Dupuy M, Chanraud S
EA 4136-Handicap et Système Nerveux, Bordeaux University, Bordeaux, France; INCIA-Bordeaux University, UMR 5287 CNRS, Bordeaux, France.
EPHE, PSL Research University, Bordeaux, France.
Int Rev Neurobiol. 2016;129:1-31. doi: 10.1016/bs.irn.2016.04.003. Epub 2016 Jun 20.
Alcohol use disorder (AUD) represents a major public health issue due to its prevalence and severe health consequences. It may affect several aspects of an individual's life including work and relationships, and it also increases risk for additional problems such as brain injury. The causes and outcomes of AUD are varied; thus, attempting to understand this complex phenomenon requires investigation from multiple perspectives. Magnetic resonance imaging (MRI) is a powerful means to investigate brain anatomical and functional alterations related to AUD. Recent advances in MRI methods allow better investigation of the alterations to structural and functional brain networks in AUD. Here, we focus on findings from studies using multiple MRI techniques, which converge to support the considerable vulnerability of frontal systems. Indeed, MRI studies provide evidence for a "disconnection syndrome" which could be involved in the poor behavioral control observed in AUD.
酒精使用障碍(AUD)因其普遍性和严重的健康后果而成为一个主要的公共卫生问题。它可能会影响个人生活的多个方面,包括工作和人际关系,还会增加诸如脑损伤等其他问题的风险。AUD的成因和后果各不相同;因此,试图理解这一复杂现象需要从多个角度进行研究。磁共振成像(MRI)是研究与AUD相关的脑解剖和功能改变的有力手段。MRI方法的最新进展使人们能够更好地研究AUD中大脑结构和功能网络的改变。在这里,我们重点关注使用多种MRI技术的研究结果,这些结果一致支持额叶系统存在相当大的脆弱性。事实上,MRI研究为一种“脱节综合征”提供了证据,这种综合征可能与AUD中观察到的行为控制不佳有关。