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正电子发射断层扫描成像在阿尔茨海默病患者β-淀粉样蛋白成像中的作用。

The role of positron emission tomography imaging of beta-amyloid in patients with Alzheimer's disease.

作者信息

Xiong Kun-Lin, Yang Qing-Wu, Gong Shui-Gen, Zhang Wei-Guo

机构信息

Department of Radiology, The Third Affiliated Hospital, The Third Military Medical University, China.

出版信息

Nucl Med Commun. 2010 Jan;31(1):4-11. doi: 10.1097/mnm.0b013e32833019f3.

Abstract

One of the hallmark pathologies of Alzheimer's disease (AD) is amyloid plaque deposition in the brain. Although the advent of new therapeutic strategies aimed at reducing beta-amyloid burden in the brain is to potentially delay cognitive loss, improved methods for amyloid visualization have become more imperative. Studies so far have shown that positron emission tomography (PET) has produced the greatest strides toward accomplishing this ambitious goal. Several PET amyloid imaging ligands have recently been developed and tested in AD patients. High amyloid content can be detected in vivo by PET in prodromal AD preceding the impairment of functional activity. Hopefully, amyloid imaging may help in the early detection of the disease and can be used for evaluating new drug therapies in AD. This study provides an overview of recent advances in the development of amyloid imaging agents and includes a summary of the clinical significance of amyloid imaging.

摘要

阿尔茨海默病(AD)的标志性病理特征之一是大脑中淀粉样斑块沉积。尽管旨在减轻大脑中β-淀粉样蛋白负担的新治疗策略的出现有可能延缓认知能力丧失,但改进淀粉样蛋白可视化的方法变得更加迫切。迄今为止的研究表明,正电子发射断层扫描(PET)在实现这一宏伟目标方面取得了最大进展。最近已经开发了几种PET淀粉样蛋白成像配体并在AD患者中进行了测试。在功能活动受损之前的前驱AD中,PET可以在体内检测到高淀粉样蛋白含量。有望淀粉样蛋白成像有助于疾病的早期检测,并可用于评估AD中的新药物疗法。本研究概述了淀粉样蛋白成像剂开发的最新进展,并总结了淀粉样蛋白成像的临床意义。

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