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临床阿尔茨海默病研究与诊断的当前方法

Current Methods in Clinical Alzheimer's Disease Research and Diagnosis.

作者信息

Kodosaki Eleftheria, Zetterberg Henrik, Heslegrave Amanda

机构信息

Department of Neurodegenerative Disease, UCL Institute of Neurology, Queen Square, London, UK.

UK Dementia Research Institute at UCL, University College London, Gower St, London, WC1E 6BT, UK.

出版信息

Mol Diagn Ther. 2025 Jun 7. doi: 10.1007/s40291-025-00789-3.

Abstract

Early and accurate diagnosis of Alzheimer's disease is crucial for enabling timely intervention and improving patient outcomes. Recent advancements in molecular and imaging methodologies have significantly enhanced the detection of Alzheimer's disease at its early stages and have improved the quality of research in the field. Key molecular approaches include the identification of biomarkers such as amyloid-beta plaques and tau protein tangles, which are central to Alzheimer's disease pathology. These biomarkers can be detected through biofluid analysis or imaging methods, offering high sensitivity, however with disadvantages, which are discussed here. Despite the transition of some of these methods from research settings to clinical practice, several challenges persist, including the need for standardisation across diagnostic platforms and ensuring the accessibility of these advanced technologies within diverse healthcare systems. Additionally, the high cost and requirement for specialised expertise remain significant barriers. Here, we discuss the need to improve the effectiveness of early AD diagnosis, the ongoing research that is being conducted to refine biomarker detection, enhance imaging techniques and develop more cost-effective non-invasive diagnostic approaches. These advancements are essential to overcoming current limitations and ensuring a broader application in clinical settings.

摘要

阿尔茨海默病的早期准确诊断对于及时进行干预和改善患者预后至关重要。分子和成像方法的最新进展显著提高了阿尔茨海默病早期阶段的检测能力,并提高了该领域的研究质量。关键的分子方法包括识别生物标志物,如β淀粉样蛋白斑块和tau蛋白缠结,它们是阿尔茨海默病病理学的核心。这些生物标志物可以通过生物流体分析或成像方法检测,具有高灵敏度,不过也存在一些缺点,本文将对此进行讨论。尽管其中一些方法已从研究环境过渡到临床实践,但仍存在若干挑战,包括诊断平台的标准化需求以及确保这些先进技术在不同医疗系统中的可及性。此外,高成本和对专业知识的要求仍然是重大障碍。在此,我们讨论了提高早期阿尔茨海默病诊断有效性的必要性、正在进行的旨在改进生物标志物检测、增强成像技术以及开发更具成本效益的非侵入性诊断方法的研究。这些进展对于克服当前的局限性并确保在临床环境中的更广泛应用至关重要。

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