Department of Radiology, Mayo Clinic, Rochester, MN, United States.
Prog Mol Biol Transl Sci. 2019;165:187-223. doi: 10.1016/bs.pmbts.2019.05.009. Epub 2019 Jun 18.
Frontotemporal dementia is a complex and heterogeneous neurodegenerative disease that encompasses many clinical syndromes, pathological diseases, and genetic mutations. Neuroimaging has played a critical role in our understanding of the underlying pathophysiology of frontotemporal dementia and provided biomarkers to aid diagnosis. Early studies defined patterns of neurodegeneration and hypometabolism associated with the clinical, pathological and genetic aspects of frontotemporal dementia, with more recent studies highlighting how the breakdown of structural and functional brain networks define frontotemporal dementia. Molecular positron emission tomography ligands allowing the in vivo imaging of tau proteins have also provided important insights, although more work is needed to understand the biology of the currently available ligands.
额颞叶痴呆是一种复杂且异质性的神经退行性疾病,包含许多临床综合征、病理疾病和基因突变。神经影像学在我们理解额颞叶痴呆的潜在病理生理学以及提供辅助诊断的生物标志物方面发挥了关键作用。早期研究定义了与额颞叶痴呆的临床、病理和遗传方面相关的神经退行性变和低代谢模式,最近的研究则强调了结构性和功能性脑网络的破坏如何定义额颞叶痴呆。允许在体成像 tau 蛋白的分子正电子发射断层扫描配体也提供了重要的见解,尽管还需要更多的工作来了解目前可用配体的生物学。