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To date, diagnostic arthroscopy remains the gold standard yet often requires the need for staged operative procedure for treatment. Magnetic resonance imaging (MRI) is the most accurate imaging modality with high specificity, yet even with recent advances, MRI has limited specificity. Newer scanners (3T) and updated scanning sequences (3\u2010dimensional MRI and quantitative MRI) are most sensitive in characterizing cartilage lesions of the knee, but these resources are not available to all users. 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