MRI has provided significant clinical utility in the diagnosis of diseases and will become a powerful tool to assess phenotypic changes in genetically engineered animals. Overhauser enhanced MRI (OMRI), which is a double resonance technique, creates images of free radical distributions in small animals by enhancing the water proton signal intensity by means of the Overhauser effect. Several studies have demonstrated noninvasive assessment of reactive oxygen species generation in small animals by using low frequency electron spin resonance (ESR) spectroscopy͞imaging and nitroxyl radicals. In vivo ESR signal intensities of nitroxyl radicals decrease with time after injection; and the decreases are enhanced by reactive oxygen species, generated in oxidative disease models in a site-specific manner. In this study, we show images of nitroxyl radicals with different isotopes by changing the external magnetic field for ESR irradiation between 14 N and 15 N nuclei in field-cycled OMRI. OMRI simultaneously obtained dual images of two individual chemical processes. Oxidation and reduction were monitored in a rate-dependent manner at nanometer scale by labeling membrane-permeable and -impermeable nitroxyl radicals with 14 N and 15 N nuclei. Phantom objects containing ascorbic acid-encapsulated liposomes with membrane-permeable radicals but not membrane-impermeable ones show a time-dependent decrease of the OMRI image intensity. The pharmacokinetics in mice was assessed with OMRI after radical administration. This OMRI technique with dual probes should offer significant applicability to nanometer scale molecular imaging and simultaneous assessment of independent processes in gene-modified animals. Thus, it may become a powerful tool to clarify mechanisms of disease and to monitor pharmaceutical therapy.ESR ͉ reactive oxygen species ͉ oxidative disease ͉ nanometer A natomic imaging modalities such as MRI, ultrasound, positron emission tomography, and x-ray computerized tomography (CT) have provided significant clinical utility in the diagnosis of diseases as well as help in monitoring treatment repeatedly and noninvasively (1). Information from such techniques is predominantly morphological in nature, which can, based on the architectural differences between normal and pathological conditions, identify disease states. Additional information related to physiological͞metabolic processes is obtained. With recent advances in imaging instrumentation as well as novel concepts in the design of contrast media, imaging of molecular events is rapidly emerging as a major field (2). In small animal imaging research, the importance of molecular imaging has assumed a major role, especially because the cost of certain genetically engineered animal models is high. Consequently noninvasive assessment of phenotypic changes is an advantage compared with killing the animals for histological examination. Molecular imaging research is driven by advances in both imaging modalities as well as the development of novel imaging beacons that can monito...