This review article examines the state of knowledge regarding human imaging using MRI at high main magnetic field strengths. The article starts with a summary of the technical issues associated with magnetic field strengths in the range of 3-8 T, including magnet characteristics and the properties of radiofrequency magnetic fields, with special reference to sensitivity, power deposition, and homogeneity. The published data on tissue-water relaxation times in the brain is tabulated and the implications for contrast and pulse sequence implementation is elucidated. The behavior of the major fast imaging sequences, fast low angle shot (FLASH), rapid acquisition with relaxation enhancement (RARE), and echo planar imaging (EPI), is examined in this context. A number of anatomical images from 3 T systems are presented as examples. Particular attention is given to various forms of vascular imaging, namely, time of flight angiography, venography, and arterial spin labeling. The most complex changes in contrast with main magnetic field strength are in activation studies utilizing the blood oxygen level dependent mechanism, which are examined in detail. Improvements in spatial specificity are emphasized, particularly in conjunction with spin-echo imaging. The article concludes with a discussion of the current status and the potential impact of technical developments such as parallel imaging. THE MAIN MAGNETIC FIELD STRENGTH of an MRI system is not changed after installation. The choice of main magnetic field strength (B 0 ) is, therefore, one of the most fundamental faced by those intending to use and purchase MRI equipment. In the early days of MRI, it was argued that radio frequency (RF) penetration would determine an upper limit for the main magnetic field strength (1,2). Since these fears were subsequently dispelled, the discussion moved on to a consideration of sensitivity and contrast (3). As the breadth of MRI applications has increased, and our understanding of the corresponding contrast mechanisms has improved, it has become increasingly clear that any ideal field strength is dependent upon the application being considered. Given the recent introduction of routine wholebody imaging at 3 T and the advent of experimental systems of 7 T and higher, it is timely to review the experience obtained with these systems and to examine how contrast and sensitivity for various imaging applications vary with main magnetic field strength. This review begins with a summary of the technical issues associated with high field imaging and then moves on to examine the characteristics of anatomical imaging, the imaging of blood and blood flow, and finally, activation studies. The article concludes with a discussion that summarizes our current knowledge, examines potential technological developments, and assesses potential future applications. Examples are drawn from main magnetic field strengths over the whole range of current application, i.e., 3-8 T. Experience obtained at 1.5 T is taken as a reference point for comparison. Where pe...