Zhao Qian, Chen Xueqi, Zhou Yun
Department of Nuclear Medicine, General Hospital of Ningxia Medical University, Yinchuan, 750004, China.
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA.
Brain Inform. 2016 Mar;3(1):29-37. doi: 10.1007/s40708-015-0028-9. Epub 2016 Jan 8.
Alzheimer's disease (AD) is a progressive neurodegenerative disorder, causing changes in memory, thinking, and other dysfunction of brain functions. More and more people are suffering from the disease. Early neuroimaging techniques of AD are needed to develop. This review provides a preliminary summary of the various neuroimaging techniques that have been explored for in vivo imaging of AD. Recent advances in magnetic resonance (MR) techniques, such as functional MR imaging (fMRI) and diffusion MRI, give opportunities to display not only anatomy and atrophy of the medial temporal lobe, but also at microstructural alterations or perfusion disturbance within the AD lesions. Positron emission tomography (PET) imaging has become the subject of intense research for the diagnosis and facilitation of drug development of AD in both animal models and human trials due to its non-invasive and translational characteristic. Fluorodeoxyglucose (FDG) PET and amyloid PET are applied in clinics and research departments. Amyloid beta (Aβ) imaging using PET has been recognized as one of the most important methods for the early diagnosis of AD, and numerous candidate compounds have been tested for Aβ imaging. Besides in vivo imaging method, a lot of ex vivo modalities are being used in the AD researches. Multiphoton laser scanning microscopy, neuroimaging of metals, and several metal bioimaging methods are also mentioned here. More and more multimodality and multiparametric neuroimaging techniques should improve our understanding of brain function and open new insights into the pathophysiology of AD. We expect exciting results will emerge from new neuroimaging applications that will provide scientific and medical benefits.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,会导致记忆、思维及其他脑功能出现异常。越来越多的人正遭受这种疾病的折磨。需要开发AD的早期神经成像技术。本综述对已探索用于AD活体成像的各种神经成像技术进行了初步总结。磁共振(MR)技术的最新进展,如功能磁共振成像(fMRI)和扩散磁共振成像,不仅能显示内侧颞叶的解剖结构和萎缩情况,还能显示AD病变内的微观结构改变或灌注紊乱。正电子发射断层扫描(PET)成像因其非侵入性和可转化性,已成为动物模型和人体试验中AD诊断及药物开发研究的热点。氟脱氧葡萄糖(FDG)PET和淀粉样蛋白PET已应用于临床和研究部门。使用PET的淀粉样β(Aβ)成像已被公认为AD早期诊断的最重要方法之一,并且已经对许多候选化合物进行了Aβ成像测试。除了活体成像方法外,许多离体成像方式也被用于AD研究。这里还提到了多光子激光扫描显微镜、金属神经成像和几种金属生物成像方法。越来越多的多模态和多参数神经成像技术将增进我们对脑功能的理解,并为AD的病理生理学带来新的见解。我们期待新的神经成像应用能产生令人兴奋的结果,带来科学和医学上的益处。