Evidence map›Paper›PMID 42643248›Full record

ArticleFrontiers in neurology2026

AngioPLUS-derived carotid intraplaque neovascularization predicts recurrent anterior circulation stroke: a prospective cohort study.

Hao Zhang, Jun He, Jimei Xu, Rongfeng Wang, Shugang Cao, Mingwu Xia

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Article in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hao ZhangDepartment of Neurology, Hefei Hospital Affiliated to Anhui Medical University, The Second People's Hospital of Hefei, Hefei, China.
Jun HeDepartment of Neurology, Hefei Hospital Affiliated to Anhui Medical University, The Second People's Hospital of Hefei, Hefei, China.
Jimei XuDepartment of Ultrasound, Hefei Hospital Affiliated to Anhui Medical University, The Second People's Hospital of Hefei, Hefei, China.
Rongfeng WangDepartment of Neurology, Hefei Hospital Affiliated to Anhui Medical University, The Second People's Hospital of Hefei, Hefei, China.
Shugang CaoDepartment of Neurology, Hefei Hospital Affiliated to Anhui Medical University, The Second People's Hospital of Hefei, Hefei, China.
Mingwu XiaDepartment of Neurology, Hefei Hospital Affiliated to Anhui Medical University, The Second People's Hospital of Hefei, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: The predictive value of carotid intraplaque neovascularization (IPN), assessed by the novel AngioPLUS technique, for recurrent anterior circulation ischemic stroke (ACIS) remains unclear. This study aimed to evaluate the prognostic value of IPN for stroke recurrence in patients with ACIS and to develop a parsimonious prediction model by screening core predictors using Lasso regression, with subsequent assessment of its discrimination, calibration, and clinical utility. Methods: Consecutive patients admitted for ACIS who underwent IPN assessment using AngioPLUS ultrasound between August 2020 and February 2025 were prospectively enrolled. Independent predictors of recurrent ischemic stroke were identified using Cox proportional hazards regression models. Least absolute shrinkage and selection operator (Lasso) regression was employed to screen core predictors for constructing a parsimonious Cox model. Model discrimination was evaluated using time-dependent receiver operating characteristic (ROC) curves, and internal validation was performed with Bootstrap resampling Results: A total of 143 patients (93 males, 65.0%; mean age 67.6 ± 11.7 years) with a median follow-up of 21 months (range 6-56 months) were enrolled, during which 26 patients experienced recurrent ischemic stroke. The recurrence rate was significantly higher in the high IPN group compared to the low IPN group (35.0% vs. 6.0%, Conclusion: Carotid IPN is an independent predictor of ACIS recurrence. A parsimonious Cox model incorporating IPN Grades 2 and LDL-C demonstrated favorable discrimination and calibration. The nomogram based on this model effectively identifies individuals at high risk of recurrence, offering a simple and practical tool for guiding individualized secondary prevention strategies in clinical practice.

Indexed as

Ischemic StrokeNeovascularization, PathologicPlaque, AtheroscleroticAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisProspective StudiesRecurrenceUltrasonography, Carotid ArteriesAngioPLUS technologyIntraplaque neovascularizationischemic stroke recurrenceprospective cohort studyrisk stratification

Identifiers

PMID42643248
PMCPMC13503154

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.