Department of Neurology, Oregon Health & Science University, Portland, Oregon.
Department of Neuroradiology, Oregon Health & Science University, Portland, Oregon.
Neurosurgery. 2018 Jun 1;82(6):770-780. doi: 10.1093/neuros/nyx357.
Physiological and pathological processes that increase or decrease the central nervous system's need for nutrients and oxygen via changes in local blood supply act primarily at the level of the neurovascular unit (NVU). The NVU consists of endothelial cells, associated blood-brain barrier tight junctions, basal lamina, pericytes, and parenchymal cells, including astrocytes, neurons, and interneurons. Knowledge of the NVU is essential for interpretation of central nervous system physiology and pathology as revealed by conventional and advanced imaging techniques. This article reviews current strategies for interrogating the NVU, focusing on vascular permeability, blood volume, and functional imaging, as assessed by ferumoxytol an iron oxide nanoparticle.
生理和病理过程通过改变局部血液供应来增加或减少中枢神经系统对营养物质和氧气的需求,主要作用于神经血管单元 (NVU) 水平。NVU 由内皮细胞、相关的血脑屏障紧密连接、基膜、周细胞和实质细胞组成,包括星形胶质细胞、神经元和中间神经元。NVU 的知识对于解释中枢神经系统的生理学和病理学至关重要,这些可以通过传统和先进的成像技术来揭示。本文综述了目前用于研究 NVU 的策略,重点介绍了铁氧化物纳米颗粒 ferumoxytol 评估的血管通透性、血容量和功能成像。