Recent studies using chemical shift-encoded MRI in patients with elevated liver fat content, but no iron overload, have shown a positive correlation between proton density fat fraction (PDFF) and R2*. In this work, we investigate the underlying biophysical mechanism of this observation using Monte Carlo simulations. Results from this Monte Carlo study show a positive correlation between PDFF and R2* consistent with previous in vivo observations. Based on the PDFF-R2* relationship, the Monte Carlo simulations may provide a new means to correct for the effect of fat on R2* quantification.
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