Shah Summit,  Mcgonagill Phillip,  Hu Houchon,  Sankaran Akila,  Krishnamurthy Rajesh,  Krishnamurthy Ramkumar

Final Pr. ID: Poster #: SCI-030

The likelihood of sedation for an MRI exam in a patient under 8 years is high. Disadvantages of sedation usage include direct complications, suspected long-term effects, and higher costs. Sedation reduction techniques include the use of an MRI simulator, accelerated MRI scans, abbreviated protocols, and swaddle and sleep techniques. We evaluated the clinical image quality and cost effectiveness associated with an MRI simulator training program. Read More

Authors:  Shah Summit , Mcgonagill Phillip , Hu Houchon , Sankaran Akila , Krishnamurthy Rajesh , Krishnamurthy Ramkumar

Keywords:  MRI Sedation, Quality Improvement, Cost

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. Read More

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

Dillman Jonathan,  Gee Michael,  Ward Christopher,  Drum Elizabeth,  Servaes Sabah,  Jaimes Camilo,  States Lisa

Final Pr. ID: Paper #: 082

There is little data describing imaging sedation and anesthesia practice patterns in pediatric radiology. The purpose of this study was to understand current imaging sedation and anesthesia practice patterns based on a survey of member institutions of the Society of Chairs of Radiology at Children’s Hospitals (SCORCH) in conjunction with the American College of Radiology’s Pediatric Imaging Sedation and Anesthesia Committee. Read More

Authors:  Dillman Jonathan , Gee Michael , Ward Christopher , Drum Elizabeth , Servaes Sabah , Jaimes Camilo , States Lisa

Keywords:  Imaging, Anesthesia, Sedation

States Lisa,  Gee Michael,  Servaes Sabah,  Jaimes Camilo,  Ward Christopher,  Drum Elizabeth,  Dillman Jonathan

Final Pr. ID: Paper #: 084

The use of feed and swaddle (FS) technique in infants has increased in popularity due to the concern for neurotoxicity from medications used for anesthesia or sedation. The purpose for evaluating the age group < 6 months of age was to understand current imaging sedation and anesthesia practice patterns based on a survey of member institutions of the Society of Chairs of Radiology at Children’s Hospitals (SCORCH) in conjunction with the American College of Radiology’s Pediatric Imaging Sedation and Anesthesia Committee. Read More

Authors:  States Lisa , Gee Michael , Servaes Sabah , Jaimes Camilo , Ward Christopher , Drum Elizabeth , Dillman Jonathan

Keywords:  Feed and Swaddle, sedation, anesthesia

Langford Stacey,  Hess Erika,  Lenhart Carolyn,  Kapsin Kathleen

Final Pr. ID: Poster #: EDU-049

Some negative patient and family experiences at our institution relating to sedation MRI examinations were thouroughly investigated. While causes of negative experiences varied, multiple patients arrived with misconceptions and unrealistic expectations regarding their examination, particularly relating to issues of MR safety, MR incompatibility, and use of sedation. Some of these misconceptions were found to be derived from interactions with referring physicians. As our institution already has multiple practices in place for preparing and educating our sedation MRI patients and families, we instead targetted the education of our referring physicians with a comprehensive sedation MRI packet complete with additional resources for both physicians and patients. Read More

Authors:  Langford Stacey , Hess Erika , Lenhart Carolyn , Kapsin Kathleen

Keywords:  Sedation, MRI, Referring physicians, Education

Elgamal Mohannad,  Siu Navarro Youck Jen,  Nketiah Linda,  Dennis Rebecca,  Williams Monica,  Drum Elizabeth,  Anupindi Sudha

Final Pr. ID: Poster #: SCI-010

Magnetic resonance enterography (MRE) with oral contrast has become a necessary imaging modality for diagnosing various abnormalities. A challenge faced in younger patients is cooperation and oral contrast tolerance. General anesthesia (GA) becomes essential for optimal imaging, ensuring patient safety and comfort. This study describes our experience with conducting MREs under GA in high-risk pediatric patients and aims to demonstrate the safety and success of this practice. Read More

Authors:  Elgamal Mohannad , Siu Navarro Youck Jen , Nketiah Linda , Dennis Rebecca , Williams Monica , Drum Elizabeth , Anupindi Sudha

Keywords:  MRE, MRI Sedation, Image Quality

Blake Crystal,  Chastain Laura

Final Pr. ID: Poster #: EDU-009 (T)

Pediatric patients five years and younger often require sedation to successfully complete CT imaging of the thorax and/or abdomen/pelvis. Sedation of pediatric patients poses certain risks and should be avoided when possible. In August of 2017, Children’s Healthcare of Atlanta installed a new CT scanner – a Siemens SOMATOM Force. The SOMATOM Force posesses a Turbo Flash mode which results in sub second scan times for CT imaging of the thorax and/or abdomen/pelvis.
Read More

Authors:  Blake Crystal , Chastain Laura

Keywords:  sedation reduction, Siemens SOMATOM Force

Ngo Anh-vu,  Otto Randolph

Final Pr. ID: Poster #: EDU-043

1. To review clinical strategies for reducing the anesthesia exposure for magnetic resonance imaging exams.
2. To review magnetic resonance imaging protocols to reduce examination time. Read More

Authors:  Ngo Anh-vu , Otto Randolph

Keywords:  MRI, Anesthesia, Protocol, Sedation

Jaimes Camilo,  Mahan Kellyn,  Machado-rivas Fedel,  Bixby Sarah,  Robertson Richard

Final Pr. ID: Paper #: 005 (S)

To report the success rate of non-sedate MRI studies in children 1-7 years of age and to evaluate clinical factors predictive of success. Read More

Authors:  Jaimes Camilo , Mahan Kellyn , Machado-rivas Fedel , Bixby Sarah , Robertson Richard

Keywords:  sedation, MRI

Harris Chris

Final Pr. ID: Poster #: SCI-001 (R)

Background: Brain MRI has become an integral tool in the diagnosis and management of neonates with possible brain injury. In a large quaternary care neonatal intensive care unit (NICU), MRIs are routinely performed for the identification of white matter lesions in preterm infants, prognostication in hypoxic ischemic encephalopathy, peri-operative evaluation of patients with meningomyeloceles and hydrocephalus among other indications. Patients are often sedated in order to obtain high quality images, but sedation comes with complications. As these studies become an integral part of our practice in the NICU, we have identified a need to minimize the use of sedation to obtain clinically acceptable neonatal brain MRIs. Read More

Authors:  Harris Chris

Keywords:  Quality Improvements, Reduce Sedation, MRI brains