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利用光学相干断层扫描技术识别阿尔茨海默病中的视网膜生物标志物:最新见解、挑战与机遇

Identification of Retinal Biomarkers in Alzheimer's Disease Using Optical Coherence Tomography: Recent Insights, Challenges, and Opportunities.

作者信息

Cabrera DeBuc Delia, Gaca-Wysocka Magdalena, Grzybowski Andrzej, Kanclerz Piotr

机构信息

Bascom Palmer Eye Institute, Department of Ophthalmology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.

Poznań City Hospital, 61-285 Poznań, Poland.

出版信息

J Clin Med. 2019 Jul 9;8(7):996. doi: 10.3390/jcm8070996.

DOI:10.3390/jcm8070996
PMID:31323964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6678943/
Abstract

This review will highlight recent insights into measuring retinal structure in Alzheimer's disease (AD). A growing body of evidence indicates that disturbances in retinal blood flow and structure are related to cognitive function, which can severely impair vision. Optical coherence tomography (OCT) is an optical imaging technology that may allow researchers and physicians to gain deeper insights into retinal morphology and clarify the impact of AD on retinal health and function. Direct and noninvasive measurement of retinal morphology using OCT has provided useful diagnostic and therapeutic indications in several central nervous system (CNS) diseases, including AD, multiple sclerosis, and Parkinson disease. Despite several limitations, morphology assessment in the retinal layers is a significant advancement in the understanding of ocular diseases. Nevertheless, additional studies are required to validate the use of OCT in AD and its complications in the eye.

摘要

本综述将重点介绍阿尔茨海默病(AD)视网膜结构测量方面的最新见解。越来越多的证据表明,视网膜血流和结构紊乱与认知功能有关,而认知功能会严重损害视力。光学相干断层扫描(OCT)是一种光学成像技术,它可能使研究人员和医生更深入地了解视网膜形态,并阐明AD对视网膜健康和功能的影响。使用OCT直接且无创地测量视网膜形态,已在包括AD、多发性硬化症和帕金森病在内的几种中枢神经系统(CNS)疾病中提供了有用的诊断和治疗指征。尽管存在一些局限性,但视网膜层形态学评估在眼部疾病的认识方面是一项重大进展。然而,还需要更多研究来验证OCT在AD及其眼部并发症中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f1/6678943/f652d8e11c0d/jcm-08-00996-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f1/6678943/f652d8e11c0d/jcm-08-00996-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f1/6678943/3951db75009c/jcm-08-00996-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f1/6678943/a55b0ab21400/jcm-08-00996-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f1/6678943/26b948e81e7b/jcm-08-00996-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f1/6678943/f652d8e11c0d/jcm-08-00996-g005.jpg

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Lifestyle and neurocognition in older adults with cognitive impairments: A randomized trial.生活方式与认知障碍老年人的神经认知:一项随机试验。
Neurology. 2019 Jan 15;92(3):e212-e223. doi: 10.1212/WNL.0000000000006784. Epub 2018 Dec 19.
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Usefulness of peripapillary nerve fiber layer thickness assessed by optical coherence tomography as a biomarker for Alzheimer's disease.
神经退行性疾病中脑和视网膜小胶质细胞的无创成像
Front Cell Neurosci. 2024 Jan 29;18:1355557. doi: 10.3389/fncel.2024.1355557. eCollection 2024.
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Quantitative assessments of retinal macular structure among rural-dwelling older adults in China: a population-based, cross-sectional, optical coherence tomography study.中国农村老年居民视网膜黄斑结构的定量评估:一项基于人群的横断面光学相干断层扫描研究。
BMJ Open. 2024 Feb 6;14(2):e079006. doi: 10.1136/bmjopen-2023-079006.
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