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痴呆症中的神经影像学:简要综述。

Neuroimaging in Dementia: A Brief Review.

作者信息

Banerjee Dipanjan, Muralidharan Abilash, Hakim Mohammed Abdul Rub, Malik Bilal Haider

机构信息

Neuroscience, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Geriatrics, Queen's Medical Center, Nottingham University Hospitals NHS Trust, Nottingham, GBR.

出版信息

Cureus. 2020 Jun 18;12(6):e8682. doi: 10.7759/cureus.8682.

Abstract

Dementia is a clinical syndrome that manifests itself with impairment in cognitive functions owing to various neurodegenerative etiologies causing severe disability in the older population. Although the diagnosis is largely dependent on clinical examination, biomarkers can significantly aid in early diagnosis of dementia, especially in those without any clinical evidence of neurocognitive impairment. These biomarkers can be discovered in cerebrospinal fluid (CSF) or can be assessed by neuroimaging. Our goal was to discuss and assess the role of different neuroimaging techniques in the early diagnosis of relatively common etiologies of dementia. We used PubMed as search engines to look for helpful articles; most of the sources used were peer reviewed. We discussed the utility of various neuroimaging techniques, such CT, MRI, positron emission tomography (PET) scan, and single-photon emission computed tomography (SPECT), in the diagnosis of dementia. We concluded that various modern neuroimaging techniques prove to be very helpful in early identification, diagnosis, and differentiation between subtypes. However, the actual clinical utility of these tests in terms of their cost-effectivity and availability remains to be seen. Ongoing research is required to further develop biomarkers for early identification and monitor the progression of different etiologies of dementia.

摘要

痴呆是一种临床综合征,由于各种神经退行性病因导致老年人严重残疾,从而表现为认知功能受损。尽管诊断很大程度上依赖于临床检查,但生物标志物可显著有助于痴呆的早期诊断,尤其是对于那些没有任何神经认知功能障碍临床证据的患者。这些生物标志物可在脑脊液(CSF)中发现,也可通过神经影像学进行评估。我们的目标是讨论和评估不同神经影像学技术在痴呆相对常见病因早期诊断中的作用。我们使用PubMed作为搜索引擎来查找有用的文章;所使用的大多数来源都经过同行评审。我们讨论了各种神经影像学技术,如CT、MRI、正电子发射断层扫描(PET)和单光子发射计算机断层扫描(SPECT)在痴呆诊断中的效用。我们得出结论,各种现代神经影像学技术在早期识别、诊断以及区分亚型方面被证明非常有帮助。然而,这些检查在成本效益和可及性方面的实际临床效用仍有待观察。需要持续开展研究以进一步开发用于早期识别的生物标志物,并监测痴呆不同病因的进展。

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