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基于纤维束成像的靶点定位在精神疾病深部脑刺激中的应用

The Use of Tractography-Based Targeting in Deep Brain Stimulation for Psychiatric Indications.

作者信息

Davidson Benjamin, Lipsman Nir, Meng Ying, Rabin Jennifer S, Giacobbe Peter, Hamani Clement

机构信息

Sunnybrook Research Institute, Toronto, ON, Canada.

Harquail Centre for Neuromodulation, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

出版信息

Front Hum Neurosci. 2020 Nov 16;14:588423. doi: 10.3389/fnhum.2020.588423. eCollection 2020.

DOI:10.3389/fnhum.2020.588423
PMID:33304258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7701283/
Abstract

Deep Brain Stimulation (DBS) has been investigated as a treatment option for patients with refractory psychiatric illness. Over the past two decades, neuroimaging developments have helped to advance the field, particularly the use of diffusion tensor imaging (DTI) and tractographic reconstruction of white-matter pathways. In this article, we review translational considerations and how DTI and tractography have been used to improve targeting during DBS surgery for depression, obsessive compulsive disorder (OCD) and post-traumatic stress disorder (PTSD).

摘要

深部脑刺激(DBS)已被作为难治性精神疾病患者的一种治疗选择进行研究。在过去二十年中,神经影像学的发展推动了该领域的进步,尤其是扩散张量成像(DTI)和白质通路的纤维束成像重建技术的应用。在本文中,我们回顾了转化医学方面的考量因素,以及DTI和纤维束成像如何被用于改善抑郁症、强迫症(OCD)和创伤后应激障碍(PTSD)患者DBS手术中的靶点定位。

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The Use of Tractography-Based Targeting in Deep Brain Stimulation for Psychiatric Indications.基于纤维束成像的靶点定位在精神疾病深部脑刺激中的应用
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The ventral capsule and ventral striatum-Stereotactic targets for the management of treatment-resistant depression. A systematic literature review.腹侧囊和腹侧纹状体——难治性抑郁症治疗的立体定向靶点。一项系统的文献综述。
Front Psychiatry. 2023 Oct 20;14:1100609. doi: 10.3389/fpsyt.2023.1100609. eCollection 2023.
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长期脑深部电刺激治疗抵抗性强迫症:4 至 8 年随访时的疗效和生活质量。
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Metabolic activity in subcallosal cingulate predicts response to deep brain stimulation for depression.胼胝体下扣带回的代谢活动可预测抑郁症患者对深部脑刺激的反应。
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Lack of clinical response to deep brain stimulation of the medial forebrain bundle in depression.抑郁症患者对内侧前脑束进行深部脑刺激缺乏临床反应。
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