ASCI has continued to grow over the past 5 years since its establishment in 2006. Recent record shows total membership of 804 from 34 countries and 1,032 attendants from 32 countries at the last annual congress in Hong Kong in 2011. ASCI publishes ASCI Special Issues twice a year in the International Journal of Cardiovascular Imaging. The Asian CCT and CMR Guideline Working Group of ASCI published guidelines and protocol in the ASCI Special Issue of the International Journal of Cardiovascular Imaging in 2010. ASCI launched the [ASCI](2) (Advanced School for Core Investigators from ASCI) Program with the aim to recruit young ASCI members of high potential and train them to become representative scholars of Asia, which was met with much success in 2010 and 2011. ASCI is trying to widen its scope by collaborating with other cardiovascular imaging societies including the European Society of Cardiovascular Radiology. Multicenter trials by ASCI researchers and cardiac imaging registry in the Asian population are being designed to represent ASCI.