在耐药性中成像血脑屏障功能障碍:一个多中心可行性研究
Nir Cafri1,2,3, Sheida Mirloo4, Daniel Zarhin3
1Department of Physiology, Professor Vladimir Zelman Inter-Disciplinary Center of Brain Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
与健康个体相比,患者在大脑体积中显示出明显更多的血脑屏障功能障碍 (BBBD). 这种功能障碍可能是发作的关键因素,建议微血管稳定作为治疗目标.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 血管生物学 血管生物学
背景情况:
- 血脑屏障功能障碍 (BBBD) 与神经系统疾病有关.
- 是一种神经系统疾病,其中BBBD可能起作用.
研究的目的:
- 用动态对比增强磁共振成像 (DCE-MRI) 来识别和比较患者 (PWE) 和健康个体中与BBBBD相关的大脑区域.
主要方法:
- 在四个国际中心对50名耐药性患者和58名健康对照进行了DCE-MRI扫描.
- 分析的重点是BBBD的存在和程度,比较PWE与对照.
主要成果:
- 与对照组相比,PWE显示大脑体积显著增加,BBBD的大脑区域数量增加 (p < 10−7).
- 在焦点和泛性类型之间,或在有或没有MRI可见病变的PWE之间,没有发现BBBBD的总脑体积的显著差异.
- 在82%的PWE中,在发作区域检测到BBBBD,通常在疑似发病的病变附近或内.
结论:
- 这些发现支持BBBD在DRE的发展中的作用.
- 微血管稳定成为的潜在治疗策略.
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