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未契約
書籍名 認知症の脳画像診断
出版社 メジカルビュー社
発行日 2015-09-20
著者
  • 西村恒彦(編集)
  • 武田雅俊(編集)
  • 松田博史(編集協力)
  • 伊藤健吾(編集協力)
ISBN 9784758315845
ページ数 184
版刷巻号 第1版第1刷
分野
閲覧制限 未契約

認知症の画像診断は、早期検出および鑑別診断上からも必ず不可欠なものとなってきている。そこで本書は、「早期検出」、「鑑別診断」、「将来展望」を3本柱として構成し、臨床における画像診断の現状と今後期待される発展について一望できるようコンパクトにまとめた。

目次

  • 表紙
  • 序文
  • 目次
  • 執筆者一覧
  • I 認知症の画像診断 - 早期検出 -
    • 認知症の診断
      • 早期診断の必要性
        • 社会的生活機能と認知症
        • 脳の老化と認知症
        • 早期診断の重要性
        • 認知症対応についての重要な視点
      • 画像診断の必要性
        • 各種画像診断の現状
        • MRI / SPECTによる認知症の画像診断
          • 早期検出と鑑別診断
        • 新しい画像診断法
          • PETによる分子イメージング
        • 脳画像診断の役割
    • 認知症の臨床
      • 臨床症状と診断基準
        • 認知症の診断基準
        • アルツハイマー病の臨床症状
          • 前期
          • 中期
          • 後期
        • アルツハイマー病の診断基準
        • MCIの診断基準
        • その他の認知症性疾患の診断基準
          • 前頭側頭型認知症 ( FTD )
          • レビー小体型認知症 ( DLB )
          • 脳血管性認知症
      • 評価スケール
        • 質問式認知機能評価
        • 観察式認知機能全般評価
        • 日常生活機能評価
      • 治療法の進歩
        • 薬物治療
          • AChE阻害薬
          • 部分的NMDA受容体阻害薬
          • AD以外の認知症に対する治療薬
        • 疾患修正療法
          • アミロイドに対する免疫療法
          • アミロイドに対するセクレターゼ阻害薬
          • アミロイド凝集阻害薬
          • タウ蛋白に対するリン酸化阻害薬
          • タウ重合阻害薬
          • タウ蛋白に対する免疫療法
          • その他
    • アルツハイマー型認知症のMRI診断
      • MRIの実際
        • 脳体積測定法の変遷
        • Voxel - based morphometry
        • MRIによる脳機能測定
      • MRIによる海馬委縮の評価 ( VSRAD ( R ) )
        • 画像確認
        • ファイル変換
        • ボクセル等大化
        • 線形変換・トリミング
        • 高信号値抑制
        • 組織分割
        • 解剖学的標準化
        • 健常者との比較
        • 形態逆変換
      • アルツハイマー型認知症のMRI
    • アルツハイマー型認知症の脳血流SPECT ( IMP ) 診断
      • SPECTの実際
        • 加齢による脳血流分布変化
        • 脳血流SPECT製剤
        • SPECT画像評価と形態画像診断
      • SPECTの統計学的画像処理 ( 3D - SSP )
        • 統計学的画像処理
        • 認知症における病型分類
      • アルツハイマー型認知症のSPECT画像
        • 典型的, 非典型的なADの脳血流分布
        • 他疾患の合併, 複合病理
      • アルツハイマー型認知症のSPECTによる治療効果の判定
        • 認知症診断における画像検査の役割
        • アルツハイマー型認知症治療薬
          • コリンエステラーゼ阻害薬
          • NMDA受容体拮抗薬 - メマンチン -
        • 治療効果判定の方法論 - SPECT統計画像のpitfall -
          • 統計画像の再現性
          • 最大値参照法
    • MCIクリニックにおける診断・治療戦略
      • MCIの診断・治療戦略
        • MCIの診断基準の変遷
        • 当院における診断基準
        • 当院の診療の流れ
        • MCIの治療戦略
        • 症例
        • 展望
      • MCIにおけるMRI / SPECTの役割
        • MCI検査としての画像検査の役割
        • 形態画像検査 ( MRI )
        • 機能画像 ( 脳血流SPECT )
        • MCI症例における海馬萎縮の程度と脳血流SPECT検査の比較
  • II 認知症の画像診断 - 鑑別診断 -
    P.85
    • 変性性疾患との鑑別
      • 概念
        • プリオン病
        • amyloidopathy
        • tauropathy
        • TDP - 43 proteinopathy
        • α synucleinopathy
        • ポリグルタミン病
      • 臨床的特徴からの鑑別
        • レビー小体型認知症 ( DLB )
          • ADとの鑑別
          • 中核的特徴
          • 示唆的・支持的特徴
          • パーキンソン病との区別
        • 前頭側頭型認知症 ( FTD )
          • 分類
          • bvFTDの症状の特徴
          • SDの症状の特徴
          • PNFAの症状の特徴
        • 進行性核上性麻痺 ( PSP )
        • 大脳皮質基底核変性症 ( CBD )
        • 嗜銀顆粒性認知症 ( AGD )
        • 神経原線維変化優位型老年期認知症 ( SD - NFT )
        • ハンチントン病
      • 変性性疾患・その他の疾患におけるMRI / SPECT
        • レビー小体型認知症 ( dementia with Lewy bodies : DLB )
        • 前頭側頭葉変性症 ( frontotemporal lobar degeneration : FTLD )
          • 前頭側頭型認知症 ( frontotemporal dementia : FTD )
          • 意味性認知症 ( semantic dementia : SD )
          • 進行性非流暢性失語 ( progressive non - fluent aphasia : PA, PNFA )
        • 嗜銀顆粒性認知症 ( argyrophilic grain dementia : AGD )
        • 進行性核上性麻痺 ( progressive supranuclear palsy : PSP )
        • 皮質基底核変性症 ( corticobasal degeneration : CBD )
        • ハンチントン症
        • 多系統萎縮症 ( multiple system atrophy : MSA )
          • MSA - C, オリーブ橋小脳萎縮症 ( olivopontocerebellar atrophy : OPCA )
          • MSA - P, 線条体黒質変性症 ( striatonigral degeneration : SND )
    • 特発性正常圧水頭症
      • iNPHの診断基準
      • iNPHの臨床症状
        • 歩行障害
        • 認知障害
        • 排尿障害
      • iNPHの頭部MRI所見
        • 側脳室, 第3脳室などの脳室系の拡大
        • disproportionately enlarged subarachnoid space hydrocephalus ( DESH )
        • 脳梁角の急峻化
        • 局所的髄液貯留像
        • 脳室周囲, 深部の白質変化
      • 先天性, および小児期の病態形成による成人期発症の水頭症
      • asymptomatic ventriculomegaly with features of iNPH on MRI ( AVIM )
      • iNPHの脳血流SPECT所見
    • 血管性認知症
      • 臨床的特徴
        • 既往歴と合併症
        • 発症の仕方
        • 進行の仕方
        • 症状の特徴
        • 診断基準に記載されている臨床的特徴
      • MRI / SPECT
        • MRI
        • SPECT画像所見の特徴
        • 血管性認知症診断の問題点
    • 糖尿病性認知症
      • 糖尿病性認知症の概念と臨床的特徴
      • 糖尿病患者の脳画像
        • 脳萎縮と大脳白質病変
        • 脳血流代謝画像
      • 糖尿病性認知症の脳画像
        • MRI
        • 脳血流SPECT
        • アミロイドPET ( 11C - PiB PET )
  • III 認知症の画像診断 - 将来展望 -
    P.135
    • 認知症の新しい画像診断
      • 神経伝達機能イメージング ( FP - CIT ) : ADとDLBの鑑別を中心に
        • ドパミン神経経路イメージングの各種リガンド
        • FP - CIT SPECTの臨床活用
          • FP - CIT使用時の留意点
          • FP - CIT SPECTの評価方法
          • DLB早期診断補助ツールとしての活用
          • DLB臨床症状との関連性
      • 糖代謝イメージング ( FDG - PET )
        • 18F - FDGと脳ブドウ糖代謝
        • アルツハイマー病診断における糖代謝イメージングの位置付け
        • 正常脳およびアルツハイマー病におけるFDG - PET所見
        • アルツハイマー病と非アルツハイマー型認知症との鑑別
        • 軽度認知障害に対するFDG - PET
        • 前臨床期 ( preclinical AD ) のFDG - PET
      • 分子イメージング ( アミロイドPET )
        • アミロイドPET診断薬
        • アミロイドPET診断原理
        • アミロイドPET読影判定法
        • アミロイドPETの研究開発への応用
        • アミロイドPETの日常臨床への応用
      • タウPETイメージングによる認知症研究の新展開
        • タウタンパク質とタウオパチー
        • タウPETイメージング技術の開発
        • [11C] PBB3 - PETイメージング
        • 今後の展望
  • 索引
    P.168
  • 奥付

参考文献

I 認知症の画像診断 - 早期検出 -

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P.49 掲載の参考文献

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P.52 掲載の参考文献

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P.58 掲載の参考文献

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P.64 掲載の参考文献

  • 1) Imabayashi E, Matsuda H, Asada T, Ohnishi T, Sakamoto S, Nakano S, Inoue T:Superiority of 3-dimensional stereotactic surface projection analysis over visual inspection in discrimination of patients with very early Alzheimer's disease from controls using brain perfusion SPECT. J Nucl Med, 45(9):1450-7, 2004.
  • 2) Minoshima S, Frey KA, Koeppe RA, Foster NL, Kuhl DE:A diagnostic approach in Alzheimer's disease using three-dimensional stereotactic surface projections of fluorine-18-FDG PET. J Nucl Med, 36(7):1238-48, 1995.
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