
1Department of Psychology, University of South Carolina, Columbia, SC, USA.
Insights
Researchers developed age-specific pediatric brain MRI templates to improve neuroimaging accuracy. This database aids understanding of early brain development in health and disease.
Area of Science:
- Neuroimaging
- Developmental Neuroscience
- Biomedical Engineering
Background:
- Adult MRI templates introduce biases in pediatric neuroimaging.
- Accurate pediatric brain analysis requires age-specific references.
Purpose of the Study:
- To create a database of pediatric, age-specific MRI brain templates.
- To provide a resource for improved analysis of early brain development.
Main Methods:
- Constructed 13 age-specific MRI brain templates from 8 days to 4.3 years.
- Utilized data from the NIH MRI Study of Normal Brain Development and McCausland Brain Imaging Center.
- Employed FSL, SPM, and ANTS for brain extraction and template construction for 1.5T and 3T MRI.
Main Results:
- Generated pediatric brain templates reflecting developmental changes in size and structure.
- Observed age- and sex-related differences in brain morphology and myelin development.
- Established a publicly available database of these age-specific templates.
Conclusions:
- Age-specific pediatric brain templates reduce biases in neuroimaging.
- This database enhances the study of early human brain development.
- Facilitates research into pediatric brain health and disease.
Abstract:
Spatial normalization and segmentation of pediatric brain magnetic resonance images (MRI) data with adult templates may impose biases and limitations in pediatric neuroimaging work. To remedy this issue, we created a single database made up of a series of pediatric, age-specific MRI average brain templates. These average, age-specific templates were constructed from brain scans of individual children obtained from two sources: (1) the NIH MRI Study of Normal Brain Development and (2) MRIs from University of South Carolina's McCausland Brain Imaging Center. Participants included young children enrolled at ages ranging from 8 days through 4.3 years of age. A total of 13 age group cohorts spanning the developmental progression from birth through 4.3 years of age were used to construct age-specific MRI brain templates (2 weeks, 3, 4.5, 6, 7.5, 9, 12, 15, 18 months, 2, 2.5, 3, 4 years). Widely used processing programs (FSL, SPM, and ANTS) extracted the brain and constructed average templates separately for 1.5T and 3T MRI volumes. The resulting age-specific, average templates showed clear changes in head and brain size across ages and between males and females, as well as changes in regional brain structural characteristics (e.g., myelin development). This average brain template database is available via our website (http://jerlab.psych.sc.edu/neurodevelopmentalmridatabase) for use by other researchers. Use of these age-specific, average pediatric brain templates by the research community will enhance our ability to gain a clearer understanding of the early postnatal development of the human brain in health and in disease.
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