Conventional T2-weighted spin-echo magnetic resonance imaging of the k
nee requires a long TR. Fast spin-echo (FSE) imaging can improve acqui
sition efficiency severalfold by collecting multiple lines of k space
for each TR. Compromises in resolution, section coverage, and contrast
inevitably result. The authors examined the compromises encountered i
n FSE imaging of the knee and discuss the variations in image contrast
and resolution due to choices of sequence parameters. For short TR/TE
knee imaging, FSE does not appear to offer any advantages, since the
increased collection efficiency for one section reduces the available
number of sections, so that the total imaging time for a given number
of sections remains constant relative to conventional spin-echo imagin
g. For T2-weighted images, considerable time can be saved and comparab
le quality images can be obtained. This saved time can be usefully spe
nt on increasing both the resolution of the image and its signal-to-no
ise ratio, while still reducing total acquisition time by a factor of
two. The preferred FSE T2-weighted images were acquired with a TR of 4
,500 msec, TE of 120 msec, and eight echoes. The available number of s
ections is compromised, and the sequence remains sensitive to now arti
facts; however, the FSE sequence appears to be promising for knee imag
ing.