The aim of this study is to investigate the capabilities of magnetic resonance imaging (MRI) in radiotherapy treatment planning (RTP) and to explore the MR image distortions and how these distortions can be reduced or, if necessary, corrected in order to integrate MRI into RTP in a reliable manner. Image distortions and the efficacy of correction methods were evaluated in phantom, volunteer, and patient studies. From the measurement, analysis, and correction of machine‐related geometric distortions in MRI, it was concluded that MR image corrections are necessary in applications which require mm accuracy and that correction methods, based on 3D maps of static field inhomogeneity and gradient nonlinearity, are feasible in clinical practice. From the measurement and numerical analysis of object‐related geometric distortions, it was concluded that these distortions can be reduced to the order of the pixel size by imaging at 0.5 T and using gradients on the order of 3 mT normalm−1. Furthermore, in a study on volunteers, fast MRI scan techniques were used to measure the respiration induced kidney movement and in a study on patients with prostate cancer, the value of MRI for the evaluation of brachytherapy was demonstrated. The MR image artifacts induced by the I‐125 seeds were used to evaluate the dose distributions and dose volume histograms of permanent prostate implants.