Fat quantification of vertebral bone marrow (VBM) has been often performed with single-TE MRS. Using MRS the differences in the T2-decay of water and fat is neglected and therefore the extracted fat fraction (FF) measure comprises T2-weighting. The aim of this study was to examine differences between T2-weighted FF and proton density fat fraction (PDFF) using multi-TE single-voxel MRS and to relate the observed differences with changes in T2-relaxation of water with age in 197 subjects. The T2-relaxation of water remained constant in males and showed an age dependence in females resulting in amplified gender differences of T2-weighted FF with age compared to PDFF.
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