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使用电生理方法对阿尔茨海默病认知缺陷的基于任务的神经影像学研究进行综合回顾。

Comprehensive review of task-based neuroimaging studies of cognitive deficits in Alzheimer's disease using electrophysiological methods.

机构信息

Institute for Human Neuroscience, Boys Town National Research Hospital, Boys Town, NE 68010, USA.

Institute for Human Neuroscience, Boys Town National Research Hospital, Boys Town, NE 68010, USA; College of Medicine, University of Nebraska Medical Center, Omaha, NE 68198, USA.

出版信息

Ageing Res Rev. 2023 Jul;88:101950. doi: 10.1016/j.arr.2023.101950. Epub 2023 May 6.

Abstract

With an aging population, cognitive decline and neurodegenerative disorders are an emerging public health crises with enormous, yet still under-recognized burdens. Alzheimer's disease (AD) is the most common type of dementia, and the number of cases is expected to dramatically rise in the upcoming decades. Substantial efforts have been placed into understanding the disease. One of the primary avenues of research is neuroimaging, and while positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) are most common, crucial recent advancements in electrophysiological methods such as magnetoencephalography (MEG) and electroencephalography (EEG) have provided novel insight into the aberrant neural dynamics at play in AD pathology. In this review, we outline task-based M/EEG studies published since 2010 using paradigms probing the cognitive domains most affected by AD, including memory, attention, and executive functioning. Furthermore, we provide important recommendations for adapting cognitive tasks for optimal use in this population and adjusting recruitment efforts to improve and expand future neuroimaging work.

摘要

随着人口老龄化,认知能力下降和神经退行性疾病成为新出现的公共卫生危机,其负担巨大,但仍未得到充分认识。阿尔茨海默病(AD)是最常见的痴呆症类型,预计在未来几十年中,病例数量将大幅上升。人们已经投入大量精力来了解这种疾病。主要的研究途径之一是神经影像学,虽然正电子发射断层扫描(PET)和功能磁共振成像(fMRI)最为常见,但脑磁图(MEG)和脑电图(EEG)等电生理学方法的重要最新进展为 AD 病理学中异常神经动力学提供了新的见解。在这篇综述中,我们概述了自 2010 年以来使用探测受 AD 影响最大的认知领域的范式(包括记忆、注意力和执行功能)发表的基于任务的 M/EEG 研究。此外,我们还提供了有关适应认知任务以在该人群中最佳使用以及调整招募工作以改善和扩展未来神经影像学工作的重要建议。

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