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淀粉样蛋白成像:过去、现在和未来的视角。

Amyloid imaging: Past, present and future perspectives.

机构信息

Department of Molecular Imaging & Therapy, Centre for PET, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia; The Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia; Department of Medicine, The University of Melbourne, Victoria, Australia.

出版信息

Ageing Res Rev. 2016 Sep;30:95-106. doi: 10.1016/j.arr.2016.01.005. Epub 2016 Jan 28.

Abstract

Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterised by the gradual onset of dementia. The pathological hallmarks of the disease are Aβ amyloid plaques, and tau neurofibrillary tangles, along dendritic and synaptic loss and reactive gliosis. Functional and molecular neuroimaging techniques such as positron emission tomography (PET) using functional and molecular tracers, in conjuction with other Aβ and tau biomarkers in CSF, are proving valuable in the differential diagnosis of AD, as well as in establishing disease prognosis. With the advent of new therapeutic strategies, there has been an increasing application of these techniques for the determination of Aβ burden in vivo in the patient selection, evaluation of target engagement and assessment of the efficacy of therapeutic approaches aimed at reducing Aβ in the brain.

摘要

阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征是痴呆的逐渐发作。该疾病的病理标志物是 Aβ 淀粉样斑块和 tau 神经原纤维缠结,以及树突和突触丧失以及反应性神经胶质增生。正电子发射断层扫描(PET)等功能和分子神经影像学技术,结合 CSF 中的其他 Aβ 和 tau 生物标志物,在 AD 的鉴别诊断中以及在确定疾病预后方面都非常有价值。随着新治疗策略的出现,这些技术在患者选择、评估目标结合以及评估旨在减少大脑中 Aβ 的治疗方法的疗效方面,越来越多地用于确定体内的 Aβ 负担。

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