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磁共振成像及生物标志物在精神分裂症理解中的应用进展。

Advancement in utilization of magnetic resonance imaging and biomarkers in the understanding of schizophrenia.

作者信息

Tirpack Aidan K, Buttar Danyaal G, Kaur Mandeep

机构信息

Department of Psychiatry, Campbell University School of Osteopathic Medicine, Buies Creek, NC 27506, United States.

Department of Psychiatry and Behavioral Health, Mercyhealth Hospital and Trauma Center, Janesville, WI 53548, United States.

出版信息

World J Clin Cases. 2025 Jan 6;13(1):96578. doi: 10.12998/wjcc.v13.i1.96578.

Abstract

Historically, psychiatric diagnoses have been made based on patient's reported symptoms applying the criteria from diagnostic and statistical manual of mental disorders. The utilization of neuroimaging or biomarkers to make the diagnosis and manage psychiatric disorders remains a distant goal. There have been several studies that examine brain imaging in psychiatric disorders, but more work is needed to elucidate the complexities of the human brain. In this editorial, we examine two articles by Xu and Stoyanov , that show developments in the direction of using neuroimaging to examine the brains of people with schizophrenia and depression. Xu used magnetic resonance imaging to examine the brain structure of patients with schizophrenia, in addition to examining neurotransmitter levels as biomarkers. Stoyanov used functional magnetic resonance imaging to look at modulation of different neural circuits by diagnostic-specific scales in patients with schizophrenia and depression. These two studies provide crucial evidence in advancing our understanding of the brain in prevalent psychiatric disorders.

摘要

从历史上看,精神疾病的诊断是根据患者报告的症状,应用《精神疾病诊断与统计手册》中的标准来进行的。利用神经影像学或生物标志物进行精神疾病的诊断和管理仍然是一个遥远的目标。已经有几项研究对精神疾病患者进行了脑成像检查,但要阐明人类大脑的复杂性还需要更多的工作。在这篇社论中,我们审视了徐和斯托亚诺夫的两篇文章,它们展示了在利用神经影像学检查精神分裂症和抑郁症患者大脑方面的进展。徐除了将神经递质水平作为生物标志物进行检测外,还使用磁共振成像来检查精神分裂症患者的脑结构。斯托亚诺夫使用功能磁共振成像来观察精神分裂症和抑郁症患者中特定诊断量表对不同神经回路的调节作用。这两项研究为推进我们对常见精神疾病大脑的理解提供了关键证据。

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本文引用的文献

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Schizophrenia.精神分裂症。
Lancet. 2022 Jan 29;399(10323):473-486. doi: 10.1016/S0140-6736(21)01730-X.

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