Evidence map›Paper›PMID 37304733›Full record

ArticleNeurophotonics2023

Can pain under anesthesia be measured? Pain-related brain function using functional near-infrared spectroscopy during knee surgery.

Keerthana Deepti Karunakaran, Ke Peng, Stephen Green, Christine B Sieberg, Arielle Mizrahi-Arnaud, Andrea Gomez-Morad, David Zurakowski, Lyle Micheli, Barry Kussman, David Borsook

Abstract read
In one paragraph

Article in Neurophotonics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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  4. Barriers and facilitators for participation in brain magnetic resonance imaging (MRI) scans in cancer research: a feasibility and acceptability analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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.

Keerthana Deepti KarunakaranBoston Children's Hospital, Harvard Medical School, Center for Pain and the Brain, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.ORCID https://orcid.org/0000-0001-6448-9341
Ke PengBoston Children's Hospital, Harvard Medical School, Center for Pain and the Brain, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.ORCID https://orcid.org/0000-0003-1732-0492
Stephen GreenBoston Children's Hospital, Harvard Medical School, Center for Pain and the Brain, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.
Christine B SiebergBoston Children's Hospital, Harvard Medical School, Center for Pain and the Brain, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.
Arielle Mizrahi-ArnaudBoston Children's Hospital, Harvard Medical School, Center for Pain and the Brain, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.
Andrea Gomez-MoradBoston Children's Hospital, Harvard Medical School, Center for Pain and the Brain, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.
David ZurakowskiBoston Children's Hospital, Harvard Medical School, Division of Biostatistics, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.
Lyle MicheliBoston Children's Hospital, Harvard Medical School, Department of Sports Medicine, Boston, Massachusetts, United States.
Barry KussmanBoston Children's Hospital, Harvard Medical School, Division of Cardiac Anesthesia, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.
David BorsookBoston Children's Hospital, Harvard Medical School, Center for Pain and the Brain, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston, Massachusetts, United States.

Funding

Chronic Postsurgical Pain Across the Lifespan: Brain State and TreatmentR35GM142676 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI SIEBERG, CHRISTINE BARRETT · 2021 to 2025
$2.2M
Pediatric Persistent Post-surgical Pain: From Animals to Application (Supplement)K23GM123372 · NIGMS · BOSTON CHILDREN'S HOSPITAL · PI SIEBERG, CHRISTINE BARRETT · 2016 to 2020
$573k
NIGMS NIH HHS K23 GM123372NIGMS NIH HHS R35 GM142676
6 · The paper itself

Abstract

Significance: Quantitative measurement of perisurgical brain function may provide insights into the processes contributing to acute and chronic postsurgical pain. Aim: We evaluate the hemodynamic changes in the prefrontal cortex (medial frontopolar cortex/mFPC and lateral prefrontal cortex) and the primary somatosensory cortex/S1 using functional near-infrared spectroscopy (fNIRS) in 18 patients ( Approach: We examined the (a) hemodynamic response to surgery and (b) the relationship between surgery-modulated cortical connectivity (using beta-series correlation) and acute postoperative pain levels using Pearson's Results: We show a functional dissociation between mFPC and S1 in response to surgery, where mFPC deactivates, and S1 activates following a procedure. Furthermore, the connectivity between (a) left mFPC and right S1 (original Conclusions: Our findings suggest that greater functional dissociation between mFPC and S1 is likely the result of inadequately controlled nociceptive barrage during surgery leading to more significant postoperative pain. It also supports the utility of fNIRS during the perioperative state for pain monitoring and patient risk assessment for chronic pain.

Indexed as

anesthesiabeta series correlationfunctional near-infrared spectroscopypain monitoringprefrontal cortexsurgery

Identifiers

PMID37304733
PMCPMC10251429

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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.