在干预性放射学中以图像为导向的方法来管理肥胖症
Arun Kamireddy1, Mohammad Mirza Aghazadeh Attari1, Dara L Kraitchman1
1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Journal of vascular and interventional radiology : JVIR
|November 23, 2025
概括
最少侵入性,图像引导的程序通过准食欲调节,提供新的肥胖治疗方法. 这些干预性放射技术可以促进减肥,减少药物需求.
科学领域:
- 干预性放射学 干预性放射学
- 肥胖管理 肥胖管理
- 医疗技术 医疗技术 医学技术
背景情况:
- 肥胖影响超过40%的美国成年人,增加糖尿病,心血管疾病和精神健康问题的风险.
- 传统的肥胖治疗方法,如改变生活方式和减肥手术,存在一些局限性,包括获取,成本和风险.
- 越来越需要对肥胖管理的不那么侵入性,以图像为导向的替代方案.
研究的目的:
- 审查对治疗肥胖的基于干预性放射学策略的近期进展.
- 突出突出技术,如减肥动脉栓塞 (BAE),减肥动脉放射栓塞 (BARE) 和MRI导向的阴道冷.
- 探索这些方法在多式联络,个性化肥胖护理中的潜力.
主要方法:
- 专注于减肥动脉栓塞 (BAE) 和减肥动脉放射栓塞 (BARE).
- 在MRI指导的阴道冷凝过程中进行的讨论.
- 对外围机制的审查,包括 ghrelin 抑制和阴道输入调节.
主要成果:
- 这些以图像为导向的干预措施在外围调节了食欲.
- 当与抗肥胖药物 (AOMs) 结合使用时,可能产生协同效应.
- 对于需要手术的患者来说,可以作为快速,节省器官的手术前优化策略.
结论:
- 以图像为指导的干预措施代表了向个性化,多式模式的肥胖护理的转变.
- 整合到护理途径中可能会扩大治疗选择并改善结果.
- 这些技术在增强减肥耐久性和减少药物负担方面具有潜在的好处.
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