Graduate School of Heilongjiang University of Chinese Medicine, Harbin, China.
Shenzhen Frontiers in Chinese Medicine Research Co., Ltd., Shenzhen, China.
Medicine (Baltimore). 2023 Aug 25;102(34):e34994. doi: 10.1097/MD.0000000000034994.
Amnestic mild cognitive impairment (aMCI) is a stage between normal aging and Alzheimer disease (AD) where individuals experience a noticeable decline in memory that is greater than what is expected with normal aging, but dose not meet the clinical criteria for AD. This stage is considered a transitional phase that puts individuals at a high risk for developing AD. It is crucial to intervene during this stage to reduce the changes of AD development. Recently, advanced multimodal magnetic resonance imaging techniques have been used to study the brain structure and functional networks in individuals with aMCI. Through the use of structural magnetic resonance imaging, diffusion tensor imaging, and functional magnetic resonance imaging, abnormalities in certain brain regions have been observed in individuals with aMCI. Specifically, the default mode network, salience network, and executive control network have been found to show abnormalities in both structure and function. This review aims to provide a comprehensive understanding of the brain structure and functional networks associated with aMCI. By analyzing the existing literature on multimodal magnetic resonance imaging and aMCI, this study seeks to uncover potential biomarkers and gain insight into the underlying pathogenesis of aMCI. This knowledge can then guide the development of future treatments and interventions to delay or prevent the progression of aMCI to AD.
遗忘型轻度认知障碍(aMCI)是介于正常衰老和阿尔茨海默病(AD)之间的一个阶段,个体在这一阶段经历记忆明显下降,其程度超过正常衰老时的预期,但不符合 AD 的临床标准。这一阶段被认为是一个过渡阶段,使个体处于发展为 AD 的高风险之中。在这一阶段进行干预以降低 AD 发展的可能性至关重要。最近,先进的多模态磁共振成像技术已被用于研究 aMCI 个体的大脑结构和功能网络。通过使用结构磁共振成像、弥散张量成像和功能磁共振成像,观察到 aMCI 个体的某些大脑区域存在异常。具体而言,发现默认模式网络、突显网络和执行控制网络在结构和功能上都存在异常。本综述旨在全面了解与 aMCI 相关的大脑结构和功能网络。通过分析多模态磁共振成像和 aMCI 的现有文献,本研究旨在揭示潜在的生物标志物,并深入了解 aMCI 的潜在发病机制。这些知识可以指导未来治疗和干预措施的发展,以延缓或预防 aMCI 向 AD 的进展。