国际脑血管病杂志2024,Vol.32Issue(5) :380-385.DOI:10.3760/cma.j.issn.1673-4165.2024.05.012

脑白质高信号半暗带

White matter hyperintensity penumbra

李坦 叶梦凡 蔡秀英 方琪
国际脑血管病杂志2024,Vol.32Issue(5) :380-385.DOI:10.3760/cma.j.issn.1673-4165.2024.05.012

脑白质高信号半暗带

White matter hyperintensity penumbra

李坦 1叶梦凡 1蔡秀英 1方琪1
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作者信息

  • 1. 苏州大学附属第一医院神经内科,苏州 215006
  • 折叠

摘要

白质高信号(white matter hyperintensities,WMHs)是脑小血管病(cerebral small vessel disease,CSVD)的主要影像学标志物之一.随着神经影像学技术的发展,WMHs半暗带(WMHs penumbra,WMH-P)逐渐成为研究热点.WMH-P是指WMHs病灶周围存在的脑组织微结构完整性破坏或血流灌注降低的区域,在常规MRI序列上不可见.其不仅是WMH进展的危险因素,还与CSVD患者的认知障碍、步态异常等临床症状相关,被认为是一个潜在可逆转的治疗新靶点.

Abstract

White matter hyperintensities(WMHs)are one of the main imaging biomarkers of cerebral small vessel disease(CSVD).With the development of neuroimaging technology,the WMH penumbra(WMH-P)has gradually become a research hotspot.WMH-P refers to the area of brain tissue microstructural integrity destruction or reduced blood flow perfusion around WMH lesions,which is not visible on conventional MRI sequences.It is not only a risk factor for the progression of WMHs,but also associated with clinical symptoms such as cognitive impairment and gait abnormalities in patients with CSVD,and is considered a new potential and reversible therapeutic target.

关键词

脑小血管疾病/白质/磁共振成像/弥散张量成像/认知损害

Key words

Cerebral small vessel diseases/White matter/Magnetic resonance imaging/Diffusion tensor imaging/Cognition disorders/Depression

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出版年

2024
国际脑血管病杂志
中华医学会,南方医科大学南方医院,海军总医院

国际脑血管病杂志

CSTPCD
影响因子:0.851
ISSN:1673-4165
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