The molecular behavior of water in normal and regenerating tendons was anal
yzed using the transverse relaxation time (T-2) measured by spin-echo proto
n nuclear magnetic resonance (H-1-NMR) spectroscopy at 2.34 T (25 degreesC)
. A section of the Achilles tendon was dissected from an anesthetized Japan
ese white rabbit, and its longitudinal axis was oriented at 0, 35, 54.7, 75
, and 90 degrees to the static magnetic field. In the normal tendon, the T-
2 relaxation of water presented biexponential relaxation and anisotropy in
both the long T-2 (5.41 to 6.21 ms) and short T-2 (0.41 to 1.43ms) componen
ts, in which the greatest values were obtained at 54.7 degrees. However, th
e range of the anisotropy was much narrower than we expected from the H-1 d
ipolar interaction of water bound to the collagen fibers in the tendon. The
apparent fractions of water proton density also varied with orientation: t
he fraction of the longer T-2 components was at its maximum at 54.7 degrees
. These results suggest that a simple two-compartment model could not be ap
plicable to orientational dependency of the T-2 value of the tendon, and th
e well ordered water in the short T-2 relaxation component may show an elon
gated T-2 relaxation time that falls in the range of the long T-2 relaxatio
n component at 54.7 degrees. This hypothesis can explain both the narrower
range of the T-2 relaxation time and the orientational dependency on the ap
parent fraction of H-1 density. Regenerating processes of the Achilles tend
on were followed for 18 weeks by analyzing the T-2 relaxation time. There i
s only a long T-2 relaxation time component (21.8 to 28.0 ms) up to 3 weeks
after transection. Biexponential relaxation is revealed at 6 weeks and the
reafter, whereby (i) the T-2 relaxation times become shorter, (ii) there is
anisotropy in the short and long T-2 values, and (iii) the orientational d
ependency of the apparent fraction of water proton density becomes evident
with maturation of the regenerating tendon. From these results, the H-1 T-2
relaxation time of water might be used to monitor the healing process of c
ollagen structures of the tendon non-invasively.