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We discuss principles for creating this environment, including effective planning, presence of trained professionals, monitoring, preparedness for adversity, and ensuring optimal immobility. Planning reduces waiting times and anxiety, and a dedicated imaging team including a neonatologist and a radiologist improve image quality. Monitoring vital signs allows early identification of adverse events, while MR-compatible emergency equipment and a readily available hands-on resuscitation team reduces risk of such adverse events. Optimal immobility is critical for high-quality images. A controlled environment facilitates acquisition of optimal quality images in a quick and safe manner, enabling accurate diagnoses and timely interventions for neonates with brain abnormalities.<\/jats:p>","DOI":"10.1177\/19714009241303149","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T18:55:08Z","timestamp":1732301708000},"page":"394-400","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Principles of a controlled imaging environment for neonatal brain MRI: Strategies for optimal image quality and safety"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8778-9902","authenticated-orcid":false,"given":"Arulnathan","family":"Ebinesh","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, Sri Narayani Hospital &amp; Research Centre, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swarna","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Medical Sciences, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.27192"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.607682"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxx161"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.303095126"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-012-2426-y"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.58.12.1726"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/28871143"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-007-0705-9"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01339.x"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.10186"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200451"},{"key":"e_1_3_6_13_2","first-page":"4","article-title":"Neonatal transport\u2014the comfort zone","volume":"4","author":"Watts C","year":"2008","unstructured":"Watts C, Trim E, Metherall J, et al. 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