The gagCEST technique is a promising tool for determining concentration of glycosaminoglycans in articular cartilage. In this study, the performance of gagCEST in a group of patients with ICRS grade I-II knee cartilage defects was investigated. It was found that the method gives significantly different mean MTRasym values for cartilage defects, normal weight-bearing and normal non-weight-bearing femoral cartilage. The clinical use of the gagCEST technique is currently limited by its long measurement time and sensitivity to patient motion.
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