Previous studies have shown that the presence of carotid IPH is a strong predictor for future ischemic events. The present study investigated the usefulness of the signal-intensity-ratio of IPH in carotid arteries for stratification of acute cerebral infarct (ACI) risk using multicontrast MR vessel wall imaging. We found that the signal-intensity-ratio of carotid IPH on T1W images was independently associated with the presence of acute cerebral infarct. Our results suggest that the age of carotid IPH might be an independent indicator for the risk of acute ischemic cerebrovascular events.
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