<p>Efficient cooling systems play a crucial role for MRI performance and imaging accuracy. Traditional cryogenic cooling methods are effective, but they are complex, expensive, and energy-intensive technologies: therefore, unsustainable and inaccessible. In this review, TEC is considered as an alternative for MRI RF coils, the scope of which focuses on the design, challenges, and prospects in integration. This review, focusing on the inadequacies of cryogenic systems and the potential benefits of TEC in terms of cost-effectiveness, energy efficiency, and environment-friendliness, offers research and engineering advice. The result is that it is well established that TEC is suitable for targeted applications in low-field MRI systems and portable imaging devices and is a very promising solution for future advancements in medical imaging technology. Although the HTS technology as well as the implementation of cryogenic cooling is more efficient in reducing the artifacts and improving the SNR factor, similar results can be achieved if the thermoelectric cooling system is provided with a supply of liquid nitrogen for additional cooling. This paper reviews how thermoelectric cooling methods can be implemented as an alternative for cryogenic cooling and HTS coils. It also discusses about the drawbacks that the TEC method could have and also improvements that could enhance the TEC to be a suitable method for cooling RF coils. This review identifies the limitations of existing cryogenic and HTS cooling systems and evaluates TEC as a cost-effective, sustainable alternative. It aims to provide actionable insights for effective integration of TEC into MRI systems without compromising imaging quality and efficiency.</p>