This forum provides a comprehensive exploration of MRI safety, encompassing core principles such as controlled access through safety zoning, the mechanisms and risks associated with magnet quenching, and insights gained from real-world near-miss events to reinforce the importance of protocol adherence and accurate incident reporting. It further examines the role of risk–benefit analysis in clinical decision-making, outlining practical approaches to assessing and managing common risks in MRI practice. In addition, the forum reviews the evolution and clinical use of gadolinium-based contrast agents, addressing safety considerations, tissue deposition, regulatory perspectives, environmental impacts, and future directions toward safer and more reduced use.