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正电子发射断层扫描/磁共振成像在阿尔茨海默病临床诊断中的应用。

Integrated Positron Emission Tomography/Magnetic Resonance Imaging in clinical diagnosis of Alzheimer's disease.

机构信息

Key Laboratory for Experimental Teratology of the Ministry of Education and Center for Experimental Nuclear Medicine, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, China.

出版信息

Eur J Radiol. 2021 Dec;145:110017. doi: 10.1016/j.ejrad.2021.110017. Epub 2021 Nov 3.

Abstract

Alzheimer's disease (AD), a progressive neurodegenerative disease which seriously endangers the health of the aged, is the most common etiology of senile dementia. With the increasing progress of neuroimaging technology, more and more imaging methods have been applied to study Alzheimer's disease. The emergence of integrated PET/MRI (Positron Emission Tomography/Magnetic Resonance Imaging) is a major advance in multimodal molecular imaging with many advantages on the structure of resolution and contrast of image over computed tomography (CT), PET and MRI. PET/MRI is now used stepwise in neurodegenerative diseases, and also has broad prospect of application in the early diagnosis of AD. In this review, we emphatically introduce the imaging advances of AD including functional imaging and molecular imaging, the advantages of PET/MRI over other imaging methods and prospects of PET/MRI in AD clinical diagnosis, especially in early diagnosis, clinical assessment and prediction on AD.

摘要

阿尔茨海默病(AD)是一种进行性神经退行性疾病,严重危害老年人的健康,是老年痴呆症最常见的病因。随着神经影像学技术的不断进步,越来越多的成像方法被应用于研究阿尔茨海默病。正电子发射断层扫描/磁共振成像(PET/MRI)的出现是多模态分子成像的重大进展,在图像的分辨率和对比度方面优于计算机断层扫描(CT)、正电子发射断层扫描(PET)和磁共振成像(MRI)。PET/MRI 现在已逐步用于神经退行性疾病,在 AD 的早期诊断中也具有广阔的应用前景。在本文中,我们重点介绍 AD 的成像进展,包括功能成像和分子成像,以及 PET/MRI 相对于其他成像方法的优势和在 AD 临床诊断中的应用前景,特别是在 AD 的早期诊断、临床评估和预测方面。

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