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帕金森病及相关疾病的脑成像新进展。

New developments of brain imaging for Parkinson's disease and related disorders.

作者信息

Piccini Paola, Brooks David J

机构信息

MRC Clinical Sciences Centre and Division of Neuroscience and Mental Health, Imperial College, Hammersmith Hospital, London, United Kingdom.

出版信息

Mov Disord. 2006 Dec;21(12):2035-41. doi: 10.1002/mds.20845.

Abstract

Parkinson's disease (PD) and related disorders are subcortical degenerations targeting the nigrostriatal dopaminergic system and basal ganglia. Traditionally, MRI has been used to detect structural and positron emission tomography and single emission computed tomography functional neurochemical and metabolic changes associated with these disorders. Recently, advances in diffusion-weighted MRI, ultrasonography, and radiotracer-based imaging have yielded greater sensitivity for revealing structural change and allowed detection of changes in brain dopamine levels after levodopa and during behavioral tasks. This review focuses on these recent advances in neuroimaging technology and their use for the diagnosis and assessment of PD and other parkinsonian disorders.

摘要

帕金森病(PD)及相关疾病是针对黑质纹状体多巴胺能系统和基底神经节的皮质下变性疾病。传统上,MRI一直用于检测与这些疾病相关的结构变化,正电子发射断层扫描和单光子发射计算机断层扫描则用于检测功能神经化学和代谢变化。最近,扩散加权MRI、超声检查和基于放射性示踪剂的成像技术取得了进展,在揭示结构变化方面具有更高的灵敏度,并且能够检测左旋多巴治疗后以及行为任务期间脑多巴胺水平的变化。本综述重点关注神经成像技术的这些最新进展及其在PD和其他帕金森氏症疾病诊断和评估中的应用。

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