Rudder Barbra, Easley Sara, Robinson Amie, Nielsen David
Final Pr. ID: Poster #: SCI-012
Pediatric patients are often sedated for MRI scans to ensure images are of diagnostic quality. However, access time for MRIs requiring sedation in is often long due to high patient volumes. In 2014, an MRI Try Without (MTW) program was established at our institution to facilitate eligible patients to ‘try’ their MRI without sedation with the help of a dedicated team comprised of child life specialists (CLS), radiology nurses and scheduling as well as MRI technologists. During their MTW appointment, patients and families met with a CLS who used various preparation tools and methods, such as showing videos and pictures, utilizing a mock MRI, listening to sample noises, rehearsing laying still, and choosing a movie to watch during the MRI. The goal of this program was to decrease the wait time for obtaining an MRI, while ensuring diagnostic-quality images for the interpreting radiologist. Read More
Authors: Rudder Barbra , Easley Sara , Robinson Amie , Nielsen David
Keywords: Child Life, MRI Try Without Sedation, Pediatric MRI
Vleuten-chraibi Sanae, Nauts Sanne
Final Pr. ID: Poster #: SCI-022
Magnetic Resonance Imaging (MRI) exams can be anxiety-provoking for children, often requiring sedation or anesthesia to ensure completion of the scan. Sedation presents disadvantages including physiological side effects, logistical challenges, prolonged waiting times, and higher costs. Furthermore, some medical facilities lack sedation infrastructures, necessitating longer travel for MRI appointments. Read More
Authors: Vleuten-chraibi Sanae , Nauts Sanne
Keywords: MRI Try Without Sedation, Child Life Specialist, Education
Reyes Recasens Magdalena, Agarwal Nivedita, Alavi Mehvish, Gee Michael, Greer Mary-louise, Kim Hyun Gi, Kim Pyeong Hwa, Yoon Heemang, Jung Ah Young, Cho Young Ah, Lee Jin Seong, Tan Timothy Shao Ern, Atalabi Omolola Mojisola, Verhagen Martijn Vincent
Final Pr. ID: Poster #: EDU-015
Magnetic resonance imaging (MRI) is one of the essential diagnostic tools in pediatric radiology, however, obtaining high-quality, motion-free images in infants remains a challenge. Sedation or general anesthesia is often required to minimize motion artifacts, but these carry potential risks, including respiratory depression, prolonged recovery, and potential neurodevelopmental effects with repeated exposure. In addition, access to general anesthesia for MRI examinations is often limited, particularly in underdeveloped countries. The feed and wrap technique offers a safe, effective, and non-pharmacologic alternative to sedation for imaging infants, particularly those under 3 months of age.
This educational poster will review the principles and practical steps of the feed and wrap technique, including patient selection, preparation, feeding strategies, swaddling methods, and optimization of MRI protocols. We will discuss environmental adjustments, such as room temperature control, noise reduction, and use of immobilization aids, to maximize success rates. In addition, we will present case examples demonstrating typical applications across brain, spine, and abdominal MRI studies, highlighting common pitfalls and troubleshooting strategies when motion or incomplete sequences occur.
We will also compare diagnostic image quality between feed and wrap studies and sedated studies, review success rates reported in the literature, and provide practical guidance for implementing this technique in both community and tertiary care settings.
Radiologists, technologists, and pediatricians play a key role in promoting safe, patient-centered imaging practices. Familiarity with the feed and wrap technique empowers pediatric imaging teams to reduce sedation rates, improve workflow efficiency and safety, while maintaining diagnostic quality in MRI examinations for the young patients.
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Authors: Reyes Recasens Magdalena , Agarwal Nivedita , Alavi Mehvish , Gee Michael , Greer Mary-louise , Kim Hyun Gi , Kim Pyeong Hwa , Yoon Heemang , Jung Ah Young , Cho Young Ah , Lee Jin Seong , Tan Timothy Shao Ern , Atalabi Omolola Mojisola , Verhagen Martijn Vincent
Keywords: General Anesthesia, MRI Try Without Sedation, Safety