[神经影像学在痴呆诊断中的应用:最新进展]。

Q4 Medicine
Akihiko Shiino
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引用次数: 0

摘要

随着单克隆抗体治疗阿尔茨海默病(AD)的临床应用,诊断技术正转向分子靶向成像。针对与该疾病相关的异常蛋白(如淀粉样蛋白- β和tau)的正电子发射断层扫描(PET)示踪剂的开发,已经能够在体内检测AD的神经病理变化。这项研究将有助于AD的临床诊断、分期和潜在治疗方法的监测。在一般门诊护理中,成像方式仍然需要采用广泛可用的技术,如磁共振成像或单光子发射计算机断层扫描。本文概述了美国放射学会关于神经成像技术临床应用的建议,并回顾了淀粉样蛋白和tau pet引起的体内病变的时间进展。我们利用ADNI数据库研究了区分轻度认知障碍患者AD连续体和SNAP的方法。准确评估“皮质特征”对于AD的诊断至关重要。基于体素的形态测量是一种有用的工具,因为皮质萎缩与tau PET病变的扩展有关。皮质萎缩与海马体萎缩相结合的证实提供了有助于识别AD的诊断见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Neuroimaging in Dementia Diagnosis:Up to Date].

With the clinical application of monoclonal antibody therapy for Alzheimer's disease (AD), diagnostic techniques are shifting toward molecular-targeted imaging. The development of tracers for positron emission tomography (PET) targeting abnormal proteins associated with the disease, such as amyloid-beta and tau, has enabled the detection of neuropathological changes in AD in vivo. This study will contribute to the clinical diagnosis, staging, and monitoring of potential therapeutic approaches for AD. In general outpatient care, imaging modalities that employ widely available techniques such as magnetic resonance imaging or single-photon emission computed tomography remain necessary. This article provides a synopsis of the American College of Radiology recommendations concerning the clinical utility of neuroimaging techniques and reviews the temporal progression of in vivo pathologies derived from amyloid and tau PETs. We investigated the methods for distinguishing between the AD continuum and SNAP in patients with mild cognitive impairment using the ADNI database. Accurate assessment of the "cortical signature" is essential for the diagnosis of AD. Voxel-based morphometry is a useful tool because cortical atrophy is associated with the extension of tau PET lesions. Confirmation of cortical atrophy in conjunction with hippocampal atrophy offers diagnostic insights that facilitate the identification of AD.

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来源期刊
Neurological Surgery
Neurological Surgery Medicine-Medicine (all)
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