“…8,15,18 The existing preclinical and clinical evidence suggests that R 1ρ itself is not specifically sensitive to PG alterations, but rather R 1ρ dispersion is predominantly susceptible to collagen changes, which are characterized by the residual dipolar interaction of ordered water molecules buried inside of collagen triple-helical microstructures. 7,8,19,20 These observations are in accordance with two previous studies from the early 2000s 21,22 as well as with some recent investigations relevant to the underlying R 1ρ relaxation mechanisms in cartilage. 19,20,23 Recently, a theoretical framework of R 1ρ dispersion in cartilage has been outlined, 7 suggesting that an orientation-independent MR metric, named the order parameter, S, 24 can be derived for detecting early collagen degeneration in joint osteoarthritis.…”