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精神分裂症抗精神病治疗反应的神经影像学标志物:磁共振成像研究综述。

Neuroimaging markers of antipsychotic treatment response in schizophrenia: An overview of magnetic resonance imaging studies.

机构信息

University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

出版信息

Neurobiol Dis. 2019 Nov;131:104209. doi: 10.1016/j.nbd.2018.06.021. Epub 2018 Jun 25.

Abstract

Antipsychotic drugs are the primary treatment for psychosis, yet individual response to their administration remains variable. At present, no biological predictors of response exist to guide clinicians as they select treatments for patients, and our understanding of the neurobiology underlying the heterogeneity of outcomes remains limited. Magnetic Resonance Imaging (MRI) has been applied by numerous studies to examine the response to antipsychotic treatment, though a large gap remains between their results and our clinical practice. To advance patient care with precision medicine approaches, prior work must be accounted for and built upon with future studies. This review provides an overview of studies that relate treatment outcome to various MRI-related measures, including structural, spectroscopic, diffusion tensor, and functional imaging. Knowledge derived from these studies will be discussed along with future directions for the field.

摘要

抗精神病药物是治疗精神病的主要方法,但个体对其治疗的反应仍然存在差异。目前,没有生物学预测指标可以指导临床医生为患者选择治疗方法,我们对导致治疗结果异质性的神经生物学基础的理解仍然有限。磁共振成像(MRI)已被许多研究用于检查抗精神病治疗的反应,但它们的结果与我们的临床实践之间仍然存在很大差距。为了通过精准医疗方法改善患者的护理,必须对以前的工作进行评估,并在此基础上进行未来的研究。这篇综述概述了将治疗结果与各种与 MRI 相关的测量方法联系起来的研究,包括结构、光谱、扩散张量和功能成像。将沿着这些研究的知识并讨论该领域的未来发展方向。

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