• Age > 49 years old
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• Primary referral to an outside hospital
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• Acute ischemic stroke or transient ischemic attack (TIA)
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• DWI positive lesions outside the territory of a single internal carotid artery
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• Neurological symptoms compatible with a stroke or TIA in the territory of the internal carotid artery
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• Surgical procedure within 24 hours preceding the MRI
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• Onset of symptoms within the last 7 days
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• History of radiation to the neck area
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• 1 or more acute ischemic lesion(s) visible on MR diffusion-weighted imaging (DWI) in the territory of a single internal carotid artery
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• Carotid artery stenosis ≥70% (NASCET) ipsilateral to the stroke or TIA as defined by ultrasound (systolic peak flow velocity ≥ 300 cm/s)
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• Presence of carotid artery plaques in the ipsi- or contra-lateral carotid artery as defined by ultrasound (plaque thickness at least 2 mm; located within 1 cm proximal or distal to the carotid bifurcation)
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• Creatinine levels > 2 times the upper limit of the standard range of the respective laboratory within the last 30 days prior to MRI and Renal clearance < 30 ml/minute
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• Written informed consent |
• Standard contra-indications for MRI |