与粉样蛋白相关的成像异常 (ARIA) 的成像
Horst Urbach1, Jennifer Linn2, Elke Hattingen3
1Dept. of Neuroradiology, University Medical Center Freiburg, Germany.
概括
接受粉样蛋白清除单克隆抗体治疗的阿尔茨海默病患者可能会发展ARIA (粉样蛋白相关的成像异常),包括水或出血. 治疗方法各不相同,无症状病例可能通过停止药物治疗来治疗.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 药理学 药理学是指药理学的学科.
背景情况:
- 阿尔茨海默病 (AD) 治疗现在包括针对大脑粉样蛋白斑块的单克隆抗体.
- 与粉样蛋白相关的成像异常 (ARIA) 是这些疗法的潜在副作用.
- 在MRI上,ARIA呈现为水/液 (ARIA-E) 或微型血液/血 (ARIA-H).
研究的目的:
- 描述在接受粉样蛋白向治疗的患者中ARIA的发生和特征.
- 为了比较ARIA成像发现与大脑粉样血管病变 (CAA) 相关的炎症 (CAA-ri).
- 讨论目前ARIA的管理策略.
主要方法:
- 对接受粉样清除单克隆抗体治疗的患者的MRI发现的审查.
- 将ARIA成像特征与已知的CAA-ri模式进行比较.
- 分析与ARIA严重程度相关的患者症状和结果.
主要成果:
- ARIA的患病率取决于剂量,影响高达40%的患者.
- 脂蛋白E4和CAA增加了ARIA风险.
- ARIA成像发现类似于CAA-ri,约20%的ARIA患者表现出症状.
结论:
- 在阿尔茨海默氏症的粉样向治疗中,ARIA 是一个重要的考虑因素.
- 区分ARIA与CAA-ri对于患者管理至关重要.
- 管理策略,包括药物停用,以ARIA严重程度和患者症状为指导.
相关概念视频
Brain Imaging
234
Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), and Transcranial Magnetic...
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), and Transcranial Magnetic...
234
Amyloid Fibrils
9.6K
Amyloid fibrils are aggregates of misfolded proteins. Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils.
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
9.6K
Imaging Studies II: Positron Emission Tomography and Scintigraphy
123
Positron Emission Tomography (PET) is a medical imaging technique that provides crucial insights into the body's physiological functions at a molecular level. It is an indispensable resource for diagnosing, staging, and monitoring various illnesses, notably cancer, neurological disorders, and cardiovascular conditions.
Fundamental Principles of PET
Fundamental Principles of PET
123


