Evidence map›Paper›PMID 41402733›Full record

ArticleThe journal of headache and pain2025

5.0 T MRI reveals characteristic alterations in visual and somatomotor networks associated with migraine chronification: a single-center prospective cohort study.

Jiaming Lu, Haiyun Han, Huanyu Ni, Dandan Kou, Hui Yang, Meijie Suo, Hanyu Dou, Yuhan Wang, Yun Xu, Xin Zhang and 1 more

Abstract read
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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 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Jiaming Lu *Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.
Haiyun Han *Department of Neurology, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, China.
Huanyu NiDepartment of Pharmacy, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.
Dandan KouDepartment of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.
Hui YangDepartment of Neurosurgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.
Meijie SuoDepartment of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.
Hanyu DouDepartment of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.
Yuhan WangDepartment of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.
Yun XuDepartment of Neurology, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, China.
Xin ZhangDepartment of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China. neuro_zx@163.com.
Qingxiu ZhangDepartment of Neurology, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, China. zhangqingxiu@163.com.

Funding

National Natural Science Foundation of China 82371327
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMigraine is increasingly acknowledged as a disorder of large-scale brain network hierarchy rather than a merely focal dysfunction. However, the neural substrates driving the transition from episodic migraine (EM) to chronic migraine (CM)-a key pathological process in migraine chronification, remain poorly delineated.

methodsUsing 5.0 T MRI, we examined 122 participants (30 healthy controls [HC], 66 EM, and 16 CM). Morphometric INverse Divergence (MIND)-based structural similarity networks and resting-state functional connectivity (FC) matrices were constructed from 3D T1 and rs-fMRI data parcellated with the Schaefer-400 atlas. Diffusion map embedding was applied to derive low-dimensional gradients indexing macroscale cortical hierarchy. Group differences in the principal gradient (G1) were assessed using one-way ANOVA with FDR-corrected post hoc tests. Partial Spearman correlations were used to link regional G1 values with attack frequency, disease duration, and anxiety (HAMA), depression (HAMD), and sleep quality (PSQI) scores.

resultsBoth MIND- and FC-derived gradients revealed a progressive flattening of the G1 along the HC-EM-CM continuum. These alterations were most prominent in the visual and somatomotor networks. Across the top overlapping regions, lower G1 values, reflecting diminished hierarchical segregation, were consistently associated with higher HAMA and HAMD scores and poorer sleep quality on the PSQI after FDR correction, particularly within visual–somatomotor network.

conclusions5.0 T MRI demonstrated a consistent, cross-modal disruption of the cortical hierarchy linked to migraine chronification, emphasizing the reduced hierarchical differentiation of visual-sensorimotor integration and its coupling with affective and sleep dysfunction. Gradient-based metrics may provide promising imaging markers for tracking disease progression.

Indexed as

Migraine DisordersNerve NetAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesYoung AdultChronificationCortical hierarchyFunctional connectivityMigraine, 5.0 T MRI, connectome gradient mappingStructure similarity networkVisual-Somatomotor networks

Identifiers

PMID41402733
PMCPMC12822020

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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.