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老年人脑白质病变的头颅MRI分型演变及其意义 被引量:4

The development of the classfication of white matter lesions on Magnetic Resonance Imaging in the elderly nondisaility people
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摘要 脑白质病变在无残障的老年人头颅磁共振成像MRI上常可见到,但发生率各家报道差异很大。这种情况与研究设计以及脑白质病变评价方法的选择密切相关。既往大部分研究将其分为脑室旁和深部脑白质病变,但这种两分法不能很好反映脑白质病变的病理生理改变。新近有学者提出了更符合病理机制的分型方法:即脑室旁、近脑室、深部、近皮层脑白质病变。这种分型有助于提高脑白质病变研究的同质性,有助于及早进行针对性的病因干预。 White matter lesions (WMLs) is common on the MRI of the elderly non-disability people, and the incidence rates are various among different groups, depending on the the scales of the WHLs and the designs of researches. Most researches divide the WMLs into the the deep and periventricular WMLs, and the distinctions between periventricular white matter lesions and deep white matter lesions in terms of etiology are overlap. So recently there is a new subclassification of WMLs, considering of the pathophysiology of WMLs. The new categories is juxtaventricular, periventricular, deep white, and juxtacortical. The new classification of the WMLs may take advantage to conduce the heterogeneity of white matter lesion findings in future research.
出处 《中华脑血管病杂志(电子版)》 2010年第2期32-35,共4页 Chinese Journal of Cerebrovascular Diseases(Electronic Edition)
关键词 脑白质病变 分型 White matter lesions Classification
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参考文献26

  • 1Hachinski VC,Potter P,Merskey H.Leuko-araiosis:an ancient term for a new problem.Can J Neurol Sci,1986,13(4 Suppl):533-534.
  • 2Scheltens P,Barkhof F,Valk J,et al.White matter lesions on magnetic resonance imaging in clinically diagnosed Alzheimer's disease.Evidence for heterogeneity.Brain,1992,115(Pt3):735-748.
  • 3Johanna Helenius,Turgut Tatlisumak.Treatment of Leukoaraiosis:A Futuristic View.Current Drug Targets,2007,8(7):839-845.
  • 4冯涛,王拥军.脑白质疏松的影像学评测量表[J].中国卒中杂志,2009,4(3):226-230. 被引量:19
  • 5Pantoni L,Simoni M,Pracucci G,et al.Visual rating scales for age-related white matter changes (leukoaraiosis) can the heterogeneity be reduced? Stroke,2002,33(12):2827-2833.
  • 6Fazekas F,Chawluk JB,Alavi A,et al.MR signal abnormalities at 1.5 T in Alzheimer's dementia and normal aging.American journal of roentgenology,1987,149(2):351-356.
  • 7Wen W,Sachdev P.The topography of white matter hyperintensities on brain MRI in healthy 60-to 64-year-old individuals.Neuro Image,2004,22(1):144 -154.
  • 8Scheltens P,Barkhof F,et al.A semiquantative rating scale for the assessment of signal hyperintensities on magnetic resonance imaging.Neurol Sci,1993,114(1):7-12.
  • 9Schmidt R,Fazekas F,et al.Magnetic resonance imaging signal hyperintensities in the deep and subcortical white matter.A comparative study between stroke patients and normal volunteers.Arch Neurol,1992,49(8):825-827.
  • 10Ki Woong Kim,James R.MacFall,Martha E.Payne.Classification of White Matter Lesions on Magnetic Resonance Imaging in Elderly Persons.Biol psychiatry,2008,64(4):273-280.

二级参考文献10

  • 1Hachinski VC,Potter P,Merskey H.Leuko-araiosis[].Archives of Neurology.1987
  • 2Munoz DG.Leukoaraiosis and Ischemia:Beyond the myth[].Stroke.2006
  • 3Pantoni,L,Simoni,M,Pracucci,G,Schmidt,R,Barkhof,F,Inzitari,D.Visual rating scales for age-related white matter changes (leukoaraiosis): can the heterogeneity be reduced?[].Stroke.2002
  • 4Scheltens,P,Barkhof,F,Valk,J,Algra,PR,van der,Hoop,RG,Nauta,J,Wolters,EC.White matter lesions on magnetic resonance imaging in clinically diagnosed Alzheimer’s disease. Evidence for heterogeneity[].Brain.1992
  • 5WenHM,MokVC,FanYH,etal.Effectofwhitematterchangeson cognitiveimpairmentinpatientswithlacunarinfarcts[].Stroke.2004
  • 6Kertesz,A,Black,SE,Tokar,G,Benke,T,Carr,T,Nicholson,L.Periventricular and subcortical hyperintensities on magnetic resonance imaging. Rims, caps, and unidentified bright objects[].Archives of Neurology.1988
  • 7van,Swieten,JC,Hijdra,A,Koudstaal,PJ,van,Gijn,J.Grading white matter lesions on CT or MRI; a simple scale[].Journal of Neurology Neurosurgery and Psychiatry.1990
  • 8Blennow,K,Wallin,A,Uhlemann,C,Gottfries,CG.White-matter lesions on CT in Alzheimer patients: relation to clinical symptomatology and vascular factors[].Acta Neurologica Scandinavica.1991
  • 9Fazekas,F,Chawluk,JB,Alavi,A,Hurtig,HI,Zimmerman,RA.MR signal abnormalities at 1.5 T in Alzheimer’s dementia and normal aging[].American Journal of Neuroradiology.1987
  • 10Scheltens PH,Barkhof F,Leys D,et al.A semiquantitativerating scale for the assessment of signal hypertensities onmagnetic resonance imaging[].Journal of the Neurological Sciences.1993

共引文献18

同被引文献24

  • 1齐颖,张人玲.糖尿病患者脑血流灌注及糖代谢的临床特点[J].中华糖尿病杂志(1006-6187),2005,13(4):272-273. 被引量:13
  • 2张春燕,李茂绪,郑德茹.银杏叶注射液合高压氧治疗皮层下动脉硬化性脑病[J].山东中医杂志,2006,25(8):522-524. 被引量:1
  • 3Goto K, Ishii N, Fukasawa H. diffuse White-matter disease in zhe geriatric population A clinical, neuropathological, and CT studuy [J]. Radiology, 1981, 141, (5): 687-695.
  • 4Bennett DA, Wilson RS, Gilley DW, et al. Clinical diagnosis of Binswanger's Disease[J]. Neurosurg Psychiatry, 1990, 53(11): 961-965.
  • 5Pantoni L, Poggesi A, Basile AM, et al. Leukoaraiosis predicts hidden global functioning impairment in nondisabled older people: the LADIS (Leukoaraiosis and Disability in the Elderly) Study. J Am Geriatr Soc, 2006, 54:1095-1101.
  • 6Prins ND,van Dijk EJ, den Heijer T, et al. Cerebral whitematter lesions and the risk of dementia. Arch Neural, 2004, 61:1531 -1534.
  • 7Hurley RA,Tomimoto H, Akiguchi I, et al. Lacunar infarctions and leukoaraiosis. J Neuropsychiatry Clin Neurosci, 2001, 12: 30-36.
  • 8Breteler MM,van Amerongen NM, van Swieten JC, et al. Cognitive correlates of ventricular enlargement and cerebral white matter lesions on magnetic resonance imaging. The Rotterdam Study. Stroke, 1994, 25: 1109-1115.
  • 9Nordahl CW, Ranganath C, Yonelinas AP, et al. White matter changes compromise prefrontal cortex function in healthy elderly individuals. J Cogn Neurosci, 2006, 18: 418-429.
  • 10Markus HS, Lythgoe DJ, Ostegaard L, et al. Reduced cerebral blood flow in white matter in ischaemic leukoaraiosis demonstrated using quantitative exogenous contrast based perfusion MRI. J Neurol Neurosurg Psychiatry, 2000, 69: 48- 53.

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