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[双相情感障碍的神经影像学]

[Neuroimaging of bipolar disorders].

作者信息

Grunze A, Meisenzahl E, Grunze H

机构信息

East CMHT, NTW NHS Foundation Trust, Newcastle upon Tyne, UK.

出版信息

Fortschr Neurol Psychiatr. 2013 May;81 Suppl 1:S17-21. doi: 10.1055/s-0033-1335378. Epub 2013 May 16.

Abstract

During recent years, marked progress has been made both in structural and functional neuroimaging of affective disorders. Structural changes in the limbic system, prefrontal cortex and subcortical regions including their fascicular connections appear to correlate with affective disorders in most, but not all studies. Especially for bipolar disorder, there still is a considerable heterogeneity among the results. Functional neuroimaging (fMRI, SPECT, PET) underlines the importance of paralimbic, cortical and subcortical structures in mood regulation; however, the methodology of these studies is still in its infancy meaning that the results of these studies are not always reproducible. However, in summary it can be expected that with improving methodology functional neuroimaging will play an increasing role in affective, including bipolar, disorders in the near future.

摘要

近年来,情感障碍的结构和功能神经影像学均取得了显著进展。在大多数(但并非所有)研究中,边缘系统、前额叶皮质和包括其纤维连接在内的皮质下区域的结构变化似乎与情感障碍相关。特别是双相情感障碍,研究结果之间仍存在相当大的异质性。功能神经影像学(fMRI、SPECT、PET)强调了边缘旁、皮质和皮质下结构在情绪调节中的重要性;然而,这些研究的方法仍处于起步阶段,这意味着这些研究的结果并不总是可重复的。然而,总的来说,可以预期随着方法的改进,功能神经影像学在不久的将来将在情感障碍(包括双相情感障碍)中发挥越来越重要的作用。

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