Finding hidden causes of unexplained ischemic stroke with heart and vessel MRI

Quantitative model-based ESUS reclassification using cardiac and cerebral vessel wall MRI

NIH-funded research University of Washington · NIH-11172469

This project uses advanced MRI of the heart and blood-vessel walls plus computer models to better identify likely causes for people whose ischemic stroke was labeled ESUS (embolic stroke of undetermined source).

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Washington NIH-funded
Lab location1 site (Seattle, United States)
Project IDNIH-11172469 on NIH RePORTER

What this research studies

Many ischemic strokes are called ESUS when routine tests don't show a clear cause. This project combines specialized MRI of the heart and the walls of brain and neck arteries with quantitative computer models and AI to look for subtle atherosclerosis or early atrial disease. Researchers will merge imaging findings with clinical data to reclassify some ESUS cases into more specific causes. Reclassification could help guide more personalized prevention to lower the chance of another stroke.

Who could benefit from this research

Good fit: Ideal candidates are people who recently had an ischemic stroke labeled ESUS and who can undergo cardiac and cerebral vessel-wall MRI.

Not a fit: People whose stroke already has a clear cause or who cannot have MRI (for example because of certain implants or severe claustrophobia) are unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, this work could help doctors choose more targeted secondary prevention and reduce the risk of recurrent stroke.

How similar studies have performed: Prior research shows vessel-wall MRI and atrial imaging can reveal lesions missed by routine tests, but applying quantitative AI models to reclassify ESUS is a relatively new approach.

Where this research is happening

Seattle, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Atherosclerotic Cardiovascular Disease
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.