Recent developments in MRI software and hardware have increased the speed a
nd versatility of cardiac MRI by allowing image acquisition in a single bre
athhold. Many studies have shown that conventional cardiac MRI is as accura
te as echocardiography or cardiac catheterization for diagnosing numerous c
ardiac conditions. In many cases cardiac MRI is the most accurate diagnosti
c technique but has not been widely adopted for routine cardiac imaging. On
e reason why the use of cardiac MRI has been limited is the long examinatio
n times required for conventional cardiac MRI. The development of better ha
rdware, such as faster gradient amplifiers and dedicated surface coils, has
allowed the implementation of much faster EKG-gated imaging sequences. The
se can be used in a single breathhold period, with a significant improvemen
t in image quality compared with conventional sequences. Breathhold sequenc
es can provide all the information provided by conventional cardiac MRI in
a shorter time and with equal or better accuracy. Breathhold imaging will a
llow much wider application of MRI to routine cardiac diagnosis.