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痴呆的形态学分类及变化(综述)

Morphological classification and changes in dementia (Review).

作者信息

Tudor Alexandra, Vasile Antonia Ioana, Trifu Simona Corina, Cristea Mihai Bogdan

机构信息

Department of Psychiatry, 'Prof. Dr. Alex. Obregia' Clinical Hospital of Psychiatry, 041914 Bucharest, Romania.

Department of General Medicine, Medical Military Institute, 010919 Bucharest, Romania.

出版信息

Exp Ther Med. 2022 Jan;23(1):33. doi: 10.3892/etm.2021.10955. Epub 2021 Nov 9.

DOI:10.3892/etm.2021.10955
PMID:34824641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8611489/
Abstract

The progressive functional decline that involves both cognitive and neuropsychiatric symptoms characteristic to dementia is one of the leading research topics. The risk for dementia is an intertwined mix between aging, genetic risk factors, and environmental influences. APOEε4, which is one of the apolipoprotein E (APOE) alleles, is the major genetic risk factor for late-onset of the most common form of dementia, Alzheimer's. Advances in machine learning have led to the development of artificial intelligence (AI) algorithms to help diagnose dementia by magnetic resonance imaging (MRI) in order to detect it in the preclinical stage. The basis of the determinations starts from the morphometry of cerebral atrophies. The present review focused on MRI techniques which are a leading tool in identifying cortical atrophy, white matter dysfunctionalities, cerebral vessel quality (as a factor for cognitive impairment) and metabolic asymmetries. In addition, a brief overview of Alzheimer's disease was presented and recent neuroimaging in the field of dementia with an emphasis on structural MR imaging and more powerful methods such as diffusion tensor imaging, quantitative susceptibility mapping, and magnetic transfer imaging were explored in order to propose a simple systematic approach for the diagnosis and treatment of dementia.

摘要

涉及痴呆症典型认知和神经精神症状的进行性功能衰退是主要研究课题之一。痴呆症风险是衰老、遗传风险因素和环境影响相互交织的结果。载脂蛋白E(APOE)等位基因之一的APOEε4是最常见的痴呆症形式——晚发性阿尔茨海默病的主要遗传风险因素。机器学习的进展促使人工智能(AI)算法得以开发,通过磁共振成像(MRI)帮助诊断痴呆症,以便在临床前阶段检测到它。诊断的基础始于脑萎缩的形态测量学。本综述聚焦于MRI技术,它是识别皮质萎缩、白质功能障碍、脑血管质量(作为认知障碍的一个因素)和代谢不对称的主要工具。此外,还简要介绍了阿尔茨海默病,并探讨了痴呆症领域的最新神经影像学,重点是结构磁共振成像以及更强大的方法,如扩散张量成像、定量磁化率映射和磁共振转移成像,以便提出一种简单的痴呆症诊断和治疗系统方法。