My understanding of the
in vivo EPR imaging that does go on is primarily focused on small animals (mice, in particular) and the occasional mention of (for example) human limbs that are placed in a resonator. Of course, tissue cultures and
ex vivo samples are also possible with this sort of setup. They do, however, seem to be devised to work at lower field strengths. Clearly, if your interests involve the role of free radicals in biological systems, EPR imaging offers the ability to directly interrogate those species. (See, for example,
here.) Insofar as to reasons for wanting to do EPR imaging, it's a lot like wanting to develop alternatives/complements to
1H MRI - you could work with something with a great deal less natural background signal (example -
19F MRI), or with a more biochemically informative nucleus (example -
23Na MRI).
I'm not sure I'd entirely agree with EPR being a sideshow - it really depends on what one's show is in the first place, after all. It's something of a specialized niche, I will agree, although I get the impression more and more people are becoming intrigued by its benefits. It's been invaluable in inorganic & solid state chemistry, and as I've alluded to earlier in this post, for understanding the nature and role of free radicals in a number of contexts. With the development of pulsed EPR methods, one can obtain longer distance constraints for materials and biological assemblies, typically between 20 to 80 Angstroms. Also, it's a natural choice for examining dynamics at the nanosecond time scale.