Objective: To establish whether T 2 relaxation and apparent diffusion coefficient (ADC) in normal prostate and tumour are related and to investigate the effects of glandular compression from an enlarged transition zone (TZ) on peripheral zone (PZ) T 2 and ADC by correlating them with the peripheral zone fractional volume (PZFV).Methods: 48 consecutive patients prospectively underwent multiecho T 2 weighted (T 2 W) (echo times 20, 40, 60, 80, 100 ms) and diffusion-weighted (b50, 100, 300, 500, 800 s mm 22 ) endorectal MRI. In 43 evaluable patients, single slice whole PZ, TZ and tumour (focal hypointense signal on T 2 W images in a biopsy-positive octant) regions of interest were transferred to T 2 and ADC maps by slice matching. T 2 and ADC values were correlated, and PZ values were correlated with PZFV.