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Objective Todevelopanoptimizedstrokeriskscoresystem–revisedstrokeriskscore(RSRS),basedoncarotidplaquehighresolution magneticresonanceimaging(MRI)combinedwithlaboratorytestsandEssenStrokeRiskScore(ESRS),andanalyzethepredictivevalueofRSRSinpredictionforrecurrentacuteischemicstroke(AIS)bycomparedwithESRS.