精神疾病神经影像学研究与展望
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黑龙江省自然科学基金联合引导项目( LH2023H099)


Research and prospects of neuroimaging in mental disorders
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    摘要:

    精神疾病在全球范围内发病率居高不下,给公共卫生系统带来沉重负担。然而,由于病 因机制尚未完全阐明,目前临床诊断仍主要依赖主观的症状学评估,缺乏客观的生物学标准。这种按 照症状分类的模式忽略了疾病的生物学异质性,使得症状相似的患者在脑机制上存在显著差异,增加 了精准诊疗的难度。神经影像学技术为探索神经生物学标志物提供了新途径,但是目前研究大多局限 于群体水平,在向个体化临床应用转化的过程中仍面临准确性和泛化能力不足的问题。现系统整理近 年来多模态神经影像学在揭示精神疾病脑结构与功能异常方面的关键发现,重点分析目前精神疾病神 经影像学研究中存在的问题,并在此基础上提出了解决困境的办法与对策。虽然目前精神疾病的神经 影像学向临床转化存在较大差距,但通过整合多模态数据、运用人工智能算法、进行大规模纵向队列研 究等方式,可逐步实现精神疾病的精准诊疗。

    Abstract:

    The prevalence of mental disorders remains persistently high worldwide, imposing a substantial burden on public health systems. However, as the etiological mechanisms have yet to be fully elucidated, current clinical diagnosis still relies primarily on subjective symptomatic assessment, lacking objective biological criteria. This symptom-based classification system overlooks the biological heterogeneity of the disease, leading to significant differences in brain mechanisms among patients with similar symptoms, which increases the difficulty of precise diagnosis and treatment. Neuroimaging techniques offer new avenues for exploring neurobiological biomarkers. However, current research is largely confined to the population level, and the transition to personalized clinical applications still faces challenges regarding accuracy and generalizability. This review systematically summarizes the key findings from recent years in multimodal neuroimaging regarding structural and functional abnormalities in the brain associated with mental disorders, with a focus on analyzing the current challenges in neuroimaging research on mental disorders and proposing methods and strategies to address these challenges. Although there is currently a significant gap between neuroimaging findings and clinical translation in psychiatry, the integration of multimodal data, the use of artificial intelligence algorithms, and the conduct of large-scale longitudinal cohort studies can gradually lead to the precise diagnosis and treatment of mental disorders.

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  • 在线发布日期: 2026-05-19