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视网膜血管参数及其应用的叙述性综述(第二部分):中风诊断

A narrative review of retinal vascular parameters and the applications (Part II): Diagnosis in stroke.

作者信息

Gao Yuan, Xu Lijun, He Ning, Ding Yuchuan, Zhao Wenbo, Meng Tingting, Li Ming, Wu Jiaqi, Haddad Yazeed, Zhang Xuxiang, Ji Xunming

机构信息

Department of Biomedical Engineering, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Biological Science and Medical Engineering, Beihang University, Beijing, China.

Department of Ophthalmology, Xuanwu Hospital, Capital Medical University, Beijing, China.

出版信息

Brain Circ. 2023 Sep 27;9(3):129-134. doi: 10.4103/bc.bc_9_23. eCollection 2023 Jul-Sep.

DOI:10.4103/bc.bc_9_23
PMID:38020952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10679631/
Abstract

The retina, as an external extension of the diencephalon, can be directly, noninvasively observed by ocular fundus photography. Therefore, it offers a convenient and feasible mode to study nervous system diseases. Caliber, tortuosity, and fractal dimension, as three commonly used retinal vascular parameters, are not only the reflection of structural changes in the retinal microcirculation but also capture the branching pattern or density changes of the retinal microvascular network. Therefore, it contributes to better reflecting the subclinical pathological changes (e.g., lacunar stroke and small cerebral vascular disease) and predicting the risk of incident stroke and recurrent stroke.

摘要

视网膜作为间脑的一个外部延伸部分,可通过眼底照相术直接、无创地进行观察。因此,它为研究神经系统疾病提供了一种方便且可行的方式。管径、迂曲度和分形维数作为三个常用的视网膜血管参数,不仅反映了视网膜微循环的结构变化,还捕捉到了视网膜微血管网络的分支模式或密度变化。因此,它有助于更好地反映亚临床病理变化(如腔隙性卒中及小脑血管疾病),并预测首次卒中和复发性卒中的风险。

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本文引用的文献

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Retinal vessel diameters and microvascular abnormalities in patients with carotid stenosis before and 6 months after carotid endarterectomy: A prospective study.颈动脉内膜切除术前后颈动脉狭窄患者的视网膜血管直径和微血管异常:一项前瞻性研究。
Acta Ophthalmol. 2023 Aug;101(5):536-545. doi: 10.1111/aos.15633. Epub 2023 Jan 29.
2
Carotid atherosclerotic disease: A systematic review of pathogenesis and management.颈动脉粥样硬化性疾病:发病机制与管理的系统评价
Brain Circ. 2022 Sep 21;8(3):127-136. doi: 10.4103/bc.bc_36_22. eCollection 2022 Jul-Sep.
3
Deep-learning retinal vessel calibre measurements and risk of cognitive decline and dementia.深度学习视网膜血管管径测量与认知衰退和痴呆风险
Brain Commun. 2022 Aug 17;4(4):fcac212. doi: 10.1093/braincomms/fcac212. eCollection 2022.
4
Retinal microvascular function is associated with the cerebral microcirculation as determined by intravoxel incoherent motion MRI.视网膜微血管功能与脑微循环有关,这是通过体素内不相干运动 MRI 确定的。
J Neurol Sci. 2022 Sep 15;440:120359. doi: 10.1016/j.jns.2022.120359. Epub 2022 Jul 28.
5
Retinal microvascular associations with cardiometabolic risk factors differ by diabetes status: results from the UK Biobank.视网膜微血管与心脏代谢危险因素的关联因糖尿病状态而异:来自英国生物银行的结果。
Diabetologia. 2022 Oct;65(10):1652-1663. doi: 10.1007/s00125-022-05745-y. Epub 2022 Jul 19.
6
Mesenchymal Stem Cell Application and Its Therapeutic Mechanisms in Intracerebral Hemorrhage.间充质干细胞在脑出血中的应用及其治疗机制
Front Cell Neurosci. 2022 Jun 13;16:898497. doi: 10.3389/fncel.2022.898497. eCollection 2022.
7
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PLoS One. 2022 May 5;17(5):e0267837. doi: 10.1371/journal.pone.0267837. eCollection 2022.
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Changes of retinal structure and function in patients with internal carotid artery stenosis.颈内动脉狭窄患者视网膜结构和功能的变化。
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