Electron spin resonance (ESR) was first demonstrated in 1945, the same year that the first NMR experiments were carried out. The earliest publication on twodimensional ESR imaging (ESRI) appeared in 1979, around the same time as the first good quality, wholebody NMR images were presented. Fundamentally, ESR and NMR differ only in the fact that one method involves a magnetic resonance experiment on the unpaired electron, while the other uses the atomic nucleus. Why, then, have the rates of progress in the two fields diverged so significantly? Many thousands of MRI machines are now installed worldwide, and there are several hundred active research groups developing new hardware, methodologies and applications. In contrast, there are less than 20 research groups worldwide working on ESRI for biological and medical applications. Is it a lost cause, or is its day still to come? This article will summarise the current status of ESRI and related techniques, and will indicate how, in the author's opinion, the field is likely to develop over the next decade. ESR is able to detect moieties which possess unpaired electrons. These include paramagnetic metal ions, certain solid materials with trapped electrons in crystal defects, as well as free radicals in which the unpaired electron is associated with a particular bond. ESR relies on the fact that the electron has a magnetic moment, by virtue of its charge and quantum-mechanical spin. When a magnetic field is applied, unpaired electrons in the sample tend to align themselves with the field, and will respond when irradiated with electromagnetic radiation at the "resonant" frequency. As in NMR, the frequency is directly proportional to the applied magnetic field strength, although the constants of proportionality are very different. In a 1 tesla magnetic field the proton NMR frequency would be 42.6 MHz, while the ESR frequency for a typical free radical would be 28 GHz, 660 times higher! A practical consequence is that biological ESR cannot be carried out on a clinical MRI machine, as the microwave radiation would not penetrate sufficiently into a conducting sample. Most biomedical ESRI is carried out at fields of around 10 mT, giving a resonant frequency of approximately 300 MHz, or at 30-40 mT, with a resonant frequency of about 1 GHz [1]. The former allows biological samples up to about 70 mm in size to be studied (whole rats), while the latter can be used to examine biological samples with dimensions up to 20 mm (mice, excised organs or tissue samples). Another difference between the two techniques is that NMR relaxation times (7^ and T2) are measured in tens or hundreds of milliseconds in the body, while in ESR they are usually in the 100-1000 ns range. One result of this is that although pulsed ESR is possible with some samples, it is much more difficult to implement than the pulsed NMR techniques which have enabled the rapid development of MRI. To date, all bio-medical ESR and ESRI have used continuous-wave (CW) detection of the ESR signals, involving continuous irradiation of the sample with radiowaves while the magnetic field is increased (swept) slowly past the ESR resonances. As with MRI, ESRI is implemented by applying magnetic field gradients across the sample. The field gradient is applied continuously during the field-sweep. Images are built up by repeating the sweep many times, with the gradient applied in different directions. Very strong magnetic field gradients must be used in order to encode spatially the broad ESR resonances. This, coupled with the fact that the gradients are continuous rather than pulsed, means that ESRI is difficult to apply to large samples, and no animals larger than rats have so far been studied by this technique. ESRI is inherently much slower than MRI. The broad ESR resonances also result in rather poor spatial resolution compared with MRI images. While there is still scope for improvement, it is very unlikely that a whole-body, human-sized ESR imager is possible. Although surface-coil imaging of localized regions of the body is feasible, this will always be more limiting than a true whole-body imaging approach. Proton-electron double-resonance imaging (PEDRI) has been developed with the ultimate intention of imaging free radicals in humans, with superior spatial resolution to ESRI. PEDRI is a combination of standard (albeit low-field) MRI with ESR. The ESR of a free radical of interest is irradiated periodically during the collection of an NMR image. The Overhauser effect causes an increase in the NMR signal amplitude in parts of the sample containing free radicals, revealing the spatial distribution of the free radical. Strong field gradients are not required, and MRI-like spatial resolution is achieved. A development, called field-cycled PEDRI (FC-PEDRI) allows large samples to be imaged by