阿尔茨海默病的概述及其诊断使用传统和新的方法

Xuanning Zhao
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摘要

阿尔茨海默病(AD)是一种由大量异常的细胞外淀粉样蛋白-β斑块和细胞内tau内含物聚集引起的进行性神经退行性疾病,可导致痴呆,严重影响患者的生活。老龄化是阿尔茨海默病最重要的危险因素,全球人口老龄化的加剧将在未来导致更严重的问题。阿尔茨海默病的病程分为三个阶段:无症状期、轻度认知障碍期和痴呆期。目前,大多数诊断方法都集中在MCI和痴呆阶段,因为无症状阶段的疾病具有挑战性。目前,有效的诊断方法包括以AD的宏观特征和微观特征为重点的神经病理学诊断、脑脊液生物标志物和人体血浆中其他生物标志物等生物标志物、结构磁共振成像和f -氟脱氧葡萄糖位置发射断层扫描等成像技术、心理和行为测试等,但大多存在明显不足。新的诊断方法,如唾液生物标志物,成本更低,诊断阿尔茨海默病更准确,有望早期诊断阿尔茨海默病,导致更好的患者预后。随着人工智能等技术的出现,将有更多有效的诊断方法,提高AD的诊断效率,使患者及其家庭受益。本文综述了阿尔茨海默病的概况,并对其诊断的传统方法和新方法进行了探讨。
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An overview of Alzheimer's disease and its diagnosis using conventional and novel methods
Alzheimer's Disease (AD), a progressive neurodegenerative disease caused by abundant abnormal extracellular amyloid-β plaques and intracellular assemblage of tau inclusions, can severely affect the living of patients as it causes dementia. As aging is the most important risk factor of AD, an increasing aging global population will lead to more serious problems in the future. The progression of AD includes three stages: the asymptomatic stage, Mild Cognitive Impairment and dementia. At present, most diagnoses methods are focused on MCI and dementia stages of the disease as disease during the asymptomatic stage is challenging. At present, effective diagnostic methods include neuropathological diagnosis that focus on the macroscopic features and microscopic features of AD, biomarkers such as cerebrospinal fluid biomarkers and other biomarkers in the human plasma, imaging techniques including structural magnetic resonance imaging and F-fluorodeoxyglucose-position emission tomography, psychological and behavioral tests, etc., but most of them have obvious deficiencies. Novel diagnostic methods, such as saliva biomarkers, which cost less and are more accurate in diagnosing AD can have promises for early diagnosis of AD, leading better patient outcomes. With the advancement of emergence of technologies, such as artificial intelligence, more effective diagnosis methods will be available, and the efficiency of diagnosing AD will increase, benefiting patients and their families. This paper provides an overview of AD and investigates conventional and novel methods for its diagnosis.
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