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分子成像在神经精神疾病诊断与管理中的作用。

The role of molecular imaging in the diagnosis and management of neuropsychiatric disorders.

作者信息

Shen Lie-Hang, Tseng Yu-Chin, Liao Mei-Hsiu, Fu Ying-Kai

机构信息

Institute of Nuclear Energy Research, Lungtan, Taoyuan, Taiwan.

出版信息

J Biomed Biotechnol. 2011;2011:439397. doi: 10.1155/2011/439397. Epub 2011 Mar 22.

Abstract

Neuropsychiatric disorders are becoming a major socioeconomic burden to modern society. In recent years, a dramatic expansion of tools has facilitated the study of the molecular basis of neuropsychiatric disorders. Molecular imaging has enabled the noninvasive characterization and quantification of biological processes at the cellular, tissue, and organism levels in intact living subjects. This technology has revolutionized the practice of medicine and has become critical to quality health care. New advances in research on molecular imaging hold promise for personalized medicine in neuropsychiatric disorders, with adjusted therapeutic doses, predictable responses, reduced adverse drug reactions, early diagnosis, and personal health planning. In this paper, we discuss the development of radiotracers for imaging dopaminergic, serotonergic, and noradrenergic systems and β-amyloid plaques. We will underline the role of molecular imaging technologies in various neuropsychiatric disorders, describe their unique strengths and limitations, and suggest future directions in the diagnosis and management of neuropsychiatric disorders.

摘要

神经精神疾病正成为现代社会的一项主要社会经济负担。近年来,工具的大幅扩展推动了对神经精神疾病分子基础的研究。分子成像能够在完整的活体受试者中对细胞、组织和生物体水平的生物过程进行无创表征和量化。这项技术彻底改变了医学实践,已成为优质医疗保健的关键。分子成像研究的新进展为神经精神疾病的个性化医疗带来了希望,包括调整治疗剂量、可预测的反应、减少药物不良反应、早期诊断以及个人健康规划。在本文中,我们讨论了用于成像多巴胺能、血清素能和去甲肾上腺素能系统以及β淀粉样斑块的放射性示踪剂的发展。我们将强调分子成像技术在各种神经精神疾病中的作用,描述其独特的优势和局限性,并提出神经精神疾病诊断和管理的未来方向。

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