Evidence map›Paper›PMID 39930372›Full record

ArticleThe journal of headache and pain2025

Uncovering longitudinal changes in the brain functional connectome along the migraine cycle: a multilevel clinical connectome fingerprinting framework.

Inês Esteves, Ana R Fouto, Amparo Ruiz-Tagle, Gina Caetano, Rita G Nunes, Nuno A da Silva, Pedro Vilela, Isabel Pavão Martins, Raquel Gil-Gouveia, César Caballero-Gaudes and 1 more

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Article in The journal of headache and pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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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

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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.

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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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

11 authors.

Inês EstevesISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico - Universidade de Lisboa, Lisbon, Portugal. ines.esteves@edu.ulisboa.pt.
Ana R FoutoISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico - Universidade de Lisboa, Lisbon, Portugal.
Amparo Ruiz-TagleISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico - Universidade de Lisboa, Lisbon, Portugal.
Gina CaetanoISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico - Universidade de Lisboa, Lisbon, Portugal.
Rita G NunesISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico - Universidade de Lisboa, Lisbon, Portugal.
Nuno A da SilvaHospital da Luz Learning Health, Luz Saúde, Lisbon, Portugal.
Pedro VilelaNeurology Department, Hospital da Luz, Lisbon, Portugal.
Isabel Pavão MartinsCentro de Estudos Egas Moniz e Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina da Universidade de Lisboa (FMUL), Lisbon, Portugal.
Raquel Gil-GouveiaNeurology Department, Hospital da Luz, Lisbon, Portugal.
César Caballero-GaudesBasque Center on Cognition, Brain and Language, Donostia - San Sebastian, Spain.
Patrícia FigueiredoISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico - Universidade de Lisboa, Lisbon, Portugal.

Funding

FCT PD/BD/150356/2019FCT PTDC/EMD-EMD/29675/2017LARSyS FCT DOI: 10.54499/LA/P/0083/2020PRR project Center for Responsible AI C645008882-00000055
6 · The paper itself

Abstract

backgroundChanges in large-scale brain networks have been reported in migraine patients, but it remains unclear how these manifest in the various phases of the migraine cycle. Case-control fMRI studies spanning the entire migraine cycle are lacking, precluding a complete assessment of brain functional connectivity in migraine. Such studies are essential for understanding the inherent changes in the brain of migraine patients as well as transient changes along the cycle. Here, we leverage the concept of functional connectome (FC) fingerprinting, whereby individual subjects may be identified based on their FC, to investigate changes in FC and its stability across different phases of the migraine cycle.

methodsWe employ a case-control longitudinal design to study a group of 10 patients with episodic menstrual or menstrual-related migraine without aura, in the 4 phases of their spontaneous migraine cycle (preictal, ictal, postictal, interictal), and a group of 14 healthy controls in corresponding phases of the menstrual cycle, using resting-state functional magnetic resonance imaging (fMRI). We propose a novel multilevel clinical connectome fingerprinting approach to analyse the FC identifiability not only within-subject, but also within-session and within-group.

resultsThis approach allowed us to obtain individual FC fingerprints by reconstructing the data using the first 19 principal components to maximize identifiability at all levels. We found decreased FC identifiability for patients in the preictal phase relative to controls, which increased with the progression of the attack and became comparable to controls in the interictal phase. Using Network-Based Statistic analysis, we found increased FC strength across several brain networks for patients in the ictal and postictal phases relative to controls.

conclusionOur novel multilevel clinical connectome fingerprinting approach captured FC variations along the migraine cycle in a case-control longitudinal study, bringing new insights into the cyclic nature of the disorder.

Indexed as

BrainConnectomeMenstrual CycleMigraine DisordersNerve NetAdultCase-Control StudiesFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingYoung AdultClinical connectome fingerprintingfMRIFunctional connectomeLongitudinalMenstrual cycleMigraineResting state

Identifiers

PMID39930372
PMCPMC11812190

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LicenceCC BY-NC-ND
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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.