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Preclinical Imaging Biomarkers for Postischaemic Neurovascular Remodelling

机译:临床前成像生物标记物用于缺血后神经血管重塑

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摘要

In the pursuit of understanding the pathological alterations that underlie ischaemic injuries, such as vascular remodelling and reorganisation, there is a need for recognising the capabilities and limitations of in vivo imaging techniques. Thus, this review presents contemporary published research of imaging modalities that have been implemented to study postischaemic neurovascular changes in small animals. A comparison of the technical aspects of the various imaging tools is included to set the framework for identifying the most appropriate methods to observe postischaemic neurovascular remodelling. A systematic search of the PubMed® and Elsevier's Scopus databases identified studies that were conducted between 2008 and 2018 to explore postischaemic neurovascular remodelling in small animal models. Thirty-five relevant in vivo imaging studies are included, of which most made use of magnetic resonance imaging or positron emission tomography, whilst various optical modalities were also utilised. Notably, there is an increasing trend of using multimodal imaging to exploit the most beneficial properties of each imaging technique to elucidate different aspects of neurovascular remodelling. Nevertheless, there is still scope for further utilising noninvasive imaging tools such as contrast agents or radiotracers, which will have the ability to monitor neurovascular changes particularly during restorative therapy. This will facilitate more successful utility of the clinical imaging techniques in the interpretation of neurovascular reorganisation over time.
机译:在寻求理解缺血性损伤基础的病理改变,例如血管重塑和重组时,需要认识到体内成像技术的能力和局限性。因此,本综述介绍了当代已发表的影像学研究方法,该方法已用于研究小动物缺血后神经血管的变化。包括对各种成像工具的技术方面的比较,以设置框架,以识别最合适的方法来观察缺血后神经血管重塑。对PubMed®和Elsevier的Scopus数据库的系统搜索确定了在2008年至2018年之间进行的旨在探索小型动物模型中缺血后神经血管重塑的研究。包括35个相关的体内成像研究,其中大多数利用磁共振成像或正电子发射断层扫描,同时还利用了各种光学模式。值得注意的是,使用多模式成像来开发每种成像技术的最有益特性来阐明神经血管重塑的不同方面的趋势正在增加。尽管如此,仍然存在进一步利用非侵入性成像工具的空间,例如造影剂或放射性示踪剂,它们将具有监测神经血管变化的能力,特别是在修复性治疗期间。随着时间的推移,这将有助于临床成像技术更成功地用于解释神经血管重组。

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