Background: Rotator cuff tendons (RCTs) are challenging to image due to the "magic angle effect" and their short T 2 . Purpose: To assess the degree of magic angle sensitivity of human RCTs and to utilize a 3D ultrashort echo time Cones sequence with magnetization transfer preparation (UTE-Cones-MT) and two-pool quantitative MT modeling with histological correlation. We hypothesized that MT parameters would be less sensitive to the magic angle compared with conventional T 2 measurements. Study Type: Prospective imaging pathologic correlation. Specimen: Twenty cadaveric rotator cuff tendons were imaged at five sample orientations ranging from 0-908 relative to the B 0 field. Field Strength/Sequence: 3T/3D UTE-Cones-MT and Carr-Purcell-Meiboom-Gill (CPMG). Assessment: Two-pool quantitative MT modeling parameters and T 2 values were calculated in regions of interest drawn by a medical physicist. Histopathological analysis was performed and mild and severe tendinopathy groups were assigned by a histopathologist and histotechnician. Statistical Tests: Coefficients of variations (CVs) were calculated for measures between the different orientations and group means were compared for each measure. Results: CVs of T 2 and macromolecular fractions between orientations were 26.14 6 16.82% and 6.18 6 2.77% (mean 6 SD), respectively. T 2 measurements at 08, 278, 708, and 908 showed significant differences between the two histological groups (P 5 0.004, 0.008, 0.003, and 0.015, respectively), but not at 558 (P 5 0.611). Mean T 2 value ranges between orientations for the mild and severe tendinopathy groups were 15.27-30.32 msec and 20.81-35.85 msec, respectively, showing overlap despite statistically significant differences (P 5 0.003). Macromolecular fractions at all angles showed significant differences between the two groups (P < 0.0001). Mean fraction ranges between orientations for the mild and severe tendinopathy groups were 14.32-17.17% and 10.00-13.75% respectively (P < 0.0001) with no overlap. Data Conclusion: Compared with T 2 , macromolecular fraction obtained with the 3D UTE-Cones-MT technique is resistant to the magic angle effect and is more sensitive to RCT degeneration. Level of Evidence: 1 Technical Efficacy: Stage 2