Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, 210008, China.
Institute of Medical Imaging and Artificial Intelligence, Nanjing University, Nanjing, Jiangsu, 210008, China.
Rev Neurosci. 2024 Jan 1;35(4):373-386. doi: 10.1515/revneuro-2023-0098. Print 2024 Jun 25.
Alzheimer's disease (AD) is a biological, clinical continuum that covers the preclinical, prodromal, and clinical phases of the disease. Early diagnosis and identification of the stages of Alzheimer's disease (AD) are crucial in clinical practice. Ideally, biomarkers should reflect the underlying process (pathological or otherwise), be reproducible and non-invasive, and allow repeated measurements over time. However, the currently known biomarkers for AD are not suitable for differentiating the stages and predicting the trajectory of disease progression. Some objective parameters extracted using electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) are widely applied to diagnose the stages of the AD continuum. While electroencephalography (EEG) has a high temporal resolution, fMRI has a high spatial resolution. Combined EEG and fMRI (EEG-fMRI) can overcome single-modality drawbacks and obtain multi-dimensional information simultaneously, and it can help explore the hemodynamic changes associated with the neural oscillations that occur during information processing. This technique has been used in the cognitive field in recent years. This review focuses on the different techniques available for studying the AD continuum, including EEG and fMRI in single-modality and multi-modality settings, and the possible future directions of AD diagnosis using EEG-fMRI.
阿尔茨海默病(AD)是一个涵盖疾病临床前、前驱期和临床期的生物学、临床连续体。在临床实践中,早期诊断和识别阿尔茨海默病(AD)的阶段至关重要。理想情况下,生物标志物应反映潜在的过程(病理性或其他),具有可重复性和非侵入性,并允许随着时间的推移进行重复测量。然而,目前已知的 AD 生物标志物并不适合区分疾病的阶段和预测疾病进展的轨迹。一些使用脑电图(EEG)和功能磁共振成像(fMRI)提取的客观参数广泛应用于诊断 AD 连续体的阶段。虽然脑电图(EEG)具有高时间分辨率,但功能磁共振成像(fMRI)具有高空间分辨率。脑电图与功能磁共振成像(EEG-fMRI)的结合可以克服单一模态的缺点,同时获得多维信息,并有助于探索与信息处理过程中发生的神经振荡相关的血流动力学变化。这项技术近年来在认知领域得到了应用。本综述重点介绍了研究 AD 连续体的不同技术,包括单模态和多模态设置中的 EEG 和 fMRI,以及使用 EEG-fMRI 进行 AD 诊断的可能未来方向。