Marano Giuseppe, Anesini Maria Benedetta, Milintenda Miriam, Acanfora Mariateresa, Calderoni Claudia, Bardi Francesca, Lisci Francesco Maria, Brisi Caterina, Traversi Gianandrea, Mazza Osvaldo, Pola Roberto, Sani Gabriele, Gaetani Eleonora, Mazza Marianna
Unit of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Department of Neurosciences, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Pediatr Rep. 2025 Jun 8;17(3):65. doi: 10.3390/pediatric17030065.
Neuroimaging has emerged as an innovative and essential tool for understanding the intricate relationship between brain development, emotions, and behavior. Investigating the neurobiological mechanisms underlying this interaction during the critical phase of brain maturation is crucial for promoting individual psychological well-being and mitigating the profound impact of mood disorders during childhood. This narrative scoping review synthesizes current pediatric neuroimaging evidence, filling a gap in the literature by integrating structural, functional, and emerging modalities, to provide clear translational pathways for clinical and behavioral observations. The contribution of major neuroimaging techniques, including fMRI, PET, DTI, and sMRI, is analyzed, emphasizing their ability to detect structural and functional alterations associated with mood disorders, enabling early diagnosis and personalized therapeutic strategies. Furthermore, the potential of these technologies to monitor the effects of psychotherapy is explored, demonstrating how such interventions can modulate neural circuits and enhance emotional processing. Despite significant advancements and growing interest, challenges remain, including the complexity of data interpretation, technological limitations, and ethical considerations related to the use of these interventions in pediatric populations. This review synthesizes the most recent scientific evidence, underscoring the potential of neuroimaging to improve diagnostic accuracy and therapeutic outcomes, while outlining future research directions aimed at enhancing interventions for children and adolescents with mood disorders.
神经影像学已成为理解大脑发育、情绪和行为之间复杂关系的一种创新且重要的工具。在大脑成熟的关键阶段研究这种相互作用背后的神经生物学机制,对于促进个体心理健康以及减轻儿童期情绪障碍的深远影响至关重要。本叙述性范围综述综合了当前儿科神经影像学证据,通过整合结构、功能和新兴模式填补了文献空白,为临床和行为观察提供清晰的转化途径。分析了包括功能磁共振成像(fMRI)、正电子发射断层扫描(PET)、扩散张量成像(DTI)和结构磁共振成像(sMRI)在内的主要神经影像学技术的贡献,强调它们检测与情绪障碍相关的结构和功能改变的能力,从而实现早期诊断和个性化治疗策略。此外,还探讨了这些技术监测心理治疗效果的潜力,展示了此类干预如何调节神经回路并增强情绪处理能力。尽管取得了重大进展且关注度不断提高,但挑战依然存在,包括数据解释的复杂性、技术局限性以及与在儿科人群中使用这些干预措施相关的伦理考量。本综述综合了最新的科学证据,强调了神经影像学在提高诊断准确性和治疗效果方面的潜力,同时概述了旨在加强对患有情绪障碍的儿童和青少年干预的未来研究方向。