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在有临床前认知衰退和糖尿病的患者中,一项有前景的结构磁共振成像评估。

A promising structural magnetic resonance imaging assessment in patients with preclinical cognitive decline and diabetes mellitus.

机构信息

Department of Radiology, the First Affiliated Hospital of University of South China, Hengyang, China.

Department of Radiology, the Hunan Province Hospital, Changsha, China.

出版信息

J Cell Physiol. 2019 Aug;234(10):16838-16846. doi: 10.1002/jcp.28359. Epub 2019 Feb 20.

Abstract

Subjective cognitive decline (SCD) is frequently reported in diabetic patients. Diabetes mellitus (DM) is associated with changes in the microstructure of the brain arise in diabetic patients, including changes in gray matter volume (GMV). However, the underlying mechanisms of changes in GMV in DM patients with cognitive impairment remain uncertain. Here, we present an overview of amyloid-β-dependent cognitive impairment in DM patients with SCD. Moreover, we review the evolving insights from studies on the GMV changes in GMV and cognitive dysfunction to which provide the mechanisms of cognitive impairment in T2DM. Ultimately, the novel structural magnetic resonance imaging (MRI) protocol was used for detecting neuroimaging biomarkers that can predict the clinical outcomes in diabetic patients with SCD. A reliable MRI protocol would be helpful to detect neurobiomarkers, and to understand the pathological mechanisms of preclinical cognitive impairment in diabetic patients.

摘要

主观认知衰退(SCD)在糖尿病患者中经常被报道。糖尿病(DM)与糖尿病患者大脑微观结构的变化有关,包括灰质体积(GMV)的变化。然而,认知障碍的糖尿病患者 GMV 变化的潜在机制尚不清楚。在这里,我们介绍了 SCD 糖尿病患者中与淀粉样蛋白-β相关的认知障碍。此外,我们还回顾了关于 GMV 和认知功能障碍变化的研究的不断发展的见解,这些研究为 T2DM 认知障碍的机制提供了信息。最终,使用新型结构磁共振成像(MRI)方案来检测神经影像学生物标志物,这些标志物可以预测 SCD 糖尿病患者的临床结局。可靠的 MRI 方案有助于检测神经生物标志物,并了解糖尿病患者临床前认知障碍的病理机制。

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