Objective: To review the pharmacologic properties, safety profile, and clinical applications of gadopiclenol across pediatric MRI domains, including neuroimaging, body, and musculoskeletal (MSK) imaging. Learning Points: 1.Pharmacologic Profile: Describe gadopiclenol’s high relaxivity and strong kinetic stability, supporting half-dose administration in children. 2.Diagnostic Performance: Compare enhancement patterns across neuro, body, and MSK MRI with those of conventional macrocyclic agents. 3.Specific Findings: -Neuro: Increased sulcal vascular background on post-contrast T1WI, unchanged FLAIR signal. -Body: Clear delineation of solid organ and vascular structures. -MSK: Adequate depiction of synovial, soft tissue, and marrow enhancement. 4.Pitfalls: Highlight physiologic enhancement and anesthesia-related flow effects. 5.Case Examples: Demonstrate typical lesions across neuro (tumor, meningitis), body (liver, kidney, vasculature), and MSK (infection, inflammation, tumor). 6.Teaching Pearl: Standardize protocols to optimize imaging, avoid misinterpretation, and ensure safe use in pediatric practice. Discussion: Gadopiclenol offers a potential for reduced gadolinium dose while maintaining diagnostic confidence. In neuroimaging, it may increase sulcal vascular background, which can mimic leptomeningeal disease. As with other macrocyclic agents, CE-FLAIR remains valuable for distinguishing vascular signal from true enhancement. In body MRI, enhancement patterns are comparable to other approved agents, supporting visualization of abdominal and pelvic structures. In MSK imaging, tissue-to-background contrast enables soft tissue and marrow lesion assessment similar to standard macrocyclic contrast media. Radiologists should recognize common confounders such as physiologic enhancement patterns, timing of acquisition, and anesthesia effects. Emphasizing CE-FLAIR in neuroimaging, understanding organ-specific patterns, and tailoring protocols are key to accurate interpretation and safe integration of gadopiclenol in pediatric MRI. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Valencia Sergio, Machado Rivas Fedel, Gee Michael, Jaimes Camilo

Keywords: Contrast Agent, Brain MRI, Body MRI

When evaluating a child with a potential septic hip, prompt diagnosis is important to prevent potential complications such as chondrolysis and avascular necrosis. The diagnosis often requires emergent aspiration of fluid from the hip by a skilled practitioner, traditionally a pediatric radiologist. However, the workforce of pediatric radiologists is dwindling, with retiring physicians being difficult to replace, leading to an overstretched workforce, many of whom may lack interventional skills. Lack of workforce may lead to the restructuring of medical tasks, including hip aspirations. The purpose of this study was to gauge the current participation rate of pediatric radiologists versus other specialties in performing emergency hip aspirations. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Zucker Evan, Shailam Randheer, Gee Michael, Victoria Teresa

Keywords: Workload, Hip, Emergencies

To develop an AI-based automatic tool for Amniotic fluid volume (AFV) and fetal weight (FW) quantification that easily integrates into everyday diagnostic workflow Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Pena Trujillo Valeria, Alkhadrawi Adham, Gallo Sebastian, Langarica Saul, Jaimes Camilo, Gee Michael, Do Synho, Victoria Teresa

Keywords: Fetal MRI, Artificial Intelligence, Diagnostic

To evaluate the usability, workflow impact, and communication effectiveness of an asynchronous electronic consultation (e-Consult) platform implemented within pediatric radiology department. The platform was assessed from the perspectives of both pediatric care providers and radiologists following its integration at a tertiary academic medical center. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Shoaib Navaira, Rigsby Devyn, Patrick Lenehan, Clark Kendall, Gallo Sebastian, Egan Natalie, Victoria Teresa, Gee Michael, Sagar Pallavi

Keywords: Consult, Workload, Quality Improvement

Computed tomography (CT) is widely used in pediatric thoracic imaging but involves ionizing radiation. Zero Echo Time (ZTE) MRI enables silent, free-breathing, non-contrast imaging of short-T2 tissues like lung and bone. We aimed to optimize a 4D ZTE MRI protocol for pediatric chest imaging and evaluate the impact of deep learning (DL) reconstruction on diagnostic image quality. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Shoaib Navaira, Gee Michael, Sagar Pallavi, Patrick Lenehan, Rigsby Devyn, Clark Kendall, Gallo Sebastian, Harrington Samantha, De Arcos Jose, Milshteyn Eugene, Victoria Teresa

Keywords: Chest MRI, Deep Learning, Free-Breathing MRI

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

Meeting name: SPR 2026 Annual Meeting , 2026

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