Cardiac magnetic resonance (CMR) imaging is increasingly used in daily clinical practice. However, its safety and impact on patient management have not been studied in large populations. In a recent online issue of the Journal of the American Cardiology (JACC, August 2009) the EuroCMR (European Cardiovascular Magnetic Resonance) registry evaluated indications, image quality, safety, and impact on patient management of routine CMR imaging in 11,040 patients from 20 European centres (including the VU Medical Centre, Amsterdam, van Rossum).