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棕色脂肪磁共振定量成像技术研究现状及应用进展

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随着全球肥胖率的上升,肥胖及其相关并发症,如2型糖尿病、心血管疾病和代谢综合征,已成为严重威胁公共健康的主要问题.肥胖的根源在于能量摄入与消耗之间的长期失衡,而脂肪组织,尤其是棕色脂肪(brown adipose tissue,BAT),在能量代谢中扮演了重要角色.与白色脂肪主要负责储存能量不同,BAT通过产热消耗能量,被视为预防和治疗肥胖的潜在靶点.本文详细介绍了当前用于定量分析BAT的磁共振成像方法,包括了水脂分离成像、化学交换饱和转移、磁共振波谱等,探讨了它们在定量BAT体积、脂肪成分及代谢活性中的应用现状.本综述旨在通过梳理和分析当前研究成果,深入分析各技术的潜力和局限性,并明确未来研究方向,推动BAT相关磁共振成像技术在肥胖和代谢疾病诊断与治疗中的应用,助力该领域标准化和临床转化的实现.
Quantitative MRI techniques for brown adipose tissue:Current status and advances
The global increase in obesity and its associated complications,such as type 2 diabetes,cardiovascular diseases,and metabolic syndrome,has become a major public health concern.The fundamental cause of obesity is a prolonged imbalance between energy intake and expenditure,with adipose tissue,particularly brown adipose tissue(BAT),playing a key role in energy metabolism.Unlike white adipose tissue,which primarily stores energy,BAT dissipates energy through thermogenesis,making it a potential target for obesity prevention and treatment.This review provides an overview of current magnetic resonance imaging(MRI)techniques for the quantitative assessment of BAT,including water-fat separation imaging,chemical exchange saturation transfer(CEST),and magnetic resonance spectroscopy(MRS).The applications and limitations of these techniques in quantifying BAT volume,lipid content,and metabolic activity are discussed.This review aims to analyze and evaluate current research findings,assess the potential and limitations of various techniques,identify future research directions,and promote the application of BAT-related magnetic resonance imaging technologies in the diagnosis and treatment of obesity and metabolic diseases,ultimately contributing to the standardization and clinical translation in this field.

brown adipose tissuemagnetic resonance imagingchemical exchange saturation transfer imagingwater-fat separation imaging

刘思恒、张莹、阿布都外力·艾沙、吕衍春

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中山大学肿瘤防治中心影像科,广州 510060

棕色脂肪 磁共振成像 化学交换饱和转移成像 水脂分离成像

2024

磁共振成像
中国医院协会 首都医科大学附属北京天坛医院

磁共振成像

CSTPCD北大核心
影响因子:1.38
ISSN:1674-8034
年,卷(期):2024.15(12)