Yang Hao, Dong Cheng, Cai Ying, Zhao Mingming, Liu Junfang, Bian Shizhu, Ding Xiaohan
The 940th Hospital of Joint Logistic Support Force of Chinese People's Liberation Army, Lanzhou, Gansu, China.
The First School of Clinical Medical, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Front Neurosci. 2025 Aug 20;19:1596459. doi: 10.3389/fnins.2025.1596459. eCollection 2025.
Alzheimer's disease (AD) has become a great concern for society in general and clinicians specifically because of its high morbidity, relative lack of awareness of its characteristics, and low diagnosis and treatment rates. Worldwide, there is a lack of effective treatments for slowing the progression of AD in clinical practice. Thus, the management of patients in the preclinical phase of AD (PPAD) has been identified to be highly important for addressing this concern. PPAD is considered a preclinical manifestation of the early stages of AD and includes subjective cognitive decline (SCD) and mild cognitive impairment (MCI). Developments in magnetic resonance imaging (MRI) technology have led to its demonstration of great potential in the early identification and progression monitoring of PPAD. Thus, in this review, we summarized the concepts, principles and applications of structural and diffusion MRI in the identification of PPAD to provide potential imaging markers that can be used by clinicians in clinical practice.
阿尔茨海默病(AD)因其高发病率、相对缺乏对其特征的认识以及低诊断和治疗率,已成为整个社会尤其是临床医生高度关注的问题。在全球范围内,临床实践中缺乏有效减缓AD进展的治疗方法。因此,已确定对处于AD临床前期(PPAD)的患者进行管理对于解决这一问题极为重要。PPAD被认为是AD早期阶段的临床前表现,包括主观认知下降(SCD)和轻度认知障碍(MCI)。磁共振成像(MRI)技术发展使其在PPAD的早期识别和进展监测方面展现出巨大潜力。因此,在本综述中,我们总结了结构和扩散MRI在PPAD识别中的概念、原理及应用,以提供临床医生在临床实践中可用的潜在影像标志物。