大脑MRI生物标志物在孤立的快速眼动睡眠行为障碍:我们在哪里? 一个系统的审查
Stephan Grimaldi1,2,3,4, Maxime Guye2,3, Marta Bianciardi4,5
1Department of Neurology and Movement Disorders, APHM, Hôpital Universitaire Timone, 265 rue Saint-Pierre, 13005 Marseille, France.
Brain sciences
|October 28, 2023
概括
铁和神经黑色素MRI标记物在孤立的快速眼动 (REM) 睡眠行为障碍 (iRBD) 中发现早期神经退行,这是帕金森病 (PD) 的前兆. 本综述强调了用于早期发现PD的关键MRI发现.
科学领域:
- 神经成像是一种神经成像.
- 神经学 神经学
- 生物标志物发现发现
背景情况:
- 对识别帕金森病 (PD) 神经退行早期生物标志物的兴趣越来越大.
- 孤立的快速眼动 (REM) 睡眠行为障碍 (iRBD) 是PD的一个特异性前兆症状.
- 磁共振成像 (MRI) 是体内神经退行评估的一个关键技术.
研究的目的:
- 系统地审查iRBD中神经退行症的有前途的MRI标志物.
- 为了将MRI发现与PD的前兆症状相关联.
- 评估各种MRI技术在早期发现PD中的实用性.
主要方法:
- 结构性,扩散性,功能性,对铁敏感,对神经黑色素敏感的MRI和质子磁共振光谱学研究的系统审查.
- 在2000年至2023年期间的文献搜索中,获得了77篇相关论文.
- 对与iRBD和早期神经退行相关的MRI标记物的分析.
主要成果:
- 铁和神经黑色素MRI是iRBD早期神经退行症的强有力的指标.
- 观察到额叶,叶,边缘皮层和基底腺节的缩表明正在进行的神经退行.
- 扩散和功能性MRI显示异质的结果;还报告了减少的淋巴清除.
结论:
- 铁和神经黑色素MRI对iRBD中神经退行症的早期检测非常有希望.
- 超高场MRI的进步提高了微妙的神经退行性异常的检测.
- 通过MRI寻求早期神经退行检测是一个快速发展的领域.
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