肿瘤患者化疗后认知功能损害的影像学研究进展

Advances in imaging studies of cognitive impairments in tumor patients after chemotherapy

  • 摘要: 非中枢系统的肿瘤患者经化疗等相关治疗后,生存期不断延长,但随之出现的不良反应,即化疗导致的认知功能损害(CICI)逐渐引起重视。CICI的患者的学习能力、记忆力、注意力、执行能力和信息处理速度等均下降,严重影响其生活质量。近年来,有很多研究报道了CICI的神经影像学改变,包括结构和功能MRI显示的以额叶、颞叶、顶叶为主的脑白质的减少,以及18F-氟脱氧葡萄糖(FDG) PET/CT显示的以额叶、部分边缘系统为主的脑葡萄糖代谢水平降低。笔者综述了肿瘤患者CICI的神经影像学研究进展,旨在解释CICI的潜在机制及可能的防治措施。

     

    Abstract: The survival period of patients with noncentral system is greatly prolonged after chemotherapy and other related treatments. The side effects caused by chemotherapy, that is, chemotherapy-induced cognitive impairments (CICI), have received increasing attention. The reduced learning, memory, attention, executive function, and information processing speed of cancer survivors with CICI seriously impairs the quality of life of the survivors. In recent years, many studies have reported on the neuroimaging changes in CICI. These changes include the decreases in white matter in the frontal lobe, temporal lobe, and parietal lobe shown by structural and functional MRI, and the decreases in glucose metabolism in the frontal lobe and part of limbic system revealed by 18F-fluorodeoxyglucose (FDG) PET/CT. This article reviews the progress of neuroimaging research tumor patients on CICI to explain the potential mechanism and the possible prevention and treatment measures of CICI.

     

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