首页|期刊导航|神经损伤与功能重建|磁共振波普技术在神经退行性疾病中的应用研究

磁共振波普技术在神经退行性疾病中的应用研究OA

Application of Magnetic Resonance Spectroscopy Technique in Neurodegenerative Diseases

中文摘要英文摘要

磁共振波谱(magnetic resonance spectroscopy,MRS)技术作为一种非侵入性分子影像学手段,能够定量检测大脑内代谢产物的变化,为神经退行性疾病的机制研究、早期诊断与疗效评估提供了重要依据.本文综述了 MRS在阿尔茨海默病、帕金森病、多发性硬化及Ⅱ型糖尿病相关认知障碍等疾病中的应用.研究表明,MRS可检测阿尔茨海默病早期海马区神经递质代谢水平异常;在帕金森病中揭示γ-氨基丁酸水平变化及其对多巴胺治疗的反应;在多发性硬化中发现与疲劳程度相关的能量代谢改变;在Ⅱ型糖尿病认知障碍中则显示前额叶代谢物与血糖控制的关联.尽管MRS目前仍受限于灵敏度低、信号解析复杂等问题,但随着高场强技术、超快序列及多模态联合应用的发展,其在神经退行性疾病的精准诊断与动态监测中具有广阔前景.

Magnetic Resonance Spectroscopy(MRS),as a non-invasive molecular imaging technique,en-ables the quantitative detection of changes in cerebral metabolites,providing crucial insights into the patho-physiology,early diagnosis,and therapeutic monitoring of neurodegenerative diseases.This review summa-rizes the applications of MRS in Alzheimer's disease(AD),Parkinson's disease(PD),multiple sclerosis(MS),and type 2 diabetes-related cognitive impairment.Studies have shown that MRS can detect early abnor-malities in neurotransmitter metabolism in the hippocampus in AD;reveal fluctuations in gamma-aminobutyr-ic acid(GABA)levels and their response to dopamine therapy in PD;identify energy metabolic alterations as-sociated with fatigue severity in MS;and demonstrate associations between prefrontal metabolites and glyce-mic control in cognitive impairment related to type 2 diabetes.Although currently limited by issues such as low sensitivity and complex signal interpretation,advances in high-field technology,ultra-fast sequences,and multimodal integration suggest broad prospects for MRS in the precise diagnosis and dynamic monitoring of neurodegenerative diseases.

李一杰;韩英妹;张衡;徐慧勇;冯泽;李伟庆;王丰

黑龙江中医药大学研究生院 哈尔滨 150040黑龙江中医药大学研究生院 哈尔滨 150040黑龙江中医药大学研究生院 哈尔滨 150040黑龙江中医药大学研究生院 哈尔滨 150040黑龙江中医药大学研究生院 哈尔滨 150040黑龙江中医药大学研究生院 哈尔滨 150040黑龙江中医药大学附属第一医院CT磁共振科 哈尔滨 150040

医药卫生

神经退行性变磁共振波谱成像阿尔茨海默病帕金森病多发性硬化Ⅱ型糖尿病型认知障碍

neurodegenerationmagnetic resonance spectroscopyAlzheimer's diseaseParkinson's dis-easemultiple sclerosiscognitive impairment with type 2 diabetes

《神经损伤与功能重建》 2026 (4)

242-245,4

黑龙江省自然科学基金资助项目(针刺四关穴对遗忘型MCI脑微结构及功能网络重塑的MRI研究,No.LH2023H065)

10.16780/j.cnki.sjssgncj.20241112

评论