You can use this format if you only use the drive with Mac OS X, or use it for backups of your Mac OS X internal drive, or if you only share it with one Windows PC (with MacDrive installed on the PC)
I use Fuse and it hasn't failed me yet. I have multiple multi TB drives I share with Windows and it works flawlessly. I easily move and copy files betwee NTFS and HFS+ drives all the time.