This study aims to evaluate cartilage degeneration using 3D UTE-Cones-AdiabT1r imaging at 3T. In total 66 human subjects were recruited. KL and WORMS were evaluated by two MSK radiologists. The performance in evaluating cartilage degeneration was assessed via Spearman’s correlation coefficient and the area under the curve (AUC) calculated according to the receiver-operating characteristic (ROC) curve. Higher UTE-Cones-AdiabT1r values were observed in larger and deeper cartilage lesions. The diagnostic threshold of UTE-Cones-AdiabT1r for mild cartilage degeneration was 39.4 ms with 80.8% sensitivity and 63.5% specificity. The AUC value for mild cartilage degeneration (WORMS=1) was 0.8 according to the ROC curves.
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