Evidence map›Paper›PMID 25848773›Full record

Trial reportPloS one2015

Self-regulation of brain activity in patients with postherpetic neuralgia: a double-blind randomized study using real-time FMRI neurofeedback.

Min Guan, Lijia Ma, Li Li, Bin Yan, Lu Zhao, Li Tong, Shewei Dou, Linjie Xia, Meiyun Wang, Dapeng Shi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Effects of fMRI neurofeedback of right inferior frontal cortex on inhibitory brain activation in children with ADHD.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
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  10. Review
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  13. Neuroimaging Assessment of Pain.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
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  15. Brain circuits for pain and its treatment.Science translational medicine · 2021
    Review
  16. Review
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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.

Min GuanDepartment of Radiology, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Lijia MaDepartment of Radiology, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Li LiDepartment of Dermatology, Second People's Hospital of Zhengzhou, Zhengzhou, Henan, China.
Bin YanChina National Digital Switching System Engineering and Technological Research Center, Zhengzhou, Henan, China.
Lu ZhaoMcConnell Brain Imaging Center, Montreal Neurological Institute, McGill University, Québec, Canada.
Li TongChina National Digital Switching System Engineering and Technological Research Center, Zhengzhou, Henan, China.
Shewei DouDepartment of Radiology, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Linjie XiaDepartment of Pain Management, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Meiyun WangDepartment of Radiology, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Dapeng ShiDepartment of Radiology, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA pilot study has shown that real-time fMRI (rtfMRI) neurofeedback could be an alternative approach for chronic pain treatment. Considering the relative small sample of patients recruited and not strictly controlled condition, it is desirable to perform a replication as well as a double-blinded randomized study with a different control condition in chronic pain patients. Here we conducted a rtfMRI neurofeedback study in a subgroup of pain patients - patients with postherpetic neuralgia (PHN) and used a different sham neurofeedback control. We explored the feasibility of self-regulation of the rostral anterior cingulate cortex (rACC) activation in patients with PHN through rtfMRI neurofeedback and regulation of pain perception.

methodsSixteen patients (46-71 years) with PHN were randomly allocated to a experimental group (n = 8) or a control group (n = 8). 2 patients in the control group were excluded for large head motion. The experimental group was given true feedback information from their rACC whereas the control group was given sham feedback information from their posterior cingulate cortex (PCC). All subjects were instructed to perform an imagery task to increase and decrease activation within the target region using rtfMRI neurofeedback.

resultsOnline analysis showed 6/8 patients in the experimental group were able to increase and decrease the blood oxygen level dependent (BOLD) fMRI signal magnitude during intermittent feedback training. However, this modulation effect was not observed in the control group. Offline analysis showed that the percentage of BOLD signal change of the target region between the last and first training in the experimental group was significantly different from the control group's and was also significantly different than 0. The changes of pain perception reflected by numerical rating scale (NRS) in the experimental group were significantly different from the control group. However, there existed no significant correlations between BOLD signal change and NRS change.

conclusionPatients with PHN could learn to voluntarily control over activation in rACC through rtfMRI neurofeedback and alter their pain perception level. The present study may provide new evidence that rtfMRI neurofeedback training may be a supplemental approach for chronic clinical pain management.

Indexed as

NeurofeedbackAgedDouble-Blind MethodFemaleGyrus CinguliHumansMagnetic Resonance ImagingMaleMiddle AgedMotor CortexNeuralgia, PostherpeticPain PerceptionParietal LobeTemporal LobeTreatment Outcome

Identifiers

PMID25848773
PMCPMC4388697

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.