To the best of our knowledge, this is the first study that employs gagCEST for the longitudinal evaluation of untreated articular cartilage defects. We demonstrate that gagCEST at 7T has the potential of discriminating between cartilage defects, weight bearing and non-weight bearing femoral cartilage and therefore might serve as a biomarker for the evaluation of novel cartilage therapies. Furthermore, our study implies that proper fixation of the examined knee may help to increase the reliability of gagCEST experiments.
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