Phenotyping central nervous system circuitry in chronic pain using functional MRI: Considerations and potential implications in the clinic

被引:20
作者
Borsook D. [1 ,2 ]
Becerra L.
机构
[1] P.A.I.N. Group, Brain Imaging Center, McLean Hospital, Belmont, MA 02478
[2] Athinoula A. Martinos Center for Biomedical Engineering, Massachusetts General Hospital, Harvard Medical School, Boston, MA
关键词
Chronic Pain; Neuropathic Pain; Irritable Bowel Syndrome; Functional Magnetic Resonance Imaging; Complex Regional Pain Syndrome;
D O I
10.1007/s11916-007-0191-7
中图分类号
学科分类号
摘要
Functional MRI (fMRI) has provided new insights into brain mechanisms in chronic pain. However, unlike acute pain measures in healthy volunteers, there are additional concerns relating to mapping brain circuits in these patients. These include the ability to measure evoked versus spontaneous pain, background conditions such as medications, or comorbid diseases such as depression, anxiety, or addiction. Nevertheless, our understanding of the centralization of pain with attendant changes in sensory, emotional, and autonomic function is being more clearly realized and has significant implications for defining the disease state and therapeutic interventions. It is possible that fMRI may become clinically useful. Copyright © 2007 by Current Medicine Group LLC.
引用
收藏
页码:201 / 207
页数:6
相关论文
共 65 条
  • [1] Logothetis N.K., Pauls J., Augath M., Et al., Neurophysiological investigation of the basis of the fMRI signal, Nature, 412, pp. 150-157, (2001)
  • [2] Shmuel A., Augath M., Oeltermann A., Logothetis N.K., Negative functional MRI response correlates with decreases in neuronal activity in monkey visual area V1, Nat Neurosci, 9, pp. 569-577, (2006)
  • [3] Thompson J.K., Peterson M.R., Freeman R.D., Single-neuron activity and tissue oxygenation in the cerebral cortex, Science, 299, pp. 1070-1072, (2003)
  • [4] Borsook D., Becerra L., Breaking down the barriers: FMRI applications in pain, analgesia and analgesics, Mol Pain, 2, (2006)
  • [5] Baliki M.N., Chialvo D.R., Geha P.Y., Et al., Chronic pain and the emotional brain: Specific brain activity associated with spontaneous fluctuations of intensity of chronic back pain, J Neurosci, 26, pp. 12165-12173, (2006)
  • [6] Borsook D., DaSilva A.F., Ploghaus A., Becerra L., Specific and somatotopic functional magnetic resonance imaging activation in the trigeminal ganglion by brush and noxious heat, J Neurosci, 23, pp. 7897-7903, (2003)
  • [7] Eisendrath S.J., Psychiatric aspects of chronic pain, Neurology, 45, (1995)
  • [8] Borsook D., Becerra L., Carlezon Jr W.A., Et al., Reward-aversion circuitry in analgesia and pain: Implications for psychiatric disorders, Eur J Pain, 11, pp. 7-20, (2007)
  • [9] Gureje O., Psychiatric aspects of pain, Curr Opin Psychiatry, 20, pp. 42-46, (2007)
  • [10] Borsook D., Ploghaus A., Becerra L., Utilizing brain imaging for analgesic drug development, Curr Opin Investig Drugs, 3, pp. 1342-1347, (2002)