Imaging insights into basal ganglia function, Parkinson's disease, and dystonia

Article

关键词: STRIATAL DOPAMINE RELEASE;    IMPULSE CONTROL DISORDERS;    LEVODOPA-INDUCED CHANGES;    MICROGLIAL ACTIVATION;    DEPRESSIVE SYMPTOMS;    RESPONSIVE DYSTONIA;    SYNAPTIC DOPAMINE;    RECEPTOR-BINDING;    BRAIN NETWORKS;    MOTOR CORTEX;   

DOI  :  10.1016/S0140-6736(14)60041-6

来源: SCIE

【 摘 要 】

Recent advances in structural and functional imaging have greatly improved our ability to assess normal functions of the basal ganglia, diagnose parkinsonian syndromes, understand the pathophysiology of parkinsonism and other movement disorders, and detect and monitor disease progression. Radionuclide imaging is the best way to detect and monitor dopamine deficiency, and will probably continue to be the best biomarker for assessment of the effects of disease-modifying therapies. However, advances in magnetic resonance enable the separation of patients with Parkinson's disease from healthy controls, and show great promise for differentiation between Parkinson's disease and other akinetic-rigid syndromes. Radionuclide imaging is useful to show the dopaminergic basis for both motor and behavioural complications of Parkinson's disease and its treatment, and alterations in non-dopaminergic systems. Both PET and MRI can be used to study patterns of functional connectivity in the brain, which is disrupted in Parkinson's disease and in association with its complications, and in other basal-ganglia disorders such as dystonia, in which an anatomical substrate is not otherwise apparent. Functional imaging is increasingly used to assess underlying pathological processes such as neuroinflammation and abnormal protein deposition. This imaging is another promising approach to assess the effects of treatments designed to slow disease progression.

【 授权许可】

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