Is MRI Safe for Infants with Breathing Difficulties? - Radiology

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Magnetic Resonance Imaging (MRI)


The child is currently under 4 months old, and the doctor has scheduled an MRI for further examination.
If the child experiences difficulty breathing while lying down (only sleeps on their side), frequently wakes up gasping for air, has tongue retraction, and has difficulty swallowing saliva without choking, is it safe to proceed with the MRI?

Wu zhu, 30~39 year old female. Ask Date: 2017/03/23

Dr. Sun Shengyi reply Radiology


Although magnetic resonance imaging (MRI) is safe for children and does not involve radiation exposure, the procedure requires the child to remain still for at least ten minutes, which may necessitate sedation or anesthesia.
The lying position during the scan can be adjusted; if the child lies flat, it may affect normal breathing, so a lateral position can be considered.
However, this may still impact positioning stability and image quality.
Prior to the examination, it is advisable to discuss the procedure with the physician based on the child's sleep patterns.
During the scan, a parent or guardian can be present to monitor the child's breathing.
Safety should always be the top priority.

Reply Date: 2017/03/23

More Info


When considering the safety of MRI (Magnetic Resonance Imaging) for infants, particularly those under four months old with breathing difficulties, several factors must be taken into account. MRI is generally regarded as a safe imaging technique because it does not involve ionizing radiation, which is a significant concern with other imaging modalities like X-rays or CT scans. However, the unique challenges presented by infants, especially those with respiratory issues, require careful consideration.

For infants who have difficulty breathing, such as those who are experiencing obstructive sleep apnea or have a tendency to breathe irregularly, the situation becomes more complex. MRI scans typically require the patient to remain still for an extended period, often 20 to 60 minutes, which can be challenging for infants. If the child is unable to remain still due to discomfort or breathing difficulties, the quality of the images may be compromised, and the procedure may need to be repeated.

In your case, where the infant is experiencing breathing difficulties while lying flat, it is crucial to discuss these concerns with the healthcare provider before proceeding with the MRI. The medical team may consider alternative positioning, such as side-lying, to facilitate better breathing during the scan. However, this could affect the quality of the images obtained, so a balance must be struck between safety and diagnostic efficacy.

Moreover, if the infant has a history of significant respiratory distress, it may be advisable to conduct the MRI under sedation. Sedation can help ensure that the child remains still, which is essential for obtaining clear images. However, sedation itself carries risks, particularly in very young infants, so this decision should be made collaboratively between the parents and the medical team, weighing the risks and benefits carefully.

In terms of safety protocols, it is also essential to have a healthcare professional present during the MRI to monitor the infant's respiratory status. This can provide peace of mind for parents and ensure that any issues can be addressed immediately.

In summary, while MRI is a safe imaging technique for infants, special considerations must be made for those with breathing difficulties. It is vital to communicate openly with the healthcare provider about the child's specific needs and concerns. The medical team can then devise a plan that prioritizes the child's safety while still obtaining the necessary diagnostic information. Always prioritize safety and comfort when making decisions about medical procedures for infants.

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