That`s a very good question,

An increase in the common carotid artery intima-media thickness is generally considered an early marker of atherosclerosis than if we can through the measurement of carotid intima-media get a plaque score as vascular risk factors this will be very useful in clinical practice .

No. Intima-media thickness cannot be used in clinical practice as a simple, quick and reproducible test such is the ankle-to-brachial index.

Very much reproducible., if you are using the imt measurement software like philips have one.

I agree with Ankush, if you follow the guidelines and use properly softwares such Philips or Quipu's Cardiovascular Suite, IMT, Distensibility and Stiffness measurements are very consistent and reproducible