“…Thus, the nanoscale average surface roughness of articular cartilage is an important symptom of osteoarthritis for the reason that the earliest sign of osteoarthritis is fibrillation of the articular cartilage surface; it has to be measured quantitatively. Yet, the clinical diagnostic tools, such as magnetic resonance imaging, computer tomography, arthroscopy, and plain x-ray provide a qualitative investigation of osteoarthritis and cannot detect osteoarthritis in the early stage [ 2 , 4 , 11 ]. Therefore, pre-clinical methods have appeared whereas they play a crucial role in investigating the integrity of articular cartilage tissue surface.…”