Magnetic resonance imaging is widely used in the work-up and monitoring of patients with Crohn's disease. Balanced steady-state free precession sequences are an important part of the imaging protocol and until now primarily 1.5T scanners have been used in daily clinical practice. This is largely because running balanced steady-state free precession sequences in 3T magnets has technical problems related to increased B 0 inhomogeneity and specific absorption rate (SAR) deposition. A modified form of alternating repetition time steady-state free precession sequence is presented to acquire 3D-isotropic abdominal images with fat-suppression at 3T within a breath-hold. The modifications include an adjusted radiofrequency pulse shape, suitable phase-cycling scheme and TR 1 /TR 2 ratio. Results show that the proposed sequence is successful in obtaining high contrast 3D-isotropic abdominal images within a breath-hold. Furthermore, the proposed methodology is easy to implement in a clinical setting and does not require any postprocessing steps. Magn Reson Med 67:595-600, 2012. V C 2011 Wiley Periodicals, Inc. Key words: abdominal imaging; SSFP; fat suppression; alternating TR Balanced steady-state free precession sequences (bSSFP) (1,2) have found widespread application in the clinical practice. They are very attractive for abdominal imaging because they are fast and provide high signal and a ''T 2 '' like contrast which is interesting in many clinical applications. These sequences are a mainstay in the MR imaging protocol for Crohn's disease (3,4) at 1.5T in many institutions because they provide images with high contrast between bowel wall and lumen for the easy detection of lesions. However, fat suppression is an inherent problem of these sequences at 3T because of increased B 0 inhomogeneities. This has made it until now impractical for use in clinical routine at higher field strengths.The use of traditional fat suppression prepulses are not adequate for SSFP sequences since they interrupt the steady-state and cause changes in image contrast. Therefore alternative methodologies have been proposed: change of inherent pulse sequence properties (5-7), perform postprocessing steps (8-10) or use variable radiofrequency (RF) pulses (11)(12)(13)(14). Variable RF pulses have been used in approaches such as fluctuating equilibrium-SSFP or linear combination-SSFP. Both methods involve changes in RF pulse phases to create changes in the equilibrium steady-state. The total scan time though doubles in both cases.Alternating TR-SSFP (ATR-SSFP) (15) is similar to fluctuating equilibrium-SSFP in the sense that the equilibrium magnetization also oscillates between two different steady states. However, these are obtained by alternating the duration of TR between TR 1 and TR 2 , where the ratio TR 1 /TR 2 is equal to a constant integer 1/t. If a series of RF pulses is applied in these conditions, the following relations hold (15):where f 2 is the phase of the RF pulse corresponding to TR 2 and b stop is the position of the stop-band in ...