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揭示新策略,以促进人工智能在神经影像学中用于阿尔茨海默病早期检测的应用。

Unveiling New Strategies Facilitating the Implementation of Artificial Intelligence in Neuroimaging for the Early Detection of Alzheimer's Disease.

机构信息

PinnacleCare Intl. Baltimore, MD, USA.

Internal Medicine, Malla Reddy Institute of Medical Sciences, Jeedimetla, Hyderabad, India.

出版信息

J Alzheimers Dis. 2024;99(1):1-20. doi: 10.3233/JAD-231135.

Abstract

Alzheimer's disease (AD) is a chronic neurodegenerative disorder with a global impact. The past few decades have witnessed significant strides in comprehending the underlying pathophysiological mechanisms and developing diagnostic methodologies for AD, such as neuroimaging approaches. Neuroimaging techniques, including positron emission tomography and magnetic resonance imaging, have revolutionized the field by providing valuable insights into the structural and functional alterations in the brains of individuals with AD. These imaging modalities enable the detection of early biomarkers such as amyloid-β plaques and tau protein tangles, facilitating early and precise diagnosis. Furthermore, the emerging technologies encompassing blood-based biomarkers and neurochemical profiling exhibit promising results in the identification of specific molecular signatures for AD. The integration of machine learning algorithms and artificial intelligence has enhanced the predictive capacity of these diagnostic tools when analyzing complex datasets. In this review article, we will highlight not only some of the most used diagnostic imaging approaches in neurodegeneration research but focus much more on new tools like artificial intelligence, emphasizing their application in the realm of AD. These advancements hold immense potential for early detection and intervention, thereby paving the way for personalized therapeutic strategies and ultimately augmenting the quality of life for individuals affected by AD.

摘要

阿尔茨海默病(AD)是一种具有全球影响的慢性神经退行性疾病。在过去的几十年中,人们在理解 AD 的潜在病理生理机制和开发 AD 的诊断方法方面取得了重大进展,如神经影像学方法。神经影像学技术,包括正电子发射断层扫描和磁共振成像,通过提供有关 AD 患者大脑结构和功能改变的有价值的见解,彻底改变了这一领域。这些成像方式能够检测到淀粉样β斑块和 tau 蛋白缠结等早期生物标志物,有助于进行早期和精确的诊断。此外,包含基于血液的生物标志物和神经化学分析的新兴技术在识别 AD 的特定分子特征方面显示出了有前途的结果。机器学习算法和人工智能的集成提高了这些诊断工具在分析复杂数据集时的预测能力。在这篇综述文章中,我们不仅将重点介绍神经退行性疾病研究中一些最常用的诊断成像方法,还将更多地关注人工智能等新工具,并强调它们在 AD 领域的应用。这些进展为早期检测和干预提供了巨大的潜力,从而为针对 AD 患者的个性化治疗策略铺平了道路,并最终提高了他们的生活质量。

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