We demonstrate diffusion MRI histology (D-Histo) is able to detect, differentiate and quantify various co-existing pathologies and structures including tumor, tumor infiltration, necrosis within human brain tumor specimen while conventional MRI and DTI fails. Quantitative maps of H & E and GFAP were generated and co-registered with D-Histo for voxel-wise correlative analysis. D-Histo-derived restricted-isotropic-diffusion fraction correlated with the area of hematoxylin and GFAP positive stain. D-Histo-derived hindered-isotropic-diffusion fraction successfully predicted the distribution of tumor necrosis corresponding with H & E. D-Histo is promising for brain tumor diagnosis, surgical planning, and treatment response monitoring.
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