An apparatus to jointly measure oxygen utilization and tissue strain includes an imaging system and a computer processor operatively coupled to the imaging system. The computer processor is configured to control the imaging system to perform a pulse sequence on tissue of a subject. The computer processor also acquires oxygen utilization data and strain data responsive to the pulse sequence. The computer processor further determines an amount of strain on the tissue of the subject based at least in part on the strain data and an amount of oxygen utilization of the tissue of the subject based at least in part on the oxygen utilization data.