Department of Nuclear Medicine and Medical PET Center, The Second Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China.
Key Laboratory of Medical Molecular Imaging of Zhejiang Province, Hangzhou, 310009, China.
Neurosci Bull. 2021 Jul;37(7):1051-1071. doi: 10.1007/s12264-021-00673-0. Epub 2021 Mar 29.
Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental disorder associated with both genetic and environmental risks. Neuroimaging approaches have been widely employed to parse the neurophysiological mechanisms underlying ASD, and provide critical insights into the anatomical, functional, and neurochemical changes. We reviewed recent advances in neuroimaging studies that focused on ASD by using magnetic resonance imaging (MRI), positron emission tomography (PET), or single-positron emission tomography (SPECT). Longitudinal structural MRI has delineated an abnormal developmental trajectory of ASD that is associated with cascading neurobiological processes, and functional MRI has pointed to disrupted functional neural networks. Meanwhile, PET and SPECT imaging have revealed that metabolic and neurotransmitter abnormalities may contribute to shaping the aberrant neural circuits of ASD. Future large-scale, multi-center, multimodal investigations are essential to elucidate the neurophysiological underpinnings of ASD, and facilitate the development of novel diagnostic biomarkers and better-targeted therapy.
自闭症谱系障碍(ASD)是一种异质性神经发育障碍,与遗传和环境风险均有关。神经影像学方法已被广泛用于解析 ASD 的神经生理机制,并为解剖、功能和神经化学变化提供了重要的见解。我们综述了使用磁共振成像(MRI)、正电子发射断层扫描(PET)或单光子发射断层扫描(SPECT)研究 ASD 的神经影像学的最新进展。纵向结构 MRI 描绘了 ASD 的异常发育轨迹,与级联神经生物学过程相关,功能 MRI 则指出了功能神经网络的中断。同时,PET 和 SPECT 成像表明代谢和神经递质异常可能有助于塑造 ASD 的异常神经回路。未来需要进行大规模、多中心、多模态的研究,以阐明 ASD 的神经生理基础,并促进新型诊断生物标志物和更有针对性的治疗方法的发展。