Proton MR spectroscopy ( 1 H MRS) and dynamic contrast-enhanced (DCE) MR imaging provide functional information, including vascular volume, vascular permeability, and choline (Cho) metabolism. In this study, we applied these two imaging modalities to quantitatively characterize 36 malignant breast lesions in 32 patients and analyzed the correlation between them. The Cho concentration was quantified by single-voxel 1 H MRS using water as an internal reference. The measured Cho levels ranged from 0.32 to 10.47 mmol/kg, consistent with previously reported values. In 25 mass type lesions, the Cho concentration was significantly correlated with tumor size (r = 0.69, p < 0.0002). In addition, the Cho level was found to be significantly higher in lesions presenting as mass type lesions compared to non-mass type diffuse enhancements (p = 0.035). The enhancement kinetics from tissues covered within each MRS voxel were measured and analyzed with a 2-compartmental model to obtain pharmacokinetic parameters K trans and k ep . A significant correlation was found between the Cho level and pharmacokinetic parameter k ep (r = 0.62, p < 0.0001), indicating that tissues with a high Cho level have higher wash-out rates in DCE MR imaging. The results suggest a correlation between choline metabolism and angiogenesis activity, which might be explained by the association of Cho with cell replication and angiogenesis required to support tumor growth.