๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #1
1/23
ํ™˜์ž ์ •๋ณด: 75 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ์น˜๋งค

์ฆ๋ก€ #1

์†Œ๊ฒฌ

  • ์–‘์ธก ์ธก๋‘์—ฝ ๋ฐ ํ•ด๋งˆ๋ฅผ ์นจ๋ฒ”ํ•˜๋Š” ๋Œ€์นญ์  ์šฉ์  ๊ฐ์†Œ๋กœ, ์–‘์ธก ์ธก๋‡Œ์‹ค ์ธก๋‘๊ฐ์˜ ๋Œ€์ƒ์„ฑ ํ™•๋Œ€๊ฐ€ ์ „๋ฐ˜์ ์ธ ๋Œ€๋‡Œ ๋ฐ ์†Œ๋‡Œ ์šฉ์  ๊ฐ์†Œ ์ •๋„์— ๋น„ํ•ด ๋ถˆ๊ท ํ˜•์ ์ž„
  • ํ”ผ์งˆํ•˜ ๋ฐ ๋‡Œ์‹ค ์ฃผ์œ„ ๋ฐฑ์งˆ์˜ ๋ฐ˜์ƒ T2/FLAIR ๊ณ ์‹ ํ˜ธ๋กœ, ๋น„ํŠน์ด์ ์ด๋‚˜ ๋งŒ์„ฑ ์†Œํ˜ˆ๊ด€ ์งˆํ™˜๊ณผ ๊ด€๋ จ๋  ๊ฐ€๋Šฅ์„ฑ์ด ๋†’์Œ
  • ์šฐ์ธก ๋น„๊ฐ• ํ›„๋ฐฉ์—์„œ ๋น„์ธ๋‘๋กœ ์—ฐ์žฅ๋˜๋Š” T2 ๊ณ ์‹ ํ˜ธ ๋ณ‘๋ณ€์œผ๋กœ, ์šฉ์ข… ๊ฐ€๋Šฅ์„ฑ์ด ๋†’์Œ
  • ์–‘์ธก ์‚ฌ๊ณจ๋™ ์ ๋ง‰ ๋น„ํ›„
  • ์–‘์ธก ์ธ๊ณต์ˆ˜์ •์ฒด
  • C3-C4์—์„œ์˜ ์ „๋ฐฉ์ „์œ„๋กœ ๊ฒฝ๋ฏธํ•œ ์ฒ™์ถ”๊ด€ ํ˜‘์ฐฉ ์ดˆ๋ž˜

์ง„๋‹จ

Alzheimer๋ณ‘

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์ „๋ฐ˜์ ์ธ ๋Œ€๋‡Œ ์œ„์ถ• ์ •๋„์— ๋น„ํ•ด ๋ถˆ๊ท ํ˜•์ ์ธ ์ง„ํ–‰๋œ ์–‘์ธก ์ธก๋‘์—ฝ ๋ฐ ํ•ด๋งˆ ์šฉ์  ๊ฐ์†Œ๋กœ, Alzheimer๋ณ‘์—์„œ ๋ณผ ์ˆ˜ ์žˆ์Œ.

๊ธ‰์„ฑ ๋‘๊ฐœ๋‚ด ์ด์ƒ ์—†์Œ.

๊ณ ์ฐฐ

  • ์ž„์ƒ
    • Alzheimer๋ณ‘์€ ๋…ธ์ธ์—์„œ ์น˜๋งค์˜ ๊ฐ€์žฅ ํ”ํ•œ ์›์ธ์ž„
    • ์ง„ํ–‰์„ฑ ์ธ์ง€ ์žฅ์• (์ข…์ข… ๊ธฐ์–ต ์ƒ์‹ค๋กœ ์‹œ์ž‘ํ•˜์—ฌ ์‹คํ–‰์ฆ ๋ฐ ์‹คํ–‰ ๊ธฐ๋Šฅ ์ƒ์‹ค์ด ๋’ค๋”ฐ๋ฆ„)๊ฐ€ ์ ์ฐจ ๊ธฐ๋Šฅ์  ๋…๋ฆฝ์„ฑ ์ƒ์‹ค๋กœ ์ด์–ด์ง
    • ํ™˜์ž๋Š” ์ง„๋‹จ ํ›„ 10๋…„ ์ด์ƒ ์ƒ์กดํ•  ์ˆ˜ ์žˆ์Œ
  • ์กฐ์ง๋ณ‘๋ฆฌ/์œ ์ „ํ•™
    • ํ”ผ์งˆ ํšŒ๋ฐฑ์งˆ ๋ฐ ์„ธ๋™๋งฅ ๋ฒฝ์— ๋ฒ ํƒ€ ์•„๋ฐ€๋กœ์ด๋“œ ํ”Œ๋ผํฌ ์ถ•์ 
    • ๋น„์ •์ƒ์  tau ์ธ์‚ฐํ™”๊ฐ€ ์‹ ๊ฒฝ์›์„ฌ์œ  ๋งค๋“ญ ํ˜•์„ฑ์„ ์œ ๋ฐœํ•จ(๋‚ดํ›„๊ฐ ํ”ผ์งˆ์—์„œ ๊ฐ€์žฅ ๋จผ์ € ๊ด€์ฐฐ๋จ)
    • ์†Œ์ˆ˜์˜ ์ฆ๋ก€๋Š” ์•„๋ฐ€๋กœ์ด๋“œ ์ „๊ตฌ ๋‹จ๋ฐฑ์งˆ(APP) ์œ ์ „์ž๋ฅผ ํฌํ•จํ•œ ์—ฌ๋Ÿฌ ์œ ์ „์ž์˜ ๋Œ์—ฐ๋ณ€์ด ๋ฐฐ๊ฒฝ์—์„œ ๋ฐœ์ƒํ•˜๋Š” ๊ฐ€์กฑ์„ฑ์ž„
  • ์˜์ƒ ์†Œ๊ฒฌ
    • ๋‹ค์Œ ๋ถ€์œ„์˜ ์œ„์ถ•(๋ฐ PET ์˜์ƒ์—์„œ์˜ ๋Œ€์‘ํ•˜๋Š” ๋Œ€์‚ฌ ์ €ํ•˜):
      • ๋‚ดํ›„๊ฐ ํ”ผ์งˆ ๋ฐ ํ•ด๋งˆ(ํŠนํžˆ CA-1)๋ฅผ ํฌํ•จํ•œ ๋‚ด์ธก ์ธก๋‘์—ฝ - ์ธก๋‘๊ฐ์˜ ๋ถˆ๊ท ํ˜•์  ๋Œ€์ƒ์„ฑ ํ™•๋Œ€๋ฅผ ์ฃผ์˜ํ•  ๊ฒƒ
      • ํ›„๋Œ€์ƒ์ด๋ž‘
      • ๋‘์ •์—ฝ(ํŠนํžˆ ์๊ธฐ์•ž์†Œ์—ฝ), ์งˆํ™˜ ํ›„๊ธฐ๊นŒ์ง€ ์ผ์ฐจ ํ”ผ์งˆ์€ ๋ณด์กด๋จ
    • ์•„๋ฐ€๋กœ์ด๋“œ ํ˜ˆ๊ด€๋ณ‘์ฆ ์†Œ๊ฒฌ์ด ๋ณด์ผ ์ˆ˜ ์žˆ์Œ(์‹ฌ๋ถ€ ํšŒ๋ฐฑ์งˆ ๊ตฌ์กฐ๋ฅผ ์ƒ๋Œ€์ ์œผ๋กœ ๋ณด์กดํ•˜๋Š” ๋‹ค๋ฐœ์„ฑ ์—ฝ์ƒ ๋ฏธ์„ธ์ถœํ˜ˆ)
    • ์•„๋ฐ€๋กœ์ด๋“œ ํŠน์ด PET ์ œ์ œ๋Š” ๋น„์ •์ƒ์  ๋Œ€๋‡Œ ํšŒ๋ฐฑ์งˆ ๋ฐฉ์‚ฌ์„ฑ์ถ”์ ์ž ์„ญ์ทจ๋ฅผ ๋ณด์—ฌ์คŒ

์ฃผ์„์ด ์žˆ๋Š” ์ด๋ฏธ์ง€ ๋ฐ ์ผ๋Ÿฌ์ŠคํŠธ

Anatomy of the mesial temporal structures on a coronal STIR image from a young, healthy patient.

Anatomy of the mesial temporal structures on a coronal STIR image from a young, healthy patient.

Disproportionate volume loss of the hippocampi and parahippocampal gyri (red arrow) with ex vacuo temporal horn enlargement (yellow arrow) in this patient with Alzheimer disease.

Disproportionate volume loss of the hippocampi and parahippocampal gyri (red arrow) with ex vacuo temporal horn enlargement (yellow arrow) in this patient with Alzheimer disease.

์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

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ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.