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Updated: May 23, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
Published on: July 30, 2009
Pediatric neuroimaging in early childhood and infancy: challenges and practical guidelines
Nora Raschle1, Jennifer Zuk, Silvia Ortiz-Mantilla
1Laboratories of Cognitive Neuroscience, Division of Developmental Medicine, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
Insights
Magnetic resonance imaging (MRI) research in infants and children faces unique challenges. This review offers practical solutions and protocols for pediatric neuroimaging in young, nonsedated participants.
Area of Science:
- Neuroscience
- Pediatric Imaging
- Developmental Neuroscience
Background:
- Magnetic resonance imaging (MRI) is crucial for studying brain development.
- Research in pediatric populations, especially infants, is limited due to practical and technical hurdles.
- Existing neuroimaging studies often exclude very young children.
Purpose of the Study:
- To review existing pediatric neuroimaging tools and analysis methods.
- To present practical protocols for imaging young, nonsedated children and infants.
- To address challenges in pediatric MRI research.
Main Methods:
- Literature review of pediatric neuroimaging techniques and analysis tools.
- Development of standardized neuroimaging protocols for infants and young children.
- Guidelines for overcoming procedural and technical difficulties in pediatric MRI.
Main Results:
- Identification of key challenges in pediatric MRI, including participant anxiety, movement, equipment, and data analysis.
- Summary of available imaging and analysis tools suitable for pediatric use.
- Presentation of successful, multi-site research protocols for infant and child neuroimaging.
Conclusions:
- Successful pediatric neuroimaging requires specialized approaches and equipment.
- Standardized protocols can facilitate research in young, nonsedated populations.
- This work provides a framework for advancing pediatric brain development research using MRI.
Abstract:
Structural and functional magnetic resonance imaging (fMRI) has been used increasingly to investigate typical and atypical brain development. However, in contrast to studies in school-aged children and adults, MRI research in young pediatric age groups is less common. Practical and technical challenges occur when imaging infants and children, which presents clinicians and research teams with a unique set of problems. These include procedural difficulties (e.g., participant anxiety or movement restrictions), technical obstacles (e.g., availability of child-appropriate equipment or pediatric MR head coils), and the challenge of choosing the most appropriate analysis methods for pediatric imaging data. Here, we summarize and review pediatric imaging and analysis tools and present neuroimaging protocols for young nonsedated children and infants, including guidelines and procedures that have been successfully implemented in research protocols across several research sites.
