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Poster Session II - ACUTE ISCHEMIC STROKE MANAGEMENT 01.00 - ACUTE ISCHEMIC STROKE MANAGEMENT - 01.06 - IMAGING - Hyperacute P669 - ESOC25-1837 ROLE OF PREPROCEDURAL MRI HYPOPERFUSION INTENSITY RATIO IN PREDICTING ICAD-RELATED MCA OCCLUSION: A MACHINE LEARNING PERSPECTIVE Jung Hwa Seo 1 , Yoonkyung Lee 1 , Jae-Kwan Cha 1 1 Dong-A University Hospital, Busan, South Korea Background and Aims: Intracranial atherosclerotic disease (ICAD) is a prominent cause of acute large-vessel occlusion (LVO) in stroke, particularly in Asian populations