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Background Gadolinium enhancement on high resolution magnetic resonance imaging (HR-MRI) has been considered a sign of instability and inflammation of intracranial atherosclerotic plaques. Our research objective was to explore the relationship between the extent of plaque enhancement (PE), the degree of intracranial artery stenosis, and acute ischemic stroke events.Methods HR-MRI was performed in 91 patients with intracranial vascular stenosis to determine the existence and intensity of PE.Results Among 91 patients enrolled in the trial,