中国神经再生研究(英文版) ›› 2022, Vol. 17 ›› Issue (1): 74-81.doi: 10.4103/1673-5374.314285

• 综述:脑损伤修复保护与再生 • 上一篇    下一篇

正电子发射计算机断层扫描成像评估轻度创伤性脑损伤后随时间的神经病理学变化:放射性示踪剂的最新进展

  

  • 出版日期:2022-01-05 发布日期:2021-09-18

Positron emission tomography imaging for the assessment of mild traumatic brain injury and chronic traumatic encephalopathy: recent advances in radiotracers

Chu-Xin Huang1, 2, #, Yan-Hui Li1, #, Wei Lu2, Si-Hong Huang1, Meng-Jun Li1, Li-Zhi Xiao3, Jun Liu1, *#br#   

  1. 1Department of Radiology, the Second Xiangya Hospital of Central South University, Changsha, Hunan Province, China; 2Department of Neurology, the Second Xiangya Hospital of Central South University, Changsha, Hunan Province, China; 3PET-CT Center, the Second Xiangya Hospital of Central South University, Changsha, Hunan Province, China
  • Online:2022-01-05 Published:2021-09-18
  • Contact: Jun Liu, PhD, junliu123@csu.edu.cn.
  • Supported by:
    This work was supported by a grant from the National Natural Science Foundation of China, No. 81671671; and Clinical Research Center for Medical Imaging in Hunan Province of China, No. 2020SK4001 (both to JL).

摘要:

重复性轻度创伤性脑损伤后慢性阶段在某些情况下可能表现为慢性创伤性脑病,其需要神经病理学检查才能做出明确的诊断。而最近的研究表明,正电子发射计算机断层成像可用于评估与轻度创伤性脑损伤相关的代谢变化。正电子发射计算机断层成像作为一种分子成像手段,灵敏度高,甚至可检测非常小的分子变化,且可使用不同种类的放射性示踪剂以定量大脑中多种代谢过程。在不同类型创伤性脑损伤的患者,尤其是轻度创伤性脑损伤和随后的慢性外伤性脑病患者中,存在代谢变化。因此,正电子发射计算机断层成像提供了一种可在分子和代谢水平上评估轻度创伤性脑损伤的新方法。综述基于临床和临床前研究,讨论了对轻度创伤性脑损伤患者以不同放射性示踪剂进行正电子发射计算机断层成像评估中新型成像剂(如葡萄糖代谢、tau、淀粉样β蛋白、γ-氨基丁酸A型受体和神经炎症PET成像的放射性配体)在识别神经功能变化方面的作用。基于既往研究结果,这些新型放射性标记配体可能在临床上有更广泛的应用,从而可能为轻度创伤性脑损伤的治疗提供帮助。此外不同配体的PET功能成像可用于进行大规模研究以及序贯研究,以探索轻度创伤性脑损伤随时间的变化情况。

https://orcid.org/0000-0002-7851-6782 (Jun Liu)

关键词: font-family:宋体, ">淀粉样β蛋白, 慢性font-family:宋体, ">创伤性脑病, 氟马西尼, 氟代脱氧葡萄糖, 轻度创伤性脑损伤, 正电子发射断层扫描, font-family:Calibri, sans-serif, ">taufont-family:宋体, ">蛋白, font-family:宋体, ">创伤性脑损伤

Abstract: A chronic phase following repetitive mild traumatic brain injury can present as chronic traumatic encephalopathy in some cases, which requires a neuropathological examination to make a definitive diagnosis. Positron emission tomography (PET) is a molecular imaging modality that has high sensitivity for detecting even very small molecular changes, and can be used to quantitatively measure a range of molecular biological processes in the brain using different radioactive tracers. Functional changes have also been reported in patients with different forms of traumatic brain injury, especially mild traumatic brain injury and subsequent chronic traumatic encephalopathy. Thus, PET provides a novel approach for the further evaluation of mild traumatic brain injury at molecular levels. In this review, we discuss the recent advances in PET imaging with different radiotracers, including radioligands for PET imaging of glucose metabolism, tau, amyloid-beta, γ-aminobutyric acid type A receptors, and neuroinflammation, in the identification of altered neurological function. These novel radiolabeled ligands are likely to have widespread clinical application, and may be helpful for the treatment of mild traumatic brain injury. Moreover, PET functional imaging with different ligands can be used in the future to perform large-scale and sequential studies exploring the time-dependent changes that occur in mild traumatic brain injury.


Key words: amyloid-β, chronic traumatic encephalopathy, flumazenil, fluorodeoxyglucose, mild traumatic brain injury, positron emission tomography, tau protein, traumatic brain injury