Relaxation anisotropy in cartilage by NMR microscopy (μMRI) at 14-μm resolution

To study the structural anisotropy and the magic-angle effect in articular cartilage, T₁, and T₂ images were constructed at a series of orientations of cartilage specimens in the magnetic field by using NMR microscopy (μMRI). An isotropic T₁, and a strong anisotropic T₂ were observed across the cartilage tissue thickness. Three distinct regions in the microscopic MR images corresponded approximately to the superficial, transitional, and radial histological zones in the cartilage. The percentage decrease of T₂ follows the pattern of the curve of (3cos²θ ? 1)² at the radial zone, where the collagen fibrils are perpendicular to the articular surface. In contrast, little orientational dependence of T₂ was observed at the transitional zone, where the collagen fibrils are more randomly oriented. The result suggests that the interactions between water molecules and proteoglycans have a directional nature, which is somehow influenced by collagen fibril orientation. Hence, T₂ anisotropy could serve as a sensitive and noninvasive marker for molecular-level orientations in articular cartilage.     

Strain‐dependent T1 relaxation profiles in articular cartilage by MRI at microscopic resolutions

To investigate the dependency of T₁ relaxation on mechanical strain in articular cartilage, quantitative magnetic resonance T₁ imaging experiments were carried out on cartilage before/after the tissue was immersed in gadolinium contrast agent and when the tissue was being compressed (up to ～48% strains). The spatial resolution across the cartilage depth was 17.6 μm. The T₁ profile in native tissue (without the presence of gadolinium ions) was strongly strain‐dependent, which is also depth‐dependent. At the modest strains (e.g., 14% strain), T₁ reduced by up to 68% in the most surface portion of the tissue. Further compression (e.g., 45% strain) reduced T₁ mostly in the middle and deep portions of the tissue. For the gadolinium‐immersed tissue, both modest and heavy compressions (up to 48% strain) increased T₁ slightly but significantly, although the overall shapes of the T₁ profiles remained approximately the same regardless of the amount of strains. The complex relationships between the T₁ profiles and the mechanical strains were a direct consequence of the depth‐dependent proteoglycan concentration in the tissue, which determined the tissue's mechanical properties. This finding has potential implications in the use of gadolinium contrast agent in clinical magnetic resonance imaging of cartilage (the dGEMRIC procedure), when the loading or loading history of patients is considered. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

23Na and 2H magnetic resonance studies of osteoarthritic and osteoporotic articular cartilage

In this study, the short component of the ²³Na T₂ (T_2f) and the ²³Na and ²H quadrupolar interactions (ν_Q) were measured in bone‐cartilage samples of osteoarthritic (OA) and osteoporotic (OP) patients. ²³Na ν_Q was found to increase in osteoarthritic articular cartilage relative to controls. Similar results were found in bovine cartilage following proteoglycan (PG) depletion, a condition that prevails in osteoarthritis. ²³Na ν_Q and 1/T_2f for articular cartilage obtained from osteoporotic patients were significantly larger than for control and osteoarthritic cartilage. Decalcification of both human and bovine articular cartilage resulted in an increase of ²³Na ν_Q and 1/T_2f, showing the same trend as the osteoporotic samples. Differences in the ratio of the intensity of the large ²H splitting to that of the small one in the calcified zone were also observed. In osteoporosis, this ratio was twice as large as that obtained for both control and osteoarthritic samples. The ²H and ²³Na results can be interpreted as due to sodium ions and water molecules filling the void created by the calcium depletion and to calcium ions being located in close association with the collagen fibers. To the best of our knowledge, this is the first study reporting differences of NMR parameters in cartilage of osteoporotic patients. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

T1 assessment of hip joint cartilage following intra‐articular gadolinium injection: A pilot study

This pilot study defines the feasibility of cartilage assessment in symptomatic femoroacetabular impingement patients using intra‐articular delayed gadolinium‐enhanced MRI of cartilage (ia‐dGEMRIC). Nine patients were scanned preliminary to study the contrast infiltration process into hip joint cartilage. Twenty‐seven patients with symptomatic femoroacetabular impingement were subsequently scanned with intra‐articular delayed gadolinium‐enhanced MRI of cartilage. These T₁ findings were correlated to morphological findings. Zonal variations were studied. This pilot study demonstrates a significant difference between the pre‐ and postcontrast T₁ values (P < 0.001) remaining constant for 45 min. We noted higher mean T₁ values in morphologically normal‐appearing cartilage than in damaged cartilage, which was statistically significant for all zones except the anterior‐superior zone. Intraobserver (0.972) and interobserver correlation coefficients (0.933) were statistically significant. This study outlines the feasibility of intra‐articular delayed gadolinium‐enhanced MRI of cartilage for assessment of cartilage changes in patients with femoroacetabular impingement. It can also define the topographic extent and differing severities of cartilage damage. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

MR-microscopic visualization of anisotropic internal cartilage structures using the magic angle technique

NMR microscopic studies of articular cartilage at 7.1 T are presented. Using a special experimental design, T₂-weighted spin-echo images of cartilage-bone plugs were taken under variable angles with respect to the static magnetic field B_o to visualize the angular-dependent representation of internal matrix structures mediated by the collagen network arrangement. To quantify the observed orientational effect in the MR images, exact measurements of the transverse relaxation time T₂ were taken using the CPMG sequence. The NMR experiments show the strong influence of the cartilage orientation with respect to the static magnetic field on the inhomogeneous appearance of the articular cartilage in the MR image. Additionally performed polarization light microscopic investigations demonstrate the direct relation between the oriented collagenous structures and the anisotropic regions observed in the MR images. A simple cartilage matrix model derived from the experimental findings is proposed, and consequences for the clinical assessment of the articular joint are discussed.     

Angle‐sensitive MRI for quantitative analysis of fiber‐network deformations in compressed cartilage

Purpose

To demonstrate the feasibility of a novel experimental method to quantitatively analyze fiber‐network deformation in compressed cartilage by angle‐sensitive magnetic resonance imaging (MRI) of cartilage.

Methods

Three knee cartilage samples of an adult sheep were imaged in a high‐resolution MRI scanner at 7 T. Main fiber orientation and its “offset” from the direction perpendicular to the bone‐cartilage boundary were derived from MR images taken at different orientations with respect to B₀. Bending of the collagen fibers was determined from weight‐bearing MRI with the load (up to 1.0 MPa) applied over the whole sample surface. A “fascicle” model of the cartilage ultrastructure was assumed to analyze characteristic intensity variations in T₂‐weighted images under load.

Results

T₂‐weighted MR images showed a strong variation of the signal intensities with sample orientation. In the T₂‐weighted weight‐bearing series, regions of high signal intensity underwent shifts from the lateral to the central parts in all three cartilage samples. The bending of the collagen fibers was determined to be 27.2°, 35.4°, and 40.0° per MPa, respectively.

Conclusion

Assuming a “fascicle” model, the presented MRI method provides quantitative measures of structural adjustments in compressed cartilage. Our preliminary analysis suggests that cartilage fiber deformation includes both bending and crimping.     

Reduction of residual dipolar interaction in cartilage by spin‐lock technique

The influence of radiofrequency (RF) spin‐lock pulse on the laminar appearance of articular cartilage in MR images was investigated. Spin‐lock MRI experiments were performed on bovine cartilage plugs on a 4.7 Tesla small‐bore MRI scanner, and on human knee cartilage in vivo on a 1.5 Tesla clinical scanner. When the normal to the surface of cartilage was parallel to B₀, a typical laminar appearence was exhibited in T₂‐weighted images of cartilage plugs, but was absent in T_1ρ‐weighted images of the same plugs. At the “magic angle” orientation (when the normal to the surface of cartilage was 54.7° with respect to B₀), neither the T₂ nor the T_1ρ images demonstrated laminae. At the same time, T_1ρ values were greater than T₂ at both orientations throughout the cartilage. T_1ρ dispersion (i.e., the dependence of the relaxation rate on the spin‐lock frequency ω₁) was observed, which reached a steady‐state value of close to 2 kHz in both parallel and magic‐angle orientations. These results suggest that residual dipolar interaction from motionally‐restricted water and relaxation processes, such as chemical exchange, contribute to T_1ρ dispersion in cartilage. Further, one can reduce the laminar appearance in human articular cartilage by applying spin‐lock RF pulses, which may lead to a more accurate diagnosis of degenerative changes in cartilage. Magn Reson Med 52:1103–1109, 2004. © 2004 Wiley‐Liss, Inc.     

Mapping the fiber orientation in articular cartilage at rest and under pressure studied by 2H double quantum filtered MRI.

The one-dimensional (2)H double quantum filtered (DQF) spectroscopic imaging technique was used to study the orientation of collagen fibers in articular cartilage. The method detects only water molecules in anisotropic environments, which in cartilage is caused by their interaction with the collagen fibers. A large quadrupolar splitting was observed in the calcified zone and a smaller splitting in the radial zone. In the transitional zone the splitting was not resolved and a small splitting was again detected in the superficial zone. From measurements performed at two orientations of the plug relative to the magnetic field it was deduced that in the calcified and radial zones the fibers are oriented perpendicular to the bone, bending at the transitional zone and flattening at the superficial zone. The effect of load applied to the cartilage-bone plug was monitored by the same technique. At low loads there is a small decrease in the quadrupolar splitting in the calcified zone, a marked decrease in the radial zone, and an increase of the splitting accompanied by a thickening of the superficial zone. Under high loads, while the thickening and the splitting of the superficial zone further increase, the splitting in the radial and calcified zones completely collapse. Pressure-induced changes in the thickness of the surface zone indicate flattening of the collagen fibers near the surface. The marked collapse of the splitting near the bone at high pressures may result from crimping of the collagen fibers.     

T1ρ MRI of human musculoskeletal system

Magnetic resonance imaging (MRI) offers the direct visualization of the human musculoskeletal (MSK) system, especially all diarthrodial tissues including cartilage, bone, menisci, ligaments, tendon, hip, synovium, etc. Conventional MRI techniques based on T₁‐ and T₂‐weighted, proton density (PD) contrast are inconclusive in quantifying early biochemically degenerative changes in MSK system in general and articular cartilage in particular. In recent years, quantitative MR parameter mapping techniques have been used to quantify the biochemical changes in articular cartilage, with a special emphasis on evaluating joint injury, cartilage degeneration, and soft tissue repair. In this article we focus on cartilage biochemical composition, basic principles of T_1ρ MRI, implementation of T_1ρ pulse sequences, biochemical validation, and summarize the potential applications of the T_1ρ MRI technique in MSK diseases including osteoarthritis (OA), anterior cruciate ligament (ACL) injury, and knee joint repair. Finally, we also review the potential advantages, challenges, and future prospects of T_1ρ MRI for widespread clinical translation. J. Magn. Reson. Imaging 2015;41:586–600. © 2014 Wiley Periodicals, Inc.     

Kinematic biomechanical assessment of human articular cartilage transplants in the knee using 3-T MRI: an in vivo reproducibility study

The aims of this study were to examine the clinical feasibility and reproducibility of kinematic MR imaging with respect to changes in T ₂ in the femoral condyle articular cartilage. We used a flexible knee coil, which allows acquisition of data in different positions from 40° flexion to full extension during MR examinations. The reproducibility of T ₂ measurements was evaluated for inter-rater and inter-individual variability and determined as a coefficient of variation (CV) for each volunteer and rater. Three different volunteers were measured twice and regions of interest (ROIs) were selected by three raters at different time points. To prove the clinical feasibility of this method, 20 subjects (10 patients and 10 age- and sex-matched volunteers) were enrolled in the study. Inter-rater variability ranged from 2 to 9 and from 2 to 10% in the deep and superficial zones, respectively. Mean inter-individual variability was 7% for both zones. Different T ₂ values were observed in the superficial cartilage zone of patients compared with volunteers. Since repair tissue showed a different behavior in the contact zone compared with healthy cartilage, a possible marker for improved evaluation of repair tissue quality after matrix-associated autologous chondrocyte transplantation (MACT) may be available and may allow biomechanical assessment of cartilage transplants.     

Multicomponent T2* mapping of knee cartilage: Technical feasibility ex vivo

Disorganization of collagen fibers is a sign of early‐stage cartilage degeneration in osteoarthritic knees. Water molecules trapped within well‐organized collagen fibrils would be sensitive to collagen alterations. Multicomponent effective transverse relaxation (T₂*) mapping with ultrashort echo time acquisitions is here proposed to probe short T₂ relaxations in those trapped water molecules. Six human tibial plateau explants were scanned on a 3T MRI scanner using a home‐developed ultrashort echo time sequence with echo times optimized via Monte Carlo simulations. Time constants and component intensities of T₂* decays were calculated at individual pixels, using the nonnegative least squares algorithm. Four T₂*‐decay types were found: 99% of cartilage pixels having mono‐, bi‐, or nonexponential decay, and 1% showing triexponential decay. Short T₂* was mainly in 1‐6 ms, while long T₂* was ～22 ms. A map of decay types presented spatial distribution of these T₂* decays. These results showed the technical feasibility of multicomponent T₂* mapping on human knee cartilage explants. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Quantitative mapping of T2 using partial spoiling

Fast quantitative MRI has become an important tool for biochemical characterization of tissue beyond conventional T₁, T₂, and T₂*‐weighted imaging. As a result, steady‐state free precession (SSFP) techniques have attracted increased interest, and several methods have been developed for rapid quantification of relaxation times using steady‐state free precession. In this work, a new and fast approach for T₂ mapping is introduced based on partial RF spoiling of nonbalanced steady‐state free precession. The new T₂ mapping technique is evaluated and optimized from simulations, and in vivo results are presented for human brain at 1.5 T and for human articular cartilage at 3.0 T. The range of T₂ for gray and white matter was from 60 msec (for the corpus callosum) to 100 msec (for cortical gray matter). For cartilage, spatial variation in T₂ was observed between deep (34 msec) and superficial (48 msec) layers, as well as between tibial (33 msec), femoral, (54 msec) and patellar (43 msec) cartilage. Excellent correspondence between T₂ values derived from partially spoiled SSFP scans and the ones found with a reference multicontrast spin‐echo technique is observed, corroborating the accuracy of the new method for proper T₂ mapping. Finally, the feasibility of a fast high‐resolution quantitative partially spoiled SSFP T₂ scan is demonstrated at 7.0 T for human patellar cartilage. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Influence of knee positions on T2, T*2, and dGEMRIC mapping in porcine knee cartilage

We examined the influence of flexed knee positions on cartilage MR assessments. Sagittal T₂, T*₂, and delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) maps of the femoral cartilage were obtained in eight 6‐month‐old porcine femorotibial joints in the extended knee position (position A: flexion 0° and femoral shaft in parallel with the amplitude of static field), flexed knee position (position B: flexion 40° and femoral shaft oriented at 40° to the amplitude of static field), and oblique‐placed knee‐extended position (position C: flexion 0° and femoral shaft oriented at 40° to the amplitude of static field). Comparison of the MR parameters between positions A and C showed isolated influence of the magic‐angle effect, and comparison between positions A and B showed effects of knee flexion. Proteoglycan and hydroxyproline content in cartilage specimen at each region of interest had no significant correlation with T₂, T*₂, and dGEMRIC values. At the central zone, located on a weight‐bearing area and parallel to the amplitude of static field, T₂/T*₂/dGEMRIC values increased by 6.8/11/0.8% at position C and by 24/44/31% at position B compared with position A. There was a significant increase in T₂ and T*₂ values at position B compared with those at position A. The substantial changes in T₂, T*₂, and dGEMRIC were shown in response to knee flexion, presumably due to the compounding influence of the magic‐angle effect and change in the intra‐articular biomechanical condition. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Longitudinal analysis of MRI T2 knee cartilage laminar organization in a subset of patients from the osteoarthritis initiative: A texture approach

Cartilage magnetic resonance imaging T₂ relaxation time is sensitive to hydration, collagen content, and tissue anisotropy, and a potential imaging‐based biomarker for knee osteoarthritis. This longitudinal pilot study presents an improved cartilage flattening technique that facilitates texture analysis using gray‐level co‐occurrence matrices parallel and perpendicular to the cartilage layers, and the application of this technique to the knee cartilage of 13 subjects of the osteoarthritis initiative at baseline, 1‐year follow‐up, and 2‐year follow‐up. Cartilage flattening showed minimum distortion (～ 0.5 ms) of mean T₂ values between nonflattened and flattened T₂ maps. Gray‐level co‐occurrence matrices texture analysis of flattened T₂ maps detected a cartilage laminar organization at baseline, 1‐year follow‐up, and 2‐year follow‐up by yielding significant (P < 0.05) differences between texture parameters perpendicular and parallel to the cartilage layers. Tendencies showed higher contrast, dissimilarity, angular second moment, and energy perpendicular to the cartilage layers; and higher homogeneity, entropy, variance, and correlation parallel to them. Significant (P < 0.05) longitudinal texture changes were also detected reflecting subtle signs of a laminar disruption. Tendencies showed decreasing contrast, dissimilarity, and entropy; and increasing homogeneity, energy, and correlation. Results of this study warrant further investigation to complete the assessment of the usefulness of the presented methodology in the study of knee osteoarthritis. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Articular cartilage: correlation of histologic zones with signal intensity at MR imaging

Zones of high and low signal intensity on magnetic resonance (MR) images of articular cartilage were correlated with the four histologic zones normally found in such cartilage. Grossly normal articular cartilage from knees and ankles of a fresh cadaver were used in the study. The three zones identified on MR images included a low-intensity zone near the articular surface, a zone of higher signal intensity next to that, and a second zone of low intensity that was deep to the two others. The location of the superficial low-intensity zone corresponded to dense, tangentially oriented layers of collagen in the superficial histologic zone. Higher signal intensity deep to the superficial low-intensity zone correlated with cartilage in the transitional zone. The deep low-intensity zone correlated with a combination of deep radiate and calcified cartilage and cortical bone. Results of this study indicate that, with high resolution, MR imaging may demonstrate three zones of differing signal intensity in articular cartilage. The superficial low-intensity zone may be a useful marker of the surface of normal articular cartilage.     

T1ρ MRI quantification of arthroscopically confirmed cartilage degeneration

Nine asymptomatic subjects and six patients underwent T₁ρ MRI to determine whether Outerbridge grade 1 or 2 cartilage degeneration observed during arthroscopy could be detected noninvasively. MRI was performed 2‐3 months postarthroscopy, using sagittal T₁‐weighted and axial and coronal T₁ρ MRI, from which spatial T₁ρ relaxation maps were calculated from segmented T₁‐weighted images. Median T₁ρ relaxation times of patients with arthroscopically documented cartilage degeneration and asymptomatic subjects were significantly different (P < 0.001), and median T₁ρ exceeded asymptomatic articular cartilage median T₁ρ by 2.5 to 9.2 ms. In eight observations of mild cartilage degeneration at arthroscopy (Outerbridge grades 1 and 2), mean compartment T₁ρ was elevated in five, but in all observations, large foci of increased T₁ρ were observed. It was determined that T₁ρ could detect some, but not all, Outerbridge grade 1 and 2 cartilage degeneration but that a larger patient population is needed to determine the sensitivity to these changes. Magn Reson Med 63:1376–1382, 2010. © 2010 Wiley‐Liss, Inc.     

Dual inversion recovery,ultrashort echo time (DIR UTE) imaging: Creating high contrast for short‐T2 species

Imaging of short‐T₂ species requires not only a short echo time but also efficient suppression of long‐T₂ species in order to maximize the short‐T₂ contrast and dynamic range. This paper introduces a method of long‐T₂ suppression using two long adiabatic inversion pulses. The first adiabatic inversion pulse inverts the magnetization of long‐T₂ water and the second one inverts that of fat. Short‐T₂ species experience a significant transverse relaxation during the long adiabatic inversion process and are minimally affected by the inversion pulses. Data acquisition with a short echo time of 8 μs starts following a time delay of inversion time (TI1) for the inverted water magnetization to reach a null point and a time delay of TI2 for the inverted fat magnetization to reach a null point. The suppression of long‐T₂ species depends on proper combination of TI1, TI2, and pulse repetition time. It is insensitive to radiofrequency inhomogeneities because of the adiabatic inversion pulses. The feasibility of this dual inversion recovery ultrashort echo time technique was demonstrated on phantoms, cadaveric specimens, and healthy volunteers, using a clinical 3‐T scanner. High image contrast was achieved for the deep radial and calcified layers of articular cartilage, cortical bone, and the Achilles tendon. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

In vivo MRI of fresh stored osteochondral allograft transplantation with delayed gadolinium‐enhanced MRI of cartilage: Protocol considerations and recommendations

The protocol for delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) was adapted for the evaluation of transplanted osteochondral allograft cartilage. Eight patients with focal grade 4 cartilage defects of the femoral condyle were treated with single cylindrical osteochondral allografts. At 1 and 2 years, dGEMRIC image sequences were acquired and regions of interest (ROIs) were drawn in repair and native control cartilage. Mean T₁ values of region of interest were used to calculate established dGEMRIC metrics. The correlation was measured between the ΔR₁ and R₁‐Post metrics for repair and native cartilage. T₁ times were measured in deep and superficial zones of cartilage. A strong correlation was identified between full‐thickness, deep, and superficial ΔR₁ and R₁‐Post values for native cartilage and repair cartilage for all years (range: 0.893–1.0). The mean T₁ times and ΔR₁ rate between deep and superficial regions of articular cartilage were statistically different for all regions of the distal femora analyzed at 1 year and 2 years after osteochondral allograft transplantation (P < 0.05). The dGEMRIC pre‐Gadolinium scan is unnecessary when evaluating transplanted osteochondral allograft cartilage. The observation of stratified T₁ and ΔR₁ values indicates a need to re‐evaluate the methodology behind the placement of region of interest in dGEMRIC. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Imaging the physical and morphological properties of a multi-zone young articular cartilage at microscopic resolution

PURPOSE: To characterize a number of physical and morphologic properties of young articular cartilage. These properties include the anisotropy of T(2) relaxation, optical retardation, orientation of the collagen fibrils, total thickness of the tissue, number of histologic sub-zones in the tissue, width of individual sub-zones, and correlation between the depths of the local T(2) maxima and the local retardation minima. MATERIALS AND METHODS: Microscopic magnetic resonance imaging (mciro MRI) and polarized light microscopy (PLM) were used to examine three side-by-side specimens from a humeral head of a three-month-old beagle that exhibited a unique topographic heterogeneity from three-zones centrally to multi-zone peripherally. RESULTS: The centrally located specimen showed that the collagen fibrils across the tissue depth have a pattern of the classic three histologic sub-zones (tangential, transitional, and radial). A much more complicated multi-zone structure was found in the specimen located peripherally, with a second transitional zone and a second tangential zone located at the deep part of the tissue. We also showed that the orientation of the collagen fibrils that form the cocoon-shaped territorial matrix surrounding the clusters of chondrocytes can be imaged by our PLM technique. CONCLUSION: The results from the young animal in this report, together with our observations from older animals, demonstrate that MRI and PLM can be used to study the epiphyseal expansion of cartilage in young animals during its growth and subsequent loss in older animals. An illustrative model for the structure of collagen fibrils in a humeral head is suggested as an extension to the classic three-zone model for young articular cartilage.     

In Vivo sodium multiple quantum spectroscopy of human articular cartilage

The authors report, for the first time, sodium properties of human articular cartilage in vivo using sodium multiple-quantum-filtered methods with a surface coil. A flip angle-independent, phase-cycled pulse sequence was used to obtain triple-quantum-filtered spectra as a function of preparation time. Biexponential relaxation rates were calculated by fitting the triple-quantum-filtered spectral amplitudes to a theoretical expression. Theoretical analysis of the flip angle dependence of even rank two-quantum coherence (T₂²), odd rank two-quantum coherence (T₂³), and triple-quantum coherence are presented and verified against experimental results on a cartilage specimen. Sodium multiple-quantum-filtered spectral lineshapes obtained in vivo correlate well with those observed on in vivo specimens. Relaxation rates obtained from asymptomatic volunteers were found to be: T_2rise= 1.0 ± 0.12 ms, T_2decay= 12.0 ± 0.75 ms (mean ± SD). The diagnostic potential of this method in detecting early changes in articular cartilage is described.