Nowadays, MRI diagnostics have become indispensable in modern medicine, and the development of MRI-compatible materials is an urgent requirement for both modern medicine and materials science. Herein, MRI-compatible Zr–Mo–Nb alloys were developed by plasma arc melting and hot rolling process for biomedical applications. The Nb addition induces the composition segregation, β-Zr phase precipitations, and significant grain refinements in Zr–1Mo-xNb alloys, thereby contributing to an ultrafine α+β lamellar structure in hot-rolled (HRed) Zr–1Mo–3Nb alloys. Thanks to the nano-sized α+β lamellar structure, a high yield strength (YS) of 819.6 ± 20.9 MPa and an acceptable elongation of 11.8 ± 1% were realized in the HRed Zr–1Mo–3Nb alloy. Additionally, the incorporation of Nb with a high PB ratio and a relatively high equilibrium potential in the Zr–1Mo matrix enhances the stability of the passivation layer, leading to a more positive corrosion potential. Consequently, this significantly improves the corrosion resistance of HRed Zr–1Mo-xNb alloys. The Zr–1Mo–3Nb alloy exhibits lower magnetic susceptibility than the Zr–1Mo alloy, indicating improved MRI compatibility. Moreover, the HRed Zr–1Mo-xNb alloy shows excellent cytocompatibility to MC3T3-E1 cells, and good hemocompatibility of the experimental alloys were confirmed by the blood compatibility test. These findings highlight the potential of the MRI-compatible Zr–1Mo–3Nb alloy as a promising material for implants and devices in MRI environments, offering superior mechanical performance, high corrosion resistance and good biocompatibility.
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