神经退行性疾病分类的新范式:临床视角
Alexandros Giannakis1, Spiridon Konitsiotis1
1Department of Neurology, University of Ioannina, University Campus, Stavrou Niarchou Av., Ioannina, Greece.
概括
诊断神经退行性疾病,如阿尔茨海默氏症 (AD) 仍然具有挑战性,因为重叠的症状和共同病理. 修订诊断标准和在研究中使用机器学习可以提高复杂病例的准确性.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 了解神经退行性疾病的重大进展并没有转化为改善临床诊断准确度.
- 像阿尔茨海默氏症 (AD) 和勒维体痴呆症 (DLB) 等疾病之间的重叠症状使诊断复杂化.
- 目前的最终诊断依赖于死后发现,给临床医生和研究人员带来负担.
研究的目的:
- 突出在活着的患者中准确诊断神经退行性疾病的持续挑战.
- 倡导对目前神经退行性疾病的临床诊断标准进行修订.
- 建议在未来的研究中使用机器学习,以更好地了解混合病理.
主要方法:
- 审查目前的神经退行性疾病的诊断挑战和标准.
- 分析诊断不确定性对患者结果的影响.
- 关于未来研究方法的建议,包括机器学习和纵向研究.
主要成果:
- 尽管诊断工具的进步,神经退行性疾病的临床诊断准确性仍然很低.
- 同病理在神经退行性疾病中很常见,单个诊断呈现异质.
- 现有的诊断标准难以适应患有混合病理或非典型表现的患者.
结论:
- 对神经退行性疾病的现有诊断标准需要彻底修改.
- 未来的大规模研究将机器学习纳入,这对于理解混合病理至关重要.
- 改进的诊断方法对于及时和正确的治疗至关重要,提高患者的生活质量和预后.
相关概念视频
Alzheimer's Disease: Overview
437
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
437
Parkinson's Disease: Overview
447
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
447
Alzheimer's Disease: Treatment
158
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
158
Neural Regulation
39.1K
Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.
39.1K
Classification of Illness
7.3K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.3K
Disorders of the Nervous Tissue
1.0K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises...
1.0K


