Evidence map›Paper›PMID 23785162›Full record

SynthesisThe Journal of neuroscience : the official journal of the Society for Neuroscience2013

The autonomic brain: an activation likelihood estimation meta-analysis for central processing of autonomic function.

Florian Beissner, Karin Meissner, Karl-Jürgen Bär, Vitaly Napadow

Registry-linked trialAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06244823 (A Prospective Structural, Diffusion and Connectomics MRI Study on Migraine Patients Treated With Fremanezumab), which is not on this map. Cited by 467 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
467citing papers in PubMed, 8 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.

NCT06244823 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

A Prospective Structural, Diffusion and Connectomics MRI Study on Migraine Patients Treated With Fremanezumab: The FreMRI Study

TypeinterventionalSponsorHospital Clínico Universitario de ValladolidRan2023 to 2025Enrolled87ConditionsMigraine Disorders, Migraine With Aura, Migraine Without Aura, Brain DiseasesArmsFremanezumab Prefilled Syringe
3 · Its place in the literature

Who cites it

467 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Evidence for domain-general arousal from semantic and neuroimaging meta-analyses reconciles opposing views on arousal.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Pooled it
  6. Systemic Symptoms in Huntington's Disease: A Comprehensive Review.Movement disorders clinical practice · 2024
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Macro-structural brainstem volumetry in generalized epilepsy: assessment of subcortical network involvement.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  15. Article
  16. Article
  17. Review
  18. Distinct Brain Systems Support Afferent and Efferent Autonomic Activity.bioRxiv : the preprint server for biology · 2026
    Article
  19. Article
  20. Article

407 more citing papers are in PubMed but not listed here.

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

4 authors.

Florian BeissnerPain and Autonomics Integrative Research, Department of Psychiatry and Psychotherapy, Jena University Hospital, 07743 Jena, Germany. florian@nmr.mgh.harvard.edu
Karin Meissner
Karl-Jürgen Bär
Vitaly Napadow

Funding

The Role of Context Effect in Acupuncture Treatment of Low Back/J.KongP01AT006663 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, ROSEN, BRUCE R · 2011 to 2017
$10.0M
Brain Plasticity in Carpal Tunnel Syndrome and its Response to AcupunctureR01AT004714 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI NAPADOW, VITALY · 2008 to 2012
$4.5M
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
Brain Mechanisms for Autonomic Outflow and Nausea in Cyclic Vomiting SyndromeR21DK097499 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI KUO, BRADEN, NAPADOW, VITALY · 2012 to 2013
$471k
NCCIH NIH HHS P01 AT006663NCCIH NIH HHS P01-AT006663NCCIH NIH HHS R01 AT004714NCCIH NIH HHS R01-AT004714NCCIH NIH HHS R01 AT005280NCCIH NIH HHS R01-AT005280NIDDK NIH HHS R21 DK097499NIDDK NIH HHS R21-DK097499
6 · The paper itself

Abstract

The autonomic nervous system (ANS) is of paramount importance for daily life. Its regulatory action on respiratory, cardiovascular, digestive, endocrine, and many other systems is controlled by a number of structures in the CNS. While the majority of these nuclei and cortices have been identified in animal models, neuroimaging studies have recently begun to shed light on central autonomic processing in humans. In this study, we used activation likelihood estimation to conduct a meta-analysis of human neuroimaging experiments evaluating central autonomic processing to localize (1) cortical and subcortical areas involved in autonomic processing, (2) potential subsystems for the sympathetic and parasympathetic divisions of the ANS, and (3) potential subsystems for specific ANS responses to different stimuli/tasks. Across all tasks, we identified a set of consistently activated brain regions, comprising left amygdala, right anterior and left posterior insula and midcingulate cortices that form the core of the central autonomic network. While sympathetic-associated regions predominate in executive- and salience-processing networks, parasympathetic regions predominate in the default mode network. Hence, central processing of autonomic function does not simply involve a monolithic network of brain regions, instead showing elements of task and division specificity.

Indexed as

AnimalsAutonomic Nervous SystemBrainBrain MappingCentral Nervous SystemCluster AnalysisHumansLikelihood FunctionsMagnetic Resonance ImagingMagnetoencephalographyNerve NetParasympathetic Nervous SystemPositron-Emission TomographySympathetic Nervous SystemTomography, Emission-Computed, Single-Photon

Identifiers

PMID23785162
PMCPMC3685840

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.