神经成像大脑成长图:心理健康之路

Psychoradiology Pub Date : 2021-12-30 eCollection Date: 2021-12-01 DOI:10.1093/psyrad/kkab022
Li-Zhen Chen, Avram J Holmes, Xi-Nian Zuo, Qi Dong
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引用次数: 0

摘要

精神障碍是常见的健康问题,给现代社会造成了沉重的全球性负担。及时发现和治疗这些疾病是一项挑战。神经影像学证据表明,各种精神和行为障碍的发病率与大脑结构和功能的非典型发育密切相关。对非典型大脑发育的识别和了解,为临床医生更早地发现精神障碍,甚至在发病前发现精神障碍并进行更精确的治疗提供了机会。识别和监测非典型脑发育的一个宝贵而必要的方法是绘制人群中典型发育个体的生长图表。脑发育图可以提供一系列关于典型神经发育的标准参考资料,是科学界和医学界的重要资源。在本文中,我们从正常脑发育的角度出发,通过调查脑发育图的最新进展,回顾了精神障碍与非典型脑发育之间的关系,包括发育图实用性的四个方面:1)队列;2)测量;3)机制;4)临床转化。在此过程中,我们试图阐明脑发育图表所面临的挑战和机遇,并促进脑发育图表在临床实践中的应用。
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Neuroimaging brain growth charts: A road to mental health.

Mental disorders are common health concerns and contribute to a heavy global burden on our modern society. It is challenging to identify and treat them timely. Neuroimaging evidence suggests the incidence of various psychiatric and behavioral disorders is closely related to the atypical development of brain structure and function. The identification and understanding of atypical brain development provide chances for clinicians to detect mental disorders earlier, perhaps even prior to onset, and treat them more precisely. An invaluable and necessary method in identifying and monitoring atypical brain development are growth charts of typically developing individuals in the population. The brain growth charts can offer a series of standard references on typical neurodevelopment, representing an important resource for the scientific and medical communities. In the present paper, we review the relationship between mental disorders and atypical brain development from a perspective of normative brain development by surveying the recent progress in the development of brain growth charts, including four aspects on growth chart utility: 1) cohorts, 2) measures, 3) mechanisms, and 4) clinical translations. In doing so, we seek to clarify the challenges and opportunities in charting brain growth, and to promote the application of brain growth charts in clinical practice.

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