Evidence map›Paper›PMID 21080967›Full record

Trial reportMolecular pain2010

Imaging the functional connectivity of the Periaqueductal Gray during genuine and sham electroacupuncture treatment.

Carolyn E Zyloney, Karin Jensen, Ginger Polich, Rita E Loiotile, Alexandra Cheetham, Peter S LaViolette, Peichi Tu, Ted J Kaptchuk, Randy L Gollub, Jian Kong

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecular pain, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Trial
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  18. Resting-State fMRI in Studies of Acupuncture.Evidence-based complementary and alternative medicine : eCAM · 2021
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carolyn E ZyloneyDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, USA. czyloney@gmail.com
Karin Jensen
Ginger Polich
Rita E Loiotile
Alexandra Cheetham
Peter S LaViolette
Peichi Tu
Ted J Kaptchuk
Randy L Gollub
Jian Kong

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI HALL, JANET E · 1985 to 2008
$37.4M
ULTRAHIGH FIELD TECHNOLOGY FOR FUNCTIONAL IMAGINGP41RR014075 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BOAS, DAVID A · 1999 to 2011
$16.4M
Project 3P01AT002048 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2003 to 2010
$8.5M
An fMRI study of expectancy on acupuncture treatment outcomes in knee OAR01AT005280 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, KAPTCHUK, TED · 2010 to 2014
$3.9M
Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
An acupuncture fMRI study on chronic pain: response reliability and dose effectR21AT004497 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2009 to 2010
$741k
Study of individual variability in acupuncture and placebo analgesiaK01AT003883 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2006 to 2010
$678k
fMRI and Opioid Neuroimaging of Acupuncture AnalgesiaR21AT000949 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI GOLLUB, RANDY LYANNE · 2002 to 2003
$445k
NCCIH NIH HHS K24AT004095NCCIH NIH HHS KO1AT003883NCCIH NIH HHS P01-AT002048NCCIH NIH HHS R01AT005280NCCIH NIH HHS R21AT004497NCCIH NIH HHS R21AT00949NCRR NIH HHS M01-RR-01066NCRR NIH HHS P41RR14075NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1 RR025758-01
6 · The paper itself

Abstract

backgroundElectroacupuncture (EA) is currently one of the most popular acupuncture modalities. However, the continuous stimulation characteristic of EA treatment presents challenges to the use of conventional functional Magnetic Resonance Imaging (fMRI) approaches for the investigation of neural mechanisms mediating treatment response because of the requirement for brief and intermittent stimuli in event related or block designed task paradigms. A relatively new analysis method, functional connectivity fMRI (fcMRI), has great potential for studying continuous treatment modalities such as EA. In a previous study, we found that, compared with sham acupuncture, EA can significantly reduce Periaqueductal Gray (PAG) activity when subsequently evoked by experimental pain. Given the PAG's important role in mediating acupuncture analgesia, in this study we investigated functional connectivity with the area of the PAG we previously identified and how that connectivity was affected by genuine and sham EA.

resultsForty-eight subjects, who were randomly assigned to receive either genuine or sham EA paired with either a high or low expectancy manipulation, completed the study. Direct comparison of each treatment mode's functional connectivity revealed: significantly greater connectivity between the PAG, left posterior cingulate cortex (PCC), and precuneus for the contrast of genuine minus sham; significantly greater connectivity between the PAG and right anterior insula for the contrast of sham minus genuine; no significant differences in connectivity between different contrasts of the two expectancy levels.

conclusionsOur findings indicate the intrinsic functional connectivity changes among key brain regions in the pain matrix and default mode network during genuine EA compared with sham EA. We speculate that continuous genuine EA stimulation can modify the coupling of spontaneous activity in brain regions that play a role in modulating pain perception.

Indexed as

Acupuncture AnalgesiaAdultBrain MappingElectroacupunctureFemaleHumansMagnetic Resonance ImagingMaleNeural PathwaysPain PerceptionPeriaqueductal GrayPlacebosYoung AdultPlacebos

Identifiers

PMID21080967
PMCPMC2993660

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.