Brain imaging

脑成像
  • 文章类型: Journal Article
    目的:突触前多巴胺能正电子发射断层扫描(PET)成像是诊断和鉴别疑似帕金森病患者的重要工具,包括特发性帕金森病(PD)和其他神经退行性和非神经退行性疾病。目前最常用的PET示踪剂主要靶向多巴胺转运蛋白(DAT),芳香族氨基酸脱羧酶(AADC),和泡状单胺2型(VMAT2)。然而,目前尚缺乏突触前多巴胺能PET成像的成像程序和解释标准.这一国际共识的目标是帮助核医学从业者在程序上进行突触前多巴胺能PET成像。
    方法:由各国专家组成的多学科工作组讨论并批准了帕金森病突触前多巴胺能PET成像的共识,专注于标准化建议,程序,解释,和报告。
    结论:这一国际共识和实践指南将有助于促进帕金森病突触前多巴胺能PET成像的标准化使用。它将成为临床实践中用于此目的的国际标准。
    OBJECTIVE: Presynaptic dopaminergic positron emission tomography (PET) imaging serves as an essential tool in diagnosing and differentiating patients with suspected parkinsonism, including idiopathic Parkinson\'s disease (PD) and other neurodegenerative and non-neurodegenerative diseases. The PET tracers most commonly used at the present time mainly target dopamine transporters (DAT), aromatic amino acid decarboxylase (AADC), and vesicular monoamine type 2 (VMAT2). However, established standards for the imaging procedure and interpretation of presynaptic dopaminergic PET imaging are still lacking. The goal of this international consensus is to help nuclear medicine practitioners procedurally perform presynaptic dopaminergic PET imaging.
    METHODS: A multidisciplinary task group formed by experts from various countries discussed and approved the consensus for presynaptic dopaminergic PET imaging in parkinsonism, focusing on standardized recommendations, procedures, interpretation, and reporting.
    CONCLUSIONS: This international consensus and practice guideline will help to promote the standardized use of presynaptic dopaminergic PET imaging in parkinsonism. It will become an international standard for this purpose in clinical practice.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    阿尔茨海默病(AD)是痴呆的主要病因,其诊断和管理仍然具有挑战性。淀粉样蛋白正电子发射断层扫描(PET)在AD患者的医疗实践中变得越来越重要。要集成和更新该领域以前的指南,组建了一个由来自多个国家的多个学科的专家组成的工作组,他们修订并批准了与淀粉样蛋白PET在认知受损个体医疗环境中的应用有关的内容,专注于临床情景,病人准备,管理活动,以及图像采集,processing,解释和报告。此外,专家意见,实践,整合了对痴呆症淀粉样蛋白PET进行研究的著名研究机构的协议。随着淀粉样蛋白PET显像的日益普及,整个检查过程的完整和标准的管道对于临床实践至关重要。这一国际共识和实践指南将有助于促进淀粉样蛋白PET显像在AD患者中的正确临床应用。
    Alzheimer\'s disease (AD) is the main cause of dementia, with its diagnosis and management remaining challenging. Amyloid positron emission tomography (PET) has become increasingly important in medical practice for patients with AD. To integrate and update previous guidelines in the field, a task group of experts of several disciplines from multiple countries was assembled, and they revised and approved the content related to the application of amyloid PET in the medical settings of cognitively impaired individuals, focusing on clinical scenarios, patient preparation, administered activities, as well as image acquisition, processing, interpretation and reporting. In addition, expert opinions, practices, and protocols of prominent research institutions performing research on amyloid PET of dementia are integrated. With the increasing availability of amyloid PET imaging, a complete and standard pipeline for the entire examination process is essential for clinical practice. This international consensus and practice guideline will help to promote proper clinical use of amyloid PET imaging in patients with AD.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    职业拳击,跆拳道,和混合武术(MMA)是流行的运动,对急性和慢性创伤性脑损伤(TBI)都有很大的风险。虽然罕见,搏击运动运动员在拳击场或比赛结束后不久死亡。这些情况下的死亡通常是急性灾难性神经系统事件的结果,例如急性硬膜下血肿(SDH)。其他原因可能包括急性硬膜外血肿(EDH),蛛网膜下腔出血(SAH),实质内出血(IPH),或者有争议的,罕见,仍然有争议的临床实体称为二次影响综合征(SIS)。神经成像或脑成像目前包括在美国和世界各地的一些司法管辖区的战斗体育比赛许可证的注册过程中。然而,所需的成像细节和频率因无共识指南而异.Ringside医师协会(国际,致力于战斗运动运动员的健康和安全的非营利组织)提出了这一共识声明,以建立战斗运动中的神经影像学指南。Commissions,圈子里的医生,格斗体育运动员,培训师,promotors,制裁机构,和其他医疗保健专业人员可以使用此声明在获得执照之前对专业战斗运动运动员进行风险分层,识别高风险运动员,并预测这些运动员在职业生涯中的大脑健康。还提出了有关回合后立即进行神经影像学检查要求的指南。
    Professional boxing, kickboxing, and mixed martial arts (MMA) are popular sports with substantial risk for both acute and chronic traumatic brain injury (TBI). Although rare, combat sports athletes have died in the ring or soon after the completion of a bout. Deaths in these instances are usually the result of an acute catastrophic neurological event such as an acute subdural hematoma (SDH). Other causes may include acute epidural hematoma (EDH), subarachnoid hemorrhage (SAH), intraparenchymal hemorrhage (IPH), or a controversial, rare, and still disputed clinical entity called second-impact syndrome (SIS). Neuroimaging or brain imaging is currently included in the process of registering for a license to compete in combat sports in some jurisdictions of the United States of America and around the world. However, the required imaging specifics and frequency vary with no consensus guidelines. The Association of Ringside Physicians (an international, nonprofit organization dedicated to the health and safety of the combat sports athlete) sets forth this consensus statement to establish neuroimaging guidelines in combat sports. Commissions, ringside physicians, combat sports athletes, trainers, promoters, sanctioning bodies, and other healthcare professionals can use this statement for risk stratification of a professional combat sports athlete prior to licensure, identifying high-risk athletes and for prognostication of the brain health of these athletes over the course of their career. Guidelines are also put forth regarding neuroimaging requirements in the immediate aftermath of a bout.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    FDA批准的具有第一个也是唯一一个tau靶向18F-flortaucipir放射性示踪剂的正电子发射断层扫描(PET)已越来越多地用于描述认知障碍患者的tau病理沉积和分布。这一国际共识的目标是帮助核医学从业者在程序上进行18F-flortaucipirPET成像。
    由各国专家组成的多学科工作组讨论并批准了阿尔茨海默病(AD)18F-flortaucipirPET成像的共识,专注于临床情景,病人准备,和管理的活动,以及图像采集,processing,解释,和报告。
    这一国际共识和实践指南将有助于促进18F-flortaucipirPET在AD患者中的标准化使用。它将成为临床实践中用于此目的的国际标准。
    Positron emission tomography (PET) with the first and only tau targeting radiotracer of 18F-flortaucipir approved by FDA has been increasingly used in depicting tau pathology deposition and distribution in patients with cognitive impairment. The goal of this international consensus is to help nuclear medicine practitioners procedurally perform 18F-flortaucipir PET imaging.
    A multidisciplinary task group formed by experts from various countries discussed and approved the consensus for 18F-flortaucipir PET imaging in Alzheimer\'s disease (AD), focusing on clinical scenarios, patient preparation, and administered activities, as well as image acquisition, processing, interpretation, and reporting.
    This international consensus and practice guideline will help to promote the standardized use of 18F-flortaucipir PET in patients with AD. It will become an international standard for this purpose in clinical practice.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    Positron emission tomography (PET) with 18F-fluorodeoxyglucose ([18F]-FDG) has been increasingly applied in precise localization of epileptogenic focus in epilepsy patients, including pediatric patients. The aim of this international consensus is to provide the guideline and specific considerations for [18F]-FDG PET in pediatric patients affected by epilepsy.
    An international, multidisciplinary task group is formed, and the guideline for brain [18F]-FDG PET/CT in pediatric epilepsy patients has been discussed and approved, which include but not limited to the clinical indications, patient preparation, radiopharmaceuticals and administered activities, image acquisition, image processing, image interpretation, documentation and reporting, etc. CONCLUSION: This is the first international consensus and practice guideline for brain [18F]-FDG PET/CT in pediatric epilepsy patients. It will be an international standard for this purpose in clinical practice.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    痴呆和相关神经系统疾病的临床和人群研究,包括老年痴呆症,面临着几个独特的方法论挑战。确定预防和治疗策略的进展取决于有效和严格的分析方法,但研究文献反映出关于“最佳实践”的共识很少。“我们提出了一个大型科学工作组的研究结果,用于痴呆症的临床和人群研究的研究方法,它确定了以下五类方法论挑战:(1)减员/样本选择,包括选择性存活;(2)测量,包括诊断标准的不确定性,神经心理学评估中的测量误差,和实践或重新测试效果;(3)纵向模型的规范,当参与者被跟踪几个月,年,甚至几十年;(4)时变测量;(5)高维数据。我们解释了为什么每个挑战在痴呆症研究中都很重要,以及它如何影响将研究结果转化为有效的预防或护理策略。我们提出了一份潜在偏见来源的清单,在报告痴呆症研究时应经常解决这些问题。
    Clinical and population research on dementia and related neurologic conditions, including Alzheimer\'s disease, faces several unique methodological challenges. Progress to identify preventive and therapeutic strategies rests on valid and rigorous analytic approaches, but the research literature reflects little consensus on \"best practices.\" We present findings from a large scientific working group on research methods for clinical and population studies of dementia, which identified five categories of methodological challenges as follows: (1) attrition/sample selection, including selective survival; (2) measurement, including uncertainty in diagnostic criteria, measurement error in neuropsychological assessments, and practice or retest effects; (3) specification of longitudinal models when participants are followed for months, years, or even decades; (4) time-varying measurements; and (5) high-dimensional data. We explain why each challenge is important in dementia research and how it could compromise the translation of research findings into effective prevention or care strategies. We advance a checklist of potential sources of bias that should be routinely addressed when reporting dementia research.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

公众号