Key result
Large-scale brain network functional connectivity predicted changes in pain intensity over one year (r = 0.72) and classified persisting versus recovering pain with an AUC of 0.89.
Why the study?
How complex interactions on large-scale brain networks can serve as predictive markers of pain intensity changes remains underexplored.
Can a network-level model using large-scale brain network interactions predict longitudinal changes in pain intensity in subacute back pain patients?
Observational (n=49)
Can a network-level model using large-scale brain network interactions predict longitudinal changes in pain intensity in subacute back pain patients?
Effect estimate: r = 0.72
p-value: p=<0.001
Large-scale brain network interactions from resting-state fMRI can predict longitudinal changes in pain intensity in subacute back pain patients better than single-connection models.
May support neuroimaging for pain prognosis; leaves open clinical utility pending prospective validation.
Identification of predictive neuroimaging markers of pain intensity changes is a crucial issue to better understand macroscopic neural mechanisms of pain. Although a single connection between the medial prefrontal cortex and nucleus accumbens has been suggested as a powerful marker, how the complex interactions on a large-scale brain network can serve as the markers is underexplored. Here, we aimed to identify a set of functional connections predictive of longitudinal changes in pain intensity using large-scale brain networks. We re-analyzed previously published resting-state functional magnetic resonance imaging data of 49 subacute back pain (SBP) patients. We built a network-level model that predicts changes in pain intensity over one year by combining independent component analysis and a penalized regression framework. Connections involving top-down pain modulation, multisensory integration, and mesocorticolimbic circuits were identified as predictive markers for pain intensity changes. Pearson's correlations between actual and predicted pain scores were r = 0.33-0.72, and group classification results between SBP patients with persisting pain and recovering patients, in terms of area under the curve (AUC), were 0.89/0.75/0.75 for visits four/three/two, thus outperforming the previous work (AUC 0.83/0.73/0.67). This study identified functional connections important for longitudinal changes in pain intensity in SBP patients, providing provisional markers to predict future pain using large-scale brain networks.
No takes yet. Share an insight, caveat, or question.
Park et al. (2020) conducted an observational in Subacute back pain (n=49). Large-scale brain network functional connectivity was evaluated on Prediction of pain intensity changes (ΔVAS) between baseline and 1 year (r = 0.72, p=<0.001). Large-scale brain network functional connectivity predicted changes in pain intensity over one year (r = 0.72) and classified persisting versus recovering pain with an AUC of 0.89.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: