The basic principles of spiral MR image acquisition and reconstruction are summarised with the aim to explain how high quality spiral images can be obtained. The sensitivity of spiral imaging to off-resonance effects, gradient system imperfections and concomitant fields are outlined and appropriate measures for corrections are discussed in detail. Phantom experiments demonstrate the validity of the correction approaches. Furthermore, in-vivo results are shown to demonstrate the applicability of the corrections under in-vivo conditions. The spiral image quality thus obtained was found to be comparable to that obtainable with robust spin warp sequences.