College of Life Science and Bioengineering, Beijing University of Technology, Beijing, China.
J Alzheimers Dis. 2021;80(4):1339-1352. doi: 10.3233/JAD-201274.
Alzheimer's disease (AD) is a heterogeneous disease with different subtypes. Studying AD subtypes from brain structure, neuropathology, and cognition are of great importance for AD heterogeneity research. Starting from the study of constructing AD subtypes based on the features of T1-weighted structural magnetic resonance imaging, this paper introduces the major connections between the subtype definition and analysis strategies, including brain region-based subtype definition, and their demographic, neuropathological, and neuropsychological characteristics. The advantages and existing problems are analyzed, and reasonable improvement schemes are prospected. Overall, this review offers a more comprehensive view in the field of atrophy subtype in AD, along with their advantages, challenges, and future prospects, and provide a basis for improving individualized AD diagnosis.
阿尔茨海默病(AD)是一种具有不同亚型的异质性疾病。从脑结构、神经病理学和认知的角度研究 AD 亚型对于 AD 异质性研究具有重要意义。本文从基于 T1 加权结构磁共振成像特征构建 AD 亚型的研究出发,介绍了亚型定义和分析策略之间的主要联系,包括基于脑区的亚型定义及其人口统计学、神经病理学和神经心理学特征。分析了其优缺点,并展望了合理的改进方案。总的来说,本综述提供了 AD 萎缩亚型领域更全面的视角,以及它们的优点、挑战和未来展望,为改善 AD 的个体化诊断提供了依据。