Magnetic resonance imaging (MRI) has developed dramatically in the 25 years since its clinical introduction. Advances in hardware design have included the development of high field magnets and more sophisticated and sensitive coils. Improvements in sequences, data sampling, and postprocessing software have benefited the attainable spatial and temporal resolution to the point at which the fine depiction of anatomical structure and pathological processes is now routine. As in other radiological areas, the most recent advances in MRI have proven highly valuable in the field of musculoskeletal radiology where the lack of radiation, high soft tissue contrast, and capacity for multiplanar or three-dimensional imaging have made MRI the imaging modality of choice. Particular benefits are seen in diagnostic imaging of the spine where MRI is clearly superior to both conventional radiography and computed tomography. In this article, we discuss the impact of the most recent technological advance in MRI, namely the advent of 3 Tesla (3-T) imaging, on diagnostic imaging of the spine. Comparisons are drawn with imaging at 1.5 T, and emphasis is placed on MR physics and on the benefits and principal difficulties associated with spine imaging at high field strength.