Currently, the most prevalent cartilage magnetic resonance imaging techniques are still two-dimensional fast-spin-echo and spoiled gradient-recalled sequencing. Two-dimensional fast-spin-echo imaging techniques have been made available as standards, and they provide reasonable contrast. More complex three-dimensional fast-spin-echo imaging techniques as well as three-dimensional steady-state free precession (3D-SSFP) are now available that can dramatically improve spatial resolution. Hardware parameters to improve the spatial resolution and reducibility include more powerful magnets at 3.0 and 7.0 Tesla, parallel imaging techniques, and coil design. In addition, modern cartilage-imaging techniques will have to provide increased offline viewing capabilities and a decrease in the need for manual segmentation. Magnetic resonance imaging of cartilage alone does not provide good correlation with clinical symptoms (i.e., pain) or disease progression. Hence, modern techniques will need to provide multiparametric assessment of joints to better monitor disease progression and severity of osteoarthritis. This may involve the evaluation of nontraditional parameters, such as the appearance of subchondral bone or fibrovascular ingrowth.