Best practices for pediatric liver MRI: guidelines from members of the Society for Pediatric Radiology Magnetic Resonance and Abdominal Imaging Committees.

Magnetic resonance imaging (MRI) has become an essential tool in the evaluation of pediatric liver disease. However, the unique physiological, anatomical, and behavioral characteristics of pediatric patients present distinct challenges that necessitate tailored imaging strategies. These guidelines, developed by members of the Society for Pediatric Radiology (SPR) Magnetic Resonance and Abdominal Imaging Committees, provide comprehensive recommendations for performing high-quality liver MRI in children. Drawing on multidisciplinary expertise from pediatric radiologists, MRI physicists, and technologists across diverse institutions, the document addresses key technical considerations, including field strength selection, motion mitigation, contrast agent use, and age-specific protocol optimization. These guidelines aim to standardize and elevate the quality of pediatric liver MRI, offering practical, evidence-informed recommendations to support safe, efficient, and diagnostically robust imaging across a wide range of clinical scenarios.