多巴胺转运蛋白显像剂11C-β-CFT在帕金森病中的应用研究

Review of the use of dopamine transporter imaging agent 11C-β-CFT for diagnosing Parkinson disease

  • 摘要: 帕金森病(PD)是全球第二大最常见的神经退行性疾病, 与患者年龄、激素水平、生活习惯及基因遗传等相关因素密切相关, 且与大脑多巴胺能神经元的结构和功能差异有关。常规的影像学检查在PD的早期发现、预后评估、术前分级等方面存在一些不足。11C-甲基-N-2β-甲基酯-3β-(4-氟-苯基)托烷(11C-β-CFT)是一种多巴胺转运蛋白正电子显像剂, 与多巴胺转运体的结合具有高度特异性, 同时受患者治疗药物因素的干扰较小, 是一种良好的临床诊断类的显像剂。目前, 11C-β-CFT已应用于人类神经病学方面疾病的研究, 如精神分裂症、PD等, 11C-β-CFT PET显像可以评价疾病病理、生理过程, 便于临床诊断及监测疾病治疗效果等。笔者就近年来11C-β-CFT PET显像在PD中的应用作一综述。

     

    Abstract: Parkinson disease(PD) is the second most common neurodegenerative disease. It is known to be associated with age, hormonal imbalance, lifestyle exposures, and genetic factors, as well as the differences between the structure and function of the dopaminergic neurons of the brain. Conventional imaging methods exhibit certain limitations in the early detection, prognostic evaluation, and preoperative grading of PD among patients. 11C-methyl-N-2β-carbomethoxy-3β-(4-fluorophenyl)-tropanel(11C-β-CFT) possesses a high affinity for dopamine transporters(DAT) and rarely interferes with anti-Parkinsonism drugs; therefore, 11C-β-CFT is a favorable PET imaging agent for DAT. 11C-β-CFT is widely used as an imaging agent for the diagnosis of human neurological diseases, including schizophrenia and PD. PET imaging with 11C-β-CFT can assist in evaluating physiological and pathophysiological processes, thereby facilitating the diagnosis and monitoring of therapeutic effects. This review summarizes the current applications of 11C-β-CFT PET in PD diagnosis.

     

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