• Fang Liu and Richard Kijowski.
• University of Wisconsin-Madison, USA.
• Muscles Ligaments Tendons J. 2017 Jan 1; 7 (1): 163-172.

PurposeTo investigate the robustness of four fitting methods for bi-component effective spin-spin T2 (T2*) relaxation time analysis of human patellar tendon.MethodsA three-dimensional (3D) cone ultra-short echo-time (UTE) sequence was performed on the knees of ten healthy volunteers at 3.0T. Four fitting methods incorporating either Gaussian or Rician noise distribution were used for voxel-by-voxel bi-component T2* analysis of the patellar tendon. The T2* for the short relaxing (T**,s ) and long relaxing (T*2,l ) water components and the fraction of the short relaxing water component (fs ) were measured, and different fitting methods were compared using Friedman's and Wilcoxon signed rank tests. A numerical simulation study was also performed to predict the accuracy and precision of bi-component T2* parameter estimation in tendon at different signal-to-noise ratios (SNR) levels.ResultsThe average T*2,s , T*2,l , fs of human patellar tendon were 1.5ms, 30ms, and 80% respectively. Incorporating different noise models and fitting methods influenced the measured bi-component T2* parameters. Fitting methods incorporating Rician noise were superior to traditional fitting methods for bi-component T2* analysis especially at lower SNR. fs and T*2,s were less sensitive than T*2,1 to noise at even moderate and low SNR. The result of the in-vivo bi-component T2* analysis of tendon agreed well with numerical simulations.ConclusionOur study demonstrated the use of a 3D cone UTE sequence to perform in vivo voxel-by-voxel bi-component T2* analysis of human patellar tendon. Incorporating Rician noise was useful for improving bi-component T2* analysis especially at lower SNR.Level Of EvidenceIV.

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