Conventional magnetic resonance imaging (MRI) is capable of providing
satisfactory morphological images of the heart and the surrounding str
uctures. It has further evolved into a well accepted modality for func
tional cardiac studies such as flow quantification and volumetry. MRI
has, however, been hampered by long image acquisition times. This comb
ined with its non-realtime nature and the limited spatial resolution h
as made it difficult to extend MRT to the study of small cardiac struc
tures. Recent technical improvements have made breath-held or realtime
MRI feasible and thus laid the foundations for further applications i
n the field of cardiovascular imaging, notably MR coronary angiography
, imaging of cardiac valve leaflets, as well as first-pass perfusion s
tudies. Moreover ultrafast MR techniques may eventually replace conven
tional data acquisition strategies and thus drastically increase patie
nt throughput by shortening acquisition time. This article provides an
overview of the technical advances in MRI and their application to th
e cardiovascular system and discusses possibilities of combined ultraf
ast and interventional strategies.