Key result
Fibromyalgia patients exhibited decreased global brain network connectivity in the theta frequency band and reduced local connectivity within the default mode network compared to healthy controls.
Why the study?
Does fibromyalgia alter resting state brain network connectivity compared to healthy controls?
Cross-Sectional (n=37)
Yes
Does fibromyalgia alter resting state brain network connectivity compared to healthy controls?
p-value: p=<0.05
Fibromyalgia patients exhibit disrupted resting state brain networks in the theta frequency, which correlates with pain duration and may underlie the spontaneous nature of FM pain.
May identify FM-specific brain network topology via MEG; hypothesis-generating and requires larger validation before any clinical use.
Fibromyalgia (FM), chronic widespread pain, exhibits spontaneous pain without external stimuli and is associated with altered brain activities during resting state. To understand the topological features of brain network in FM, we employed persistent homology which is a multiple scale network modeling framework not requiring thresholding. Spontaneous magnetoencephalography (MEG) activity was recorded in 19 healthy controls (HCs) and 18 FM patients. Barcode, single linkage dendrogram and single linkage matrix were generated based on the proposed modeling framework. In theta band, the slope of decrease in the number of connected components in barcodes showed steeper in HC, suggesting FM patients had decreased global connectivity. FM patients had reduced connectivity within default mode network, between middle/inferior temporal gyrus and visual cortex. The longer pain duration was correlated with reduced connectivity between inferior temporal gyrus and visual cortex. Our findings demonstrated that the aberrant resting state network could be associated with dysfunction of sensory processing in chronic pain. The spontaneous nature of FM pain may accrue to disruption of resting state network.
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Choe et al. (2018) conducted a cross-sectional in Fibromyalgia (n=37). Fibromyalgia vs. Healthy controls was evaluated on Global connectivity in theta frequency (slope of decrease in the number of connected components in barcodes) (p=<0.05). Fibromyalgia patients exhibited decreased global brain network connectivity in the theta frequency band and reduced local connectivity within the default mode network compared to healthy controls.
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