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高级影像学与丘脑底核及齿状核红核丘脑束直接靶向治疗震颤:系统评价。

Advanced Imaging and Direct Targeting of the Motor Thalamus and Dentato-Rubro-Thalamic Tract for Tremor: A Systematic Review.

机构信息

Department of Neurosurgery, University of Arizona College of Medicine, Tucson, Arizona, USA.

Department of Medical Imaging, University of Arizona College of Medicine, Tucson, Arizona, USA.

出版信息

Stereotact Funct Neurosurg. 2020;98(4):220-240. doi: 10.1159/000507030. Epub 2020 May 13.

Abstract

Direct targeting methods for stereotactic neurosurgery in the treatment of essential tremor have been the subject of active research over the past decade but have not yet been systematically reviewed. We present a clinically oriented topic review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses Group guidelines. Our focus is studies using advanced magnetic resonance imaging (MRI) techniques (ultrahigh-field structural MRI, diffusion-weighted imaging, diffusion-tensor tractography, and functional MRI) for patient specific, in vivo identification of the ventral intermediate nucleus and the dentato-rubro-thalamic tract.

摘要

在过去十年中,针对特发性震颤的立体定向神经外科的直接靶向方法一直是活跃的研究主题,但尚未进行系统评价。我们根据系统评价和荟萃分析组的首选报告项目指南,提供了一个临床导向的主题回顾。我们的重点是使用先进的磁共振成像(MRI)技术(超高场结构 MRI、弥散加权成像、弥散张量纤维束成像和功能 MRI)进行患者特异性、体内识别腹侧中间核和齿状核红核丘脑束的研究。

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