The aim of this study was to propose simultaneous analysis of effective transverse relaxation time (
T2) and biexponential diffusion parameters for breast magnetic resonance imaging (MRI) using conventional sequences available with most clinical MRI scanners. Normal mammary glands and malignant lesions were compared in terms of
T2 value, as well as fast and slow component apparent diffusion coefficients (
ADCfast and
ADCslow) . The study included 98 women who underwent breast MRI and for whom pathological diagnosis was obtained. Diffusion weighted imaging (DWI) was performed at
b values of 0, 200, 400, 800, 1500, 2200, and 3000s/mm
2. The
T2 correction of DW images were performed using diffusion echo-planar imaging-
T2-weighted images with multiple
TE because
TE increased with increasing
b values. Biexponential fitting was performed using the
b value range of 0-3000s/mm
2 for malignant lesions, and 0-1500s/mm
2 for normal mammary glands, to minimize the influence of noise. Malignant lesions showed significantly higher
T2 values, lower
ADCfast and
ADCslow compared with normal mammary glands. In addition, fast component fraction was significantly higher in malignant lesions than in normal mammary glands. In conclusion, simultaneous
T2 and biexponential diffusion analyses can provide more detailed information on the characteristics of breast lesions.
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