Functional Magnetic Resonance Imaging in Awake Infants: Insights From More Than 750 Scanning Sessions

Functional magnetic resonance imaging (fMRI) in awake infants has the potential to reveal how the early developing brain gives rise to cognition and behavior. However, awake infant fMRI poses significant methodological challenges that have hampered wider adoption. The present work takes stock after the collection of a substantial amount of awake infant fMRI data across multiple studies from two labs, at Yale University and Massachusetts Institute of Technology (MIT). These data were leveraged to glean insights on participant recruitment, experimental design, and data acquisition that could be useful to consider for future studies. Across 766 fMRI sessions with awake infants aged 1-36 months, the authors explored the factors that influenced how much usable data were obtained per session. The age of an infant predicted whether they would successfully enter the scanner (younger more likely) and, if they did enter, the number of minutes of functional data collected (linear, younger more) and retained after preprocessing with lab-specific protocols or harmonized motion exclusion thresholds (quadratic, 12-24 months more than younger and older). The amount of functional data retained was also influenced by assigned sex (female more), experimental paradigm (movies better than blocks and events), and stimulus content (social better than abstract). There were many differences in the research approach between labs making head-to-head comparisons difficult, but Yale was more likely to get infants into the scanner, MIT collected more data from infants who entered, and the amount of data retained after preprocessing did not differ statistically between labs (9 min). In addition, the authors assessed the value of attempting to collect multiple experiments per session, an approach that yielded more than one usable experiment averaging across all sessions. Although any given scan is unpredictable, these findings support the feasibility of awake infant fMRI and suggest practices to optimize future research.