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[神经影像学在阿尔茨海默病中的应用:早期诊断、监测及机制理解]

[Neuroimaging Alzheimer's disease: early diagnosis, monitoring, and mechanism understanding].

作者信息

Chételat Gaël

机构信息

Inserm-EPHE-Université de Caen/Basse-Normandie, Unité U923, GIP Cyceron, CHU Côte de Nacre, Boulevard Henri Becquerel, BP 5229, 14074 Caen, France.

出版信息

Med Sci (Paris). 2011 Feb;27(2):193-8. doi: 10.1051/medsci/2011272193. Epub 2011 Mar 8.

Abstract

Neuroimaging offers a promising tool for the priority goals of current researches in Alzheimer's disease (AD) including early diagnosis, monitoring the progression of the disease and understanding the underlying mechanisms. The brain profiles of atrophy and hypometabolism associated with AD are well known and they can be used as support for early diagnosis, although the accuracy of each of these biomarkers on its own is not sufficient. An increasing number of studies highlights the relevance of disconnection processes in the development and progression of AD. The recent development of PET tracers such as the Pittsburg compound (PiB) allowing to visualize in vivo one of the neuropathological lesions characterizing AD (i.e. beta-amyloid depositions) offers a unique opportunity to better understand the mechanisms underlying this multifaceted disease.

摘要

神经影像学为当前阿尔茨海默病(AD)研究的首要目标提供了一种很有前景的工具,这些目标包括早期诊断、监测疾病进展以及了解潜在机制。与AD相关的脑萎缩和代谢减退特征已广为人知,它们可用于辅助早期诊断,尽管这些生物标志物各自的准确性都不够。越来越多的研究强调了连接中断过程在AD发生和发展中的相关性。正电子发射断层扫描(PET)示踪剂的最新进展,如匹兹堡化合物(PiB),能够在体内可视化AD特征性神经病理病变之一(即β-淀粉样蛋白沉积),这为更好地理解这种多方面疾病的潜在机制提供了独特的机会。

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