OBJECTIVE: Magnetic Detection Electrical Impedance Tomography is a novel technique that could enable non-invasive imaging of fast neural activity in the brain. However, commercial magnetometers are not suited to its technical requirements. The purpose of this work was to optimise the number, orientation and size of optically pumped magnetometers for MDEIT and inform the future development of MDEIT-specific magnetometers. APPROACH: Computational modelling was used to perform forward and inverse MDEIT modelling. Images were reconstructed using three sensing axes, arrays of 16 to 160 magnetometers, and cell sizes ranging from 1 to 18 mm. Image quality was evaluated visually and with the weighted spatial variance. MAIN RESULTS: Single-axis measurements normal to the surface provided the best image quality, and image quality increased with an increase in sensor number and size. The optimal sensing arrangement balancing image quality and practical implementation was measurement normal to the surface of the scalp using between 48 and 96 magnetometers with a cubic cell with an 18 mm side length. SIGNIFICANCE: This study can inform future OPM design, showing the size of the vapour cell need not be constrained to that of commercially available OPMs, and that the development of a small array of single-axis, highly sensitive, high-bandwidth OPMs should be prioritised for fast neural MDEIT.