Evidence map›Paper›PMID 42602173›Full record

ReviewAnnals of neurosciences2026

Neuroimaging in Addiction: Principles of Functional Near-infrared Spectroscopy and Its Emerging Role in De-addiction: A Narrative Review.

Medala Kalpana, Maheshkumar K, Madhusudhan Umesh, Vidya Ganji, Archana Gaur, Anish Singhal, Madhuri Taranikanti, Nitin Ashok John, Naveen Ravi, Vidya Singaravelu

Abstract readReview
In one paragraph

Review in Annals of neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Medala KalpanaDepartment of Physiology, Government Yoga & Naturopathy Medical college & Hospital, Chennai, Tamilnadu, India.ORCID https://orcid.org/0000-0002-1357-7584
Maheshkumar KDepartment of Physiology, AIIMS Bibinagar, Hyderabad, Telangana, India.ORCID https://orcid.org/0000-0002-5377-7847
Madhusudhan UmeshDepartment of Physiology, Government Yoga & Naturopathy Medical college & Hospital, Chennai, Tamilnadu, India.
Vidya GanjiDepartment of Physiology, Government Yoga & Naturopathy Medical college & Hospital, Chennai, Tamilnadu, India.
Archana GaurDepartment of Physiology, Government Yoga & Naturopathy Medical college & Hospital, Chennai, Tamilnadu, India.ORCID https://orcid.org/0000-0002-1380-4679
Anish SinghalDepartment of Physiology, Government Yoga & Naturopathy Medical college & Hospital, Chennai, Tamilnadu, India.ORCID https://orcid.org/0000-0002-5070-0131
Madhuri TaranikantiDepartment of Physiology, Government Yoga & Naturopathy Medical college & Hospital, Chennai, Tamilnadu, India.ORCID https://orcid.org/0000-0002-4458-3514
Nitin Ashok JohnDepartment of Physiology, Government Yoga & Naturopathy Medical college & Hospital, Chennai, Tamilnadu, India.
Naveen RaviDepartment of Physiology, BGS MCH, Bangalore, Karnataka, India.
Vidya SingaraveluDepartment of Pediatrics, Malla Reddy Vishwavidyapeeth, Hyderabad, Telangana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Substance use disorders (SUDs) remain a major global health challenge with high relapse rates. Functional near-infrared spectroscopy (fNIRS), a non-invasive, portable modality enabling real-time monitoring of cortical haemodynamic changes, is well suited to studying addiction neurobiology in ecologically valid settings. This review examines fNIRS principles and applications in addiction research and de-addiction therapy. Summary: PubMed, Scopus and Web of Science were searched (2000-2025) using terms including fNIRS, addiction, substance use disorder, prefrontal cortex, neurofeedback and de-addiction. fNIRS reliably detects altered prefrontal cortex (PFC) haemodynamic responses during cue-reactivity and cognitive tasks in addiction. Findings include reduced dorsolateral PFC activation with prolonged abstinence, differential orbitofrontal cortex activation across substances, and use as a treatment-response biomarker. Emerging applications include neurofeedback and machine-learning-based classification. fNIRS offers portability and ecological validity over conventional neuroimaging. Future research should standardise protocols, validate biomarkers in multicentre trials, and integrate fNIRS with EEG and fMRI. Key Message: fNIRS is a portable, non-invasive tool that reliably detects altered prefrontal cortex activation in substance use disorders. Cue-reactivity and cognitive paradigms identify biomarkers of craving, executive dysfunction and relapse risk. fNIRS-based neurofeedback shows early promise for improving self-regulation and reducing relapse. Wearable fNIRS with machine learning and multimodal integration enables personalised addiction monitoring.

Indexed as

addictionbiomarkerde-addictionFunctional near-infrared spectroscopyneurofeedbackneuroimagingprefrontal cortexsubstance use disorder

Identifiers

PMID42602173
PMCPMC13473313

What OpenQuestion holds

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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.