Why the study?
Chronic back pain alters functional brain networks, but whether the severity of chronic back pain is associated with changes in the dynamics of functional network topology remains unclear.
Does the Temporal Grading Index (TGI) of functional network topology predict pain intensity in patients with chronic back pain?
Does the Temporal Grading Index (TGI) of functional network topology predict pain intensity in patients with chronic back pain?
The Temporal Grading Index (TGI) derived from dynamic functional network topology can accurately predict pain intensity in patients with chronic back pain, serving as a potential neuroimaging biomarker.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for TGI of network dynamics as a CBP pain biomarker; larger studies needed before clinical use.
Chronic back pain (CBP) is a maladaptive health problem affecting the brain function and behavior of the patient. Accumulating evidence has shown that CBP may alter the organization of functional brain networks; however, whether the severity of CBP is associated with changes in dynamics of functional network topology remains unclear. Here, we generated dynamic functional networks based on resting-state functional magnetic resonance imaging (rs-fMRI) of 34 patients with CBP and 34 age-matched healthy controls (HC) in the OpenPain database via a sliding window approach, and extracted nodal degree, clustering coefficient (CC), and participation coefficient (PC) of all windows as features to characterize changes of network topology at temporal scale. A novel feature, named temporal grading index (TGI), was proposed to quantify the temporal deviation of each network property of a patient with CBP to the normal oscillation of the HCs. The TGI of the three features achieved outstanding performance in predicting pain intensity on three commonly used regression models (i.e., SVR, Lasso, and elastic net) through a 5-fold cross-validation strategy, with the minimum mean square error of 0.25 ± 0.05; and the TGI was not related to depression symptoms of the patients. Furthermore, compared to the HCs, brain regions that contributed most to prediction showed significantly higher CC and lower PC across time windows in the CBP cohort. These results highlighted spatiotemporal changes in functional network topology in patients with CBP, which might serve as a valuable biomarker for assessing the sensation of pain in the brain and may facilitate the development of CBP management/therapy approaches.
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Li et al. (2022) studied this question.
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