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[在中枢神经系统检查中,磁共振成像能带来什么?]

[What to expect from MRi in the investigation of the central nervous system?].

作者信息

Le Bihan D

机构信息

Service Hospitalier Frédéric Joliot, CEA, Orsay.

出版信息

Bull Acad Natl Med. 1999;183(3):487-505; discussion 505-7.

Abstract

Functional Magnetic Resonance Imaging (fMRI) has appeared as a new tool which is very powerful for cognitive neuroscience, offering the potential to look at the dynamics of cerebral processes underlying cognition, noninvasively and on an individual basis. Work remains to be done to optimize the technique and to better understand its basic mechanisms, but one may expect to build in a few years a functional list of the brain cortical networks of regions implicated in sensory-motor or cognitive processes. Still, the real understanding of brain function requires direct access to the functional unit made of the neuron, so that one may look at the transient temporal relationships that exist between largely distributed groups of hundreds or thousands of neurons. Furthermore, communication pathways between networks must be identified to establish connectivity maps at the individual scale, taking into account individual variability resulting from genetic factors and cerebral plasticity. In this respect, MRI of molecular diffusion is very sensitive to water molecular motion and, thus, to tissue dynamic microstructure, such as cell geometry. Preliminary data suggest that diffusion MRI visualizes dynamic tissue changes associated with large neuronal activation and space orientation of large bundles of myelinated axons in the white matter.

摘要

功能磁共振成像(fMRI)已成为认知神经科学中一种非常强大的新工具,它能够在个体层面上以非侵入性的方式研究认知背后大脑过程的动态变化。在优化该技术以及更好地理解其基本机制方面仍有工作要做,但有望在几年内构建一份涉及感觉运动或认知过程的大脑皮质网络区域的功能清单。然而,对大脑功能的真正理解需要直接研究由神经元组成的功能单元,以便能够观察数百或数千个神经元的大量分布群体之间存在的瞬态时间关系。此外,必须识别网络之间的通信路径,以建立个体尺度上的连接图谱,同时考虑到遗传因素和大脑可塑性导致的个体差异。在这方面,分子扩散磁共振成像对水分子运动非常敏感,因此对组织动态微观结构(如细胞几何形状)也很敏感。初步数据表明,扩散磁共振成像能够显示与大量神经元激活以及白质中大量有髓轴突的空间取向相关的动态组织变化。

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