Morton and Gloria Shulman Movement Disorder Unit & E.J. Safra Parkinson Disease Program, Neurology Division, Department of Medicine, Toronto Western Hospital, UHN, University of Toronto, Toronto, ON, Canada.
Division of Brain, Imaging and Behaviour - Systems Neuroscience, Krembil Research Institute, UHN, University of Toronto, Toronto, ON, Canada.
Curr Neurol Neurosci Rep. 2018 Apr 3;18(5):22. doi: 10.1007/s11910-018-0830-x.
For decades, identifying in vivo imaging biomarkers to accurately differentiate between various movement disorders as well as to understand their underlying pathophysiological abnormalities has been the aim of scientific work. Recent advances in multimodal imaging enable the visualization of structural and functional brain changes in these pathological conditions, thus raising the value of imaging techniques as powerful tools to improve sensitivity and specificity of clinical diagnoses. This article reviews well-established and recent developments in imaging markers for movement disorders.
Whereas several imaging approaches seem to be promising, many modalities are still under development and may not provide decisive answers. Thus, the use of combined imaging modalities as well as the acquisition of methodological consensus in the scientific community may provide more conclusive findings in the future of biomarkers. Although a single biomarker has yet not been identified, multiple markers derived from different imaging modalities may represent the right approach.
几十年来,确定能够准确区分各种运动障碍并了解其潜在病理生理异常的体内成像生物标志物一直是科学工作的目标。多模态成像的最新进展能够可视化这些病理条件下的结构和功能脑变化,从而提高了成像技术作为提高临床诊断敏感性和特异性的有力工具的价值。本文综述了运动障碍成像标志物的既定和最新进展。
虽然几种成像方法似乎很有前途,但许多方法仍在开发中,可能无法提供决定性的答案。因此,联合使用多种成像方法以及科学界在方法学上取得共识可能会为未来的生物标志物提供更具结论性的发现。虽然尚未确定单一的生物标志物,但来自不同成像方式的多个标志物可能代表正确的方法。