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分子成像作为中枢神经系统疾病治疗的指导手段。

Molecular imaging as a guide for the treatment of central nervous system disorders.

作者信息

Kim Euitae, Howes Oliver D, Kapur Shitij

机构信息

Department of Neuropsychiatry, Seoul National University Bundang Hospital, Gyeonggi-do 463-707, Korea.

出版信息

Dialogues Clin Neurosci. 2013 Sep;15(3):315-28. doi: 10.31887/DCNS.2013.15.3/ekim.

Abstract

Molecular imaging techniques have a number of advantages for research into the pathophysiology and treatment of central nervous system (CNS) disorders. Firstly, they provide a noninvasive means of characterizing physiological processes in the living brain, enabling molecular alterations to be linked to clinical changes. Secondly, the pathophysiological target in a given CNS disorder can be measured in animal models and in experimental human models in the same way, which enables translational research. Moreover, as molecular imaging facilitates the detection of functional change which precedes gross pathology, it is particularly useful for the early diagnosis and treatment of CNS disorders. This review considers the application of molecular imaging to CNS disorders focusing on its potential to inform the development and evaluation of treatments. We focus on schizophrenia, Parkinson's disease, depression, and dementia as major CNS disorders. We also review the potential of molecular imaging to guide new drug development for CNS disorders.

摘要

分子成像技术在中枢神经系统(CNS)疾病的病理生理学研究和治疗方面具有诸多优势。首先,它们提供了一种非侵入性手段来表征活体大脑中的生理过程,使得分子改变能够与临床变化相关联。其次,给定中枢神经系统疾病中的病理生理靶点可以在动物模型和实验性人体模型中以相同方式进行测量,这有助于开展转化研究。此外,由于分子成像有助于检测在大体病理出现之前的功能变化,它对于中枢神经系统疾病的早期诊断和治疗尤为有用。本综述探讨分子成像在中枢神经系统疾病中的应用,重点关注其在为治疗方法的开发和评估提供信息方面的潜力。我们将精神分裂症、帕金森病、抑郁症和痴呆症作为主要的中枢神经系统疾病进行重点讨论。我们还综述了分子成像在指导中枢神经系统疾病新药研发方面的潜力。

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