Evidence map›Paper›PMID 41033105›Full record

ArticleEBioMedicine2025

Exploring electroencephalographic chronic pain biomarkers: a mega-analysis.

Felix S Bott, Paul Theo Zebhauser, Vanessa D Hohn, Özgün Turgut, Elisabeth S May, Laura Tiemann, Cristina Gil Ávila, Henrik Heitmann, Moritz M Nickel, Melissa A Day and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in EBioMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07756229 (Predictors of Response After Physiotherapy Treatment in People With Chronic Non-specific Neck Pain), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

NCT07756229 narecruitingnot on this map

Predictors of Response After Physiotherapy Treatment in People With Chronic Non-specific Neck Pain

TypeinterventionalSponsorAnder Cervantes BenítezRan2024 to 2027Enrolled100ConditionsNeck Pain Musculoskeletal, Chronic Neck PainArmsManual physiotherapy and neck-specific exercise programme
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
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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

18 authors.

Felix S BottDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany; Center for Interdisciplinary Pain Medicine, School of Medicine and Health, TUM, Munich, Germany.
Paul Theo ZebhauserDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany; Center for Interdisciplinary Pain Medicine, School of Medicine and Health, TUM, Munich, Germany.
Vanessa D HohnDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany.
Özgün TurgutInstitute for AI and Informatics in Medicine, TUM, Munich, Germany.
Elisabeth S MayDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany; Center for Interdisciplinary Pain Medicine, School of Medicine and Health, TUM, Munich, Germany.
Laura TiemannDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany; Center for Interdisciplinary Pain Medicine, School of Medicine and Health, TUM, Munich, Germany.
Cristina Gil ÁvilaDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany.
Henrik HeitmannTUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany; Center for Interdisciplinary Pain Medicine, School of Medicine and Health, TUM, Munich, Germany.
Moritz M NickelDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany.
Melissa A DaySchool of Psychology, University of Queensland, Brisbane, QLD, Australia.
Divya B AdhiaDepartment of Surgical Sciences, Otago Medical School, University of Otago, Dunedin, New Zealand.
Yoni K AsharDepartment of Psychiatry, Weill Cornell Medical College, New York City, NY, USA.
Tor D WagerDepartment of Psychology and Neuroscience, University of Colorado, Boulder, USA.
Yelena GranovskyLaboratory of Clinical Neurophysiology, Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.
David YarnitskyLaboratory of Clinical Neurophysiology, Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.
Mark P JensenDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Joachim GrossInstitute for Biomagnetism and Biosignalanalysis, University of Münster, Münster, Germany.
Markus PlonerDepartment of Neurology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, School of Medicine and Health, TUM, Munich, Germany; Center for Interdisciplinary Pain Medicine, School of Medicine and Health, TUM, Munich, Germany. Electronic address: markus.ploner@tum.de.

Funding

The neural bases of placebo effects and their relation to regulatory processesR37MH076136 · NIMH · DARTMOUTH COLLEGE · PI TOR D. WAGER · 2024 to 2026
$2.4M
NIMH NIH HHS R37 MH076136
6 · The paper itself

Abstract

backgroundChronic pain is associated with alterations in brain function, offering promising avenues for advancing diagnostic and therapeutic strategies. In particular, these alterations may serve as brain-based biomarkers to support diagnosis, guide treatment decisions and monitor clinical courses of chronic pain.

methodsMotivated by this potential, this study analysed associations between chronic pain and changes of large-scale brain network function using resting-state electroencephalography (EEG) from 614 individuals with chronic pain, collected by research groups from Australia, Germany, Israel, New Zealand, and the US.

findingsEmploying a discovery-replication approach, we found limited replicability of associations between pain intensity and brain network connectivity. However, a mega-analysis combining all datasets revealed robust associations between pain intensity and large-scale brain network connectivity at theta frequencies and including the limbic network. Additionally, multivariate analyses identified connectivity patterns spanning theta, alpha, and beta frequencies with strong evidence for associations with pain intensity. Variations and ablations of model features yielded deeper insights into the relative importance of distinct electrophysiological brain features in assessing chronic pain.

interpretationOur findings highlight challenges and provide guidance for developing EEG-based, scalable, and affordable biomarkers of chronic pain.

fundingThis project was funded by the Deutsche Forschungsgemeinschaft and the Technical University of Munich.

Indexed as

BiomarkersBrainChronic PainElectroencephalographyAdultFemaleHumansMaleMiddle AgedBiomarkersBiomarkersChronic painElectroencephalographyLarge-scale brain networksReplicability

Identifiers

PMID41033105
PMCPMC12517086

What OpenQuestion holds

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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.