无创生物标志物与人工智能多模态整合技术在阿尔茨海默病早期诊断与筛查中的研究进展
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1南京医科大学第一临床医学院,2医学影像学院,3医政学院,4数智技术与健康治理实验室,江苏 南京 211166

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TP18;R749.16

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江苏省高校哲学社会科学研究一般项目(2024SJYB0239)


Research progress of non ⁃ invasive biomarkers and artificial intelligence multimodal integration technology in the early diagnosis and screening of Alzheimer’s disease
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1The First Clinical Medical College,2School of Medical Imaging,3School of Health Policy & Management,4Laboratory for Digital Intelligence & Health Governance,Nanjing Medical University,Nanjing 211166 ,China

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    摘要:

    阿尔茨海默病(Alzheimer’s disease,AD)已成为21世纪全球公共卫生领域的重大挑战。目前临床诊断主要依赖脑脊液生物标志物检测和淀粉样蛋白PET成像等技术,存在明显的局限性,如脑脊液检测具有侵入性,PET成像则具有成本高昂和放射性暴露等问题。虽然神经心理学量表在临床实践中应用广泛,但主观性强、特异性不足等缺点导致其对早期AD的诊断敏感性显著不足。针对这一现状,文章系统综述了AD无创诊断技术的最新研究进展,重点探讨了外周体液(如血液、唾液等)生物标志物检测技术的突破,以及人工智能驱动的多模态数据融合策略在AD早期识别和精准诊断中的应用前景与创新价值。

    Abstract:

    Alzheimer’s disease(AD)has emerged as a major global public health challenge in the 21st century. Current clinical diagnosis primarily relies on techniques such as cerebrospinal fluid biomarker testing and amyloid PET imaging,yet these methods have exhibited significant limitations:cerebrospinal fluid testing is invasive,and PET imaging involves high costs and radiation exposure. Although neuropsychological scales are widely used in clinical practice,their strong subjectivity and lack of specificity considerably reduce diagnostic sensitivity,particularly in early-stage AD. In response to this situation,this article provides a systematic review of the latest advances in non-invasive diagnostic technologies for AD,with a focus on breakthroughs in peripheral biofluids(e.g., blood,saliva)biomarker detection techniques,as well as the application prospects and innovative value of artificial intelligence-driven multimodal data integration strategies in the early identification and precise diagnosis of AD.

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王安倩,李心竹,周辰宇.无创生物标志物与人工智能多模态整合技术在阿尔茨海默病早期诊断与筛查中的研究进展[J].南京医科大学学报(自然科学版),2026,46(3):457-465

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  • 收稿日期:2025-07-25
  • 最后修改日期:2025-09-07
  • 录用日期:2025-09-15
  • 在线发布日期: 2026-03-12
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