Carotid Artery Stenosis (Symptomatic and Asymptomatic), Ischemic Stroke, Transient Ischemic Attack
Conditions
Brief summary
This prospective observational study aims to compare the diagnostic performance of non-contrast magnetic resonance angiography (NC-MRA) and carotid Doppler ultrasonography in the evaluation of carotid artery disease among patients with ischemic cerebrovascular stroke or transient ischemic attack. A total of 200 adult patients presenting to Sohag University Hospital will undergo both imaging modalities. The study will assess the agreement between NC-MRA and carotid Doppler in detecting and grading carotid artery stenosis according to the NASCET criteria, with the goal of evaluating the clinical utility of each technique and optimizing imaging strategies for the assessment of cerebrovascular stroke.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults aged 18 years or older. * Clinically diagnosed ischemic stroke or transient ischemic attack (TIA). * Imaging performed within 7-14 days of symptom onset. * Hemodynamically stable and suitable for magnetic resonance imaging (MRI). * Able and willing to provide written informed consent.
Exclusion criteria
* Hemorrhagic stroke. * Previous carotid artery stenting. * Contraindications to MRI, including: * Non-MRI-compatible pacemakers or other MRI-incompatible implants. * Cochlear implants. * MRI-incompatible metallic orthopedic implants. * Severe claustrophobia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Internal Carotid Artery Stenosis Grade (according to NASCET criteria) assessed by Non-contrast Magnetic Resonance Angiography and Carotid Doppler ultrasonography. | At the baseline imaging visit (within 7-14 days of symptom onset). | Internal carotid artery stenosis grade in patients with ischemic stroke or transient ischemic attack determined according to the North American Symptomatic Carotid Endarterectomy Trial (NASCET) criteria using non-contrast magnetic resonance angiography and carotid Doppler ultrasonography. The stenosis grades obtained by the two imaging modalities will be compared. |
Countries
Egypt
Contacts
Sohag University