简介：Cardiovasculardisease(CVD)istheleadingcauseofdeathandamajorhealthcarechallengeglobally.Coronaryarterydisease(CAD)isaprimaryunderlyingpathologicalprocessinthemajorityofcardiovasculardiseasecases.Magneticresonanceimaging(MRI)canplayapotentiallyimportantroleinthemanagementofCADasanoninvasiveimagingmodalitywithoutionizingradiation,althoughitsearlypromisehasnotbeendeliveredbecauseofseveralcrucialtechnicallimitations.However,recentinnovationsinMRIhavereopenedthedoor,withtremendousopportunitiesformultiparametricassessmentofCADincludingluminalstenosis,plaqueburdenandcomposition,anddiseaseactivitiessuchasinflammationandhemorrhage.NovelMRIacquisitionandreconstructionstrategiesnowoffermuchincreasedspatialresolutionandimagequalityandshortenedexaminationtimescomparedwithconventionalapproaches.RecentclinicalexperiencesofcoronaryMRIindicatedthepotentialtoimprovethecurrentmanagementofcoronaryatherosclerosis,suchasidentifyingthepatientsatthehighestriskandevaluatingtherapeuticresponses.InthisreviewwediscussthelatesttechnicaladvancesandclinicalinsightsincoronaryMRI.