The purpose of this observational study is to better understand the relationship between stroke risk factors and brain MRI measures in the Native American population. Participants will undergo: * Carotid ultrasound * Magnetic resonance imaging (MRI) * Cognitive testing
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Cortical thickness
Timeframe: 3 months
White matter lesion buildup
Timeframe: 3 months
Number of strokes
Timeframe: 3 months
Microstructural integrity
Timeframe: 3 months
Cerebral blood flow
Timeframe: 3 months
Atherosclerotic vascular buildup
Timeframe: 3 months