Cerebral stroke is a worldwide concern, it's classified as the most second cause of death in 2008. In this year 5.7 million deaths and about nine million patients had cerebral strokes events with resultant variable degrees of disabilities. The primary goal in stroke management is to reach an early accurate diagnosis for the patients, which will affect the choice of the treatment lines among the newly developed programs and the end stage recovery. The DTI & DTT are MRI techniques used for the 3D virtual reconstruction of fibers tracts in the white matter. This study was done on 100 patients suffering from cerebral infarctions during the first week of the incidence after being evaluated clinically by the NIHSS at the time of admission and after 14th day or at the discharge time, then the radiological results and the clinical outcome were compared at the time of the discharge. The goal of the study to predict the integrity of the fiber tracts in the territory of the infarction by the DTI and MR tractography and the expected clinical outcome, the cortico-spinal tract was given special attention as it carries the motor fibers. This study concluded that this new modality is simple non- invasive with successful matching with the clinical results and outcome.