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综述:创伤性脑损伤的新兴眼部诊断技术。

Review: Emerging Eye-Based Diagnostic Technologies for Traumatic Brain Injury.

出版信息

IEEE Rev Biomed Eng. 2023;16:530-559. doi: 10.1109/RBME.2022.3161352. Epub 2023 Jan 5.


DOI:10.1109/RBME.2022.3161352
PMID:35320105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9888755/
Abstract

The study of ocular manifestations of neurodegenerative disorders, Oculomics, is a growing field of investigation for early diagnostics, enabling structural and chemical biomarkers to be monitored overtime to predict prognosis. Traumatic brain injury (TBI) triggers a cascade of events harmful to the brain, which can lead to neurodegeneration. TBI, termed the "silent epidemic" is becoming a leading cause of death and disability worldwide. There is currently no effective diagnostic tool for TBI, and yet, early-intervention is known to considerably shorten hospital stays, improve outcomes, fasten neurological recovery and lower mortality rates, highlighting the unmet need for techniques capable of rapid and accurate point-of-care diagnostics, implemented in the earliest stages. This review focuses on the latest advances in the main neuropathophysiological responses and the achievements and shortfalls of TBI diagnostic methods. Validated and emerging TBI-indicative biomarkers are outlined and linked to ocular neuro-disorders. Methods detecting structural and chemical ocular responses to TBI are categorised along with prospective chemical and physical sensing techniques. Particular attention is drawn to the potential of Raman spectroscopy as a non-invasive sensing of neurological molecular signatures in the ocular projections of the brain, laying the platform for the first tangible path towards alternative point-of-care diagnostic technologies for TBI.

摘要

神经退行性疾病的眼部表现研究,即眼组学,是早期诊断领域的一个新兴研究领域,能够监测结构和化学生物标志物随时间的变化,从而预测预后。创伤性脑损伤 (TBI) 会引发一连串对大脑有害的事件,从而导致神经退行性变。TBI 被称为“沉默的流行病”,已成为全球范围内导致死亡和残疾的主要原因。目前,TBI 没有有效的诊断工具,而众所周知,早期干预可以大大缩短住院时间、改善预后、加快神经康复和降低死亡率,这凸显了对能够在早期实施的快速、准确的即时诊断技术的迫切需求。本综述重点介绍了主要神经病理生理反应的最新进展以及 TBI 诊断方法的成就和不足。概述了经过验证和新兴的 TBI 指示性生物标志物,并将其与眼部神经疾病联系起来。根据检测 TBI 引起的结构和化学眼部反应的方法进行分类,并概述了有前途的化学和物理传感技术。特别关注拉曼光谱作为大脑眼部投射中神经分子特征的非侵入性传感的潜力,为 TBI 的替代即时诊断技术的第一个可行途径奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/77141349ed65/oppen9-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/26244707ca6a/oppen1-3161352.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/c80d293cdfbe/oppen3-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/a9a471db2547/oppen4-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/906b0a5d6056/oppen5-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/de3d6e0dee90/oppen6-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/a2a976d6b87f/oppen7-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/f3835fee878a/oppen8-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/77141349ed65/oppen9-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/26244707ca6a/oppen1-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/a630cfedc7fd/oppen2-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/c80d293cdfbe/oppen3-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/a9a471db2547/oppen4-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/906b0a5d6056/oppen5-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/de3d6e0dee90/oppen6-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/a2a976d6b87f/oppen7-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/f3835fee878a/oppen8-3161352.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3b/9888755/77141349ed65/oppen9-3161352.jpg

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引用本文的文献

[1]
Macular, Choroidal, and Peripapillary Perfusion Changes in Mild and Moderate Traumatic Brain Injury Using Optical Coherence Tomography and Angiography.

J Vitreoretin Dis. 2024-9-25

[2]
Visualizing traumatic brain injury: ocular clues for diagnosis and assessment.

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[3]
Traumatic optic neuropathy management: a systematic review.

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[4]
Blast injury: Impact to the cornea.

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[5]
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Ophthalmol Ther. 2024-6

[6]
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Cells. 2023-11-8

[7]
An Overview of Deep-Learning-Based Methods for Cardiovascular Risk Assessment with Retinal Images.

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本文引用的文献

[1]
Challenges in application of Raman spectroscopy to biology and materials.

RSC Adv. 2018-7-20

[2]
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RSC Adv. 2019-8-8

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J Neurotrauma. 2021-10-15

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