Purpose: Fricke-infused gel has been shown to be a simple and attainable method for the conformal measurement of absorbed radiation dose. Nevertheless, its accuracy is seriously hindered by the irreversible ferric ion diffusion during magnetic resonance imaging, particularly when three-dimensional (3D) dose measurement in radiosurgery is considered. In this study, the authors developed a fast three-dimensional spin-echo based Fricke gel dosimetry technique to reduce the adverse effects of ferric ion diffusion and to obtain an accurate isotropic 3D dose measurement. Methods: A skull shaped phantom containing Fricke-infused gel was irradiated using Leksell Gamma Knife. The rapid image-based dosimetry technique was applied with the use of a 3D fast spin-echo magnetic resonance imaging sequence. The authors mathematically derived and experimentally validated the correlations between dose-response characteristics and parameters of the 3D fast spin-echo MR imaging sequence. Absorbed dose profiles were assessed and compared to the calculated profiles given by the Gamma Knife treatment planning system. Coefficient of variance (CV%) and coefficient of determination (R2) were used to evaluate the precision of dose-response curve estimation. The agreement between the measured and the planned 3D dose distributions was quantified by gamma-index analysis of two acceptance criteria. Results: Proper magnetic resonance imaging parameters were explored to render an accurate three-dimensional absorbed dose mapping with a 1 mm3 isotropic image resolution. The efficacy of the dose-response estimation was approved by an R2 > 0.99 and an average CV% of 1.6%. Average gamma pass-rate between the experimentally measured and GammaPlan calculated dose distributions were 83.8% and 99.7%for 22%/2 and 3%/3 mm criteria, respectively. Conclusions: With the designed MR imaging sequence and parameters, total 3D MR acquisition time was confined to within 20 min postirradiation, during which time ferric ion diffusion effects were negligible, thus enabling an accurate 3D radiation dose measurement.