Abstract
This study presents the first dedicated bibliometric analysis of artificial intelligence (AI) and deep learning applications in pediatric radiology and medical imaging, mapping the intellectual structure of a rapidly evolving field. A total of 2688 articles and conference proceedings published between 2005 and 2025 were retrieved from the Web of Science Core Collection and analyzed using Bibliometrix R and VOSviewer. The findings reveal exponential growth in publications, from 7 papers in 2005 to 559 in 2025, with journal articles dominating the corpus (85.9%). The most-cited contributions, led by Kermany et al. (2018) with 2886 citations, are predominantly technical feasibility studies rather than clinical outcome trials, indicating a field that has advanced methodologically but remains in early stages of clinical translation. Thematic mapping identifies convolutional neural networks, pneumonia, and transfer learning as Motor Themes representing methodological maturity in chest imaging, while neuroimaging and image segmentation clusters occupy Niche Themes, reflecting insular development with limited cross-field connectivity. Geographic analysis reveals concentrated co-authorship along US–China and US–Europe corridors, with African, Latin American, and Southeast Asian institutions largely absent from knowledge production networks. Eight of the ten most productive affiliations are North American, highlighting structural inequities that risk producing AI tools optimized for high-resource settings rather than the global pediatric population. This analysis provides an empirical foundation for reorienting the field toward clinical validation, geographic inclusion, and methodological integration across isolated research communities.