Linnman Clas, Borsook David
Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, United States of America.
Rambam Maimonides Med J. 2013 Oct 29;4(4):e0026. doi: 10.5041/RMMJ.10133. eCollection 2013.
This review describes some of the recent developments in imaging aspects of pain in the periphery. It is now possible to image nerves in the cornea non-invasively, to image receptor level expression and inflammatory processes in injured tissue, to image nerves and alterations in nerve properties, to image astrocyte and glial roles in neuroinflammatory processes, and to image pain conduction functionally in the trigeminal ganglion. These advances will ultimately allow us to describe the pain pathway, from injury site to behavioral consequence, in a quantitative manner. Such a development could lead to diagnostics determining the source of pain (peripheral or central), objective monitoring of treatment progression, and, hopefully, objective biomarkers of pain.
这篇综述描述了外周疼痛成像方面的一些最新进展。现在可以非侵入性地对角膜中的神经进行成像,对受损组织中的受体水平表达和炎症过程进行成像,对神经及其特性改变进行成像,对星形胶质细胞和神经胶质细胞在神经炎症过程中的作用进行成像,以及在三叉神经节中对疼痛传导进行功能成像。这些进展最终将使我们能够以定量方式描述从损伤部位到行为后果的疼痛通路。这样的发展可能会带来确定疼痛来源(外周或中枢)的诊断方法、对治疗进展的客观监测,以及有望找到疼痛的客观生物标志物。