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首页|期刊导航|神经病学与神经康复学杂志|《脑淀粉样血管病的波士顿标准2.0》解读

《脑淀粉样血管病的波士顿标准2.0》解读

李爽 杜鹃 宋雅颖 王刚

神经病学与神经康复学杂志2025,Vol.21Issue(3):147-157,11.
神经病学与神经康复学杂志2025,Vol.21Issue(3):147-157,11.DOI:10.12022/jnnr.2025-0041

《脑淀粉样血管病的波士顿标准2.0》解读

Comments on Boston criteria version 2.0 for cerebral amyloid angiopathy

李爽 1杜鹃 2宋雅颖 1王刚1

作者信息

  • 1. 上海交通大学医学院附属仁济医院神经内科,上海 200127
  • 2. 河北医科大学人体解剖学教研室,河北 石家庄 050017||河北医科大学人脑组织库,河北 石家庄 050017
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摘要

Abstract

In 2022,the International Cerebral Amyloid Angiopathy Association published the Boston criteria version 2.0 for cerebral amyloid angiopathy:a multicentre,retrospective,MRI-neuropathology diagnostic accuracy study.This updated version has made significant revisions,including lowering the minimum age for diagnosing cerebral amyloid angiopathy,adding symptoms such as convexal subarachnoid hemorrhage,transient focal neurological episodes,and cognitive impairment/dementia,and incorporating multiple hemorrhagic and non-hemorrhagic imaging biomarkers.Compared with previous diagnostic versions,this latest version of the criteria demonstrates significantly improved diagnostic sensitivity,particularly in patients with symptomatic intracerebral hemorrhage.Therefore,this paper aims to summarize the Boston criteria version 2.0 for cerebral amyloid angiopathy with evidence from China Brain Bank and the clinical practice experience of our team as references for domestic peers.

关键词

脑淀粉样血管病/波士顿标准/诊断标准/影像学标志物

Key words

Cerebral amyloid angiopathy/Boston criteria/Diagnostic criteria/Imaging marker

引用本文复制引用

李爽,杜鹃,宋雅颖,王刚..《脑淀粉样血管病的波士顿标准2.0》解读[J].神经病学与神经康复学杂志,2025,21(3):147-157,11.

基金项目

科技创新2030重大项目"脑科学与类脑研究"(2021ZD0201804) Science and Technology Innovation 2030 Major Project:Neuroscience and Brain-like Research(2021ZD0201804) (2021ZD0201804)

神经病学与神经康复学杂志

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