Gordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Department of Cogno-Mechatronics Engineering, Pusan National University, Busan 46241, Korea.
Int J Mol Sci. 2022 May 28;23(11):6079. doi: 10.3390/ijms23116079.
Alzheimer's disease (AD) is a neurodegenerative disease causing progressive cognitive decline until eventual death. AD affects millions of individuals worldwide in the absence of effective treatment options, and its clinical causes are still uncertain. The onset of dementia symptoms indicates severe neurodegeneration has already taken place. Therefore, AD diagnosis at an early stage is essential as it results in more effective therapy to slow its progression. The current clinical diagnosis of AD relies on mental examinations and brain imaging to determine whether patients meet diagnostic criteria, and biomedical research focuses on finding associated biomarkers by using neuroimaging techniques. Multiple clinical brain imaging modalities emerged as potential techniques to study AD, showing a range of capacity in their preciseness to identify the disease. This review presents the advantages and limitations of brain imaging modalities for AD diagnosis and discusses their clinical value.
阿尔茨海默病(AD)是一种神经退行性疾病,可导致认知能力逐渐下降,最终导致死亡。在缺乏有效治疗方法的情况下,AD 影响着全球数以百万计的人,其临床病因仍不确定。痴呆症状的出现表明已经发生了严重的神经退行性变。因此,早期诊断 AD 至关重要,因为它可以进行更有效的治疗来减缓其进展。目前 AD 的临床诊断依赖于精神检查和脑成像来确定患者是否符合诊断标准,而生物医学研究则侧重于通过神经影像学技术寻找相关的生物标志物。多种临床脑成像方式已成为研究 AD 的潜在技术,其在识别疾病方面的精确性存在一定差异。本综述介绍了 AD 诊断中脑成像方式的优缺点,并讨论了其临床价值。