中国研究型医院2024,Vol.11Issue(5) :16-22.DOI:10.19450/j.cnki.jcrh.2024.05.002

基于MR的脑功能成像评估皮层下血管性认知障碍的研究进展

Research progress on MR-based functional brain imaging in the evaluation of subcortical vascular cognitive impairment

方向明 毛海霞
中国研究型医院2024,Vol.11Issue(5) :16-22.DOI:10.19450/j.cnki.jcrh.2024.05.002

基于MR的脑功能成像评估皮层下血管性认知障碍的研究进展

Research progress on MR-based functional brain imaging in the evaluation of subcortical vascular cognitive impairment

方向明 1毛海霞1
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作者信息

  • 1. 南京医学科大学无锡医学中心南京医科大学附属无锡人民医院医学影像科,无锡214023
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摘要

皮层下血管性认知障碍是一种与脑小血管病相关的认知功能障碍,是老年痴呆的主要病因,其具体发病机制尚不明确.神经功能MR通过评估神经系统的结构和功能的改变,进而深入挖掘脑小血管病引发的认知障碍的影像机制.研究认为,灰质体积缩小、白质完整性破坏、结构及功能连接的改变均可对脑小血管病患者的认知功能产生影响,是皮层下血管性认知障碍发病机制的重要影像依据.同时,神经影像检查在临床实践中也对皮层下血管性认知障碍的早期诊断、预后评估和治疗方案制定具有一定指导意义.

Abstract

Subcortical vascular cognitive impairment is a type cognitive dysfunction associated with cerebral small vessel disease and is a leading cause of Alzheimer's disease. Its exact pathogenesis remains unclear. Neurofunctional MR imaging assesses changes in the structure and function of the nervous system,providing insights into the imaging mechanisms of cognitive impairment induced by cerebral small vessel disease. Research suggests that reductions in gray matter volume,disruption of white matter integrity,and alterations in structural and functional connectivity can all impact cognitive function in patients with cerebral small vessel disease,serving as important imaging evidence for the pathogenesis of subcortical vascular cognitive impairment. Additionally,neuroimaging examinations also have significant guiding value in the early diagnosis,prognosis assessment,and treatment planning of subcortical vascular cognitive impairment in clinical practice.

关键词

血管性认知障碍/磁共振成像/神经影像

Key words

Vascular cognitive impairment/Magnetic resonance imaging/Neuroimaging

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出版年

2024
中国研究型医院

中国研究型医院

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