There are several key factors that affect MR image quality including signal to noise ratio (SNR), contrast to noise ratio (CNR), spatial resolution, and scan time. SNR depends on factors like proton density, voxel volume, TR, TE, flip angle, bandwidth, and coil type. SNR can be improved by using spin echo sequences, avoiding short TR and long TE, using the proper coil and tuning, and using a coarse matrix, large field of view, thick slices, and more signal averages. Increasing parameters like TR, slice thickness, field of view, and number of excitations can increase SNR but reduce other factors like spatial resolution or increase scan time.