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使用[18F]-FDG PET/MRI脑部扫描对初治与难治性强迫症患者脑代谢差异模式的研究

Differential Pattern of Brain Metabolism in Drug-naive versus Refractory OCD using [18F]-FDG PET/MRI Brain.

作者信息

Jha Shailesh, Jena Amarnath, Rana Prerana, Bhagat Achal

机构信息

Department of Psychiatry, Indraprastha Apollo Hospitals and Saarthak Mental Health Services, Delhi, India.

Department of Molecular Imaging and Nuclear Medicine, PET Suite (Indraprastha Apollo Hospitals and House of Diagnostics), Delhi, India.

出版信息

Indian J Nucl Med. 2024 Nov-Dec;39(6):449-453. doi: 10.4103/ijnm.ijnm_112_24. Epub 2025 Mar 20.

DOI:10.4103/ijnm.ijnm_112_24
PMID:40291356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12020964/
Abstract

Obsessive-compulsive disorder is among the most extensively researched mental health disorder. Various metabolic neuroimaging research findings are consistent but still nonconclusive. The major limitation is a homogeneous sample. There are research findings which have established the impact of treatment in changing brain metabolism. Therefore, it is important to highlight differential metabolic changes with respect to treatment staging and its outcome. It will also help to individualized neuromodulation protocol based on differential metabolic findings. This study highlights the distinct differential fluorodeoxyglucose metabolic changes among two distinct cases: drug-naïve and treatment-refractory.

摘要

强迫症是研究最为广泛的心理健康障碍之一。各种代谢神经影像学研究结果一致,但仍无定论。主要局限性在于样本缺乏异质性。有研究结果已证实治疗对改变脑代谢的影响。因此,突出治疗分期及其结果方面的代谢差异变化很重要。这也将有助于根据代谢差异结果制定个性化的神经调节方案。本研究突出了两个不同病例(未用药和治疗难治性)之间明显的氟脱氧葡萄糖代谢差异变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/12020964/7738a48cf641/IJNM-39-449-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/12020964/44997ba62e66/IJNM-39-449-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/12020964/7738a48cf641/IJNM-39-449-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/12020964/44997ba62e66/IJNM-39-449-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/12020964/7738a48cf641/IJNM-39-449-g002.jpg

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本文引用的文献

1
Impact of treatment on resting cerebral blood flow and metabolism in obsessive compulsive disorder: a meta-analysis.治疗对强迫症患者静息态脑血流和代谢的影响:一项荟萃分析。
Sci Rep. 2017 Dec 12;7(1):17464. doi: 10.1038/s41598-017-17593-7.
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Brain SPECT guided repetitive transcranial magnetic stimulation (rTMS) in treatment resistant major depressive disorder.脑单光子发射计算机断层扫描引导下的重复经颅磁刺激治疗难治性重度抑郁症
Asian J Psychiatr. 2016 Jun;21:1-6. doi: 10.1016/j.ajp.2016.02.003. Epub 2016 Feb 12.
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The comparison of pre- and post-treatment (99m)Tc HMPAO brain SPECT images in patients with obsessive-compulsive disorder.
强迫症患者治疗前后 (99m)Tc HMPAO 脑 SPECT 影像比较。
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Obsessive-compulsive disorder.强迫症
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