Clinical trial Recruiting at 1 site Observational Ages 18 and up

Evaluating carotid plaque components using advanced CT imaging

Official title: Validation of Photon Counting/Spectral Computed Tomography Angiography of Carotid Plaque Composition in Patients With Ischemic Stroke

Run by University of Pennsylvania · NCT05764772 · Data updated 2026-11-12

This study is testing a new type of CT scan to see if it can better identify different parts of carotid plaque in stroke patients, which may help understand the link between plaque makeup and stroke risk.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment70 (estimated)
SponsorUniversity of Pennsylvania
Academic / other
Locations1 site (Philadelphia, Pennsylvania)
StatusRecruiting
StartedOctober 1, 2023
Main results expectedAugust 2026
Study endsDecember 2028
Registry record updatedNovember 25, 2025
Trial IDNCT05764772 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients with symptomatic carotid stenosis and ischemic infarcts related to carotid disease who are scheduled for carotid endarterectomy.

Probably not a fit

Patients under 18 years old or those who are pregnant or nursing will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to validate the effectiveness of photon counting/spectral CT in distinguishing various tissue components of carotid plaque in patients with ischemic stroke. Participants will undergo both photon counting/spectral CT angiography and carotid MRI to assess the presence of calcium, hemorrhage, and lipid components in their plaques. The study will correlate these findings with the burden of stroke in the affected brain regions, providing insights into the relationship between plaque composition and stroke risk. The goal is to improve diagnostic capabilities beyond conventional imaging methods.

Why it matters

Potential benefit: If successful, this study could enhance the ability to identify high-risk carotid plaques, potentially leading to better prevention of strokes.

How similar studies have gone: While this approach is innovative, similar studies have shown promise in using advanced imaging techniques to better characterize plaque components.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with symptomatic carotid stenosis with ipsilateral ischemic infarcts attributable to the carotid disease
* At least 1mm of noncalcified plaque on same side of stroke
* Brain MRI documenting ischemic infarct in distribution attributable to ipsilateral carotid disease
* Patients planned to undergo carotid endarterectomies
* Patients must be able to read and understand English
* Participants must sign the informed consent form

Exclusion Criteria:

* Exclusion Criteria

  * Patients less than 18 years old
  * Women who are pregnant and/or nursing

Where it's running

  • University of Pennsylvania Hospital
    Philadelphia, Pennsylvania, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.