치매 조기진단을 위한 뇌영상의학적 검사 및 생물학적 검사에 대한 설문조사

• 영문명: Survey of Neuroimaging and Biological Screening Tests for Early Detection of Dementia
• 발행기관: 대한노인정신의학회
• 저자명: 이강준(Kang Joon Lee) 이동우(Dong Woo Lee) 유승호(Seung Ho Ryu) 한은주(Eun Joo Han) 정한용(Han Yong Jung)
• 간행물 정보: 『노인정신의학』노인정신의학 제10권 제1호, 41~47쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2006.06.30

영문 초록

Objectives : The importance of obtaining an accurate and early diagnosis for dementia is now becoming recognized. Neuroimaging, hematologic tests, CSF and genetic markers to identify dementia have been sought for many years, with many candidates proposal. Several diagnostic tests now show utility in identifying patients with dementia. This study was performed to verify the guidelines on diagnostic evaluation of dementia in Korea. Methods : The subjects in this study were 52 psychiatrists, neurologists, and family physicians who were members of the Korean Geriatrics Society, the Korean society of gerontology, the Korean gerontological society, and Korean Association for Geriatric psychiatry and in charge of demented elderly people. The questionnaire segment consists of neuroimaging, hematologic, CSF and genetic tests to evaluate of patients with dementia. Results : A number of laboratory tests (including complete blood count with ESR, glucose, electrolyte, calcium, kidney and liver function test, thyroid function tests, vitamin B12 level, syphilis serology) and structural neuroimaging with either CT or MRI scan are recommanded as routine initial evaluation of patients with dementia. CSF and genetic tests is not recommended for routine use in the diagnostic evaluation of dementia. Conclusion : This survey supports the necessity of a hematologic and neuroimaging tests under most circumstances at the time of the initial dementia assessment. Further research is needed to improve the validity of clinical diagnosis of dementia, as well as determine the utility of various instruments of neuroimaging, biological testing in increasing diagnostic accuracy.

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치매 뇌영상의학 생물학적 검사 Dementia Neuroimaging Biological test