Evidence map›Paper›PMID 42865001›Full record

ArticlePain research & management2026

Iron-Sensitive MRI Reveals Individual Differences in Pain Modulation Rather Than Categorical Markers in Chronic Pain and Migraine.

Omar Ydlibi, Mona Salehi Ravesh, Florian Bernerth, Burkhard Maedler, Olav Jansen, Janne Gierthmühlen, Sönke Peters

Abstract read
In one paragraph

Article in Pain research & management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Omar YdlibiDepartment of Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany, uksh.de.ORCID https://orcid.org/0009-0006-4732-3159
Mona Salehi RaveshDepartment of Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany, uksh.de.
Florian BernerthDepartment of Pain Research and Therapy, University Hospital of Schleswig Holstein, Kiel, Schleswig-Holstein, Germany, uksh.de.ORCID https://orcid.org/0009-0009-6855-3799
Burkhard MaedlerClinical Science, Philips Healthcare, Hamburg, Germany, philips.com.ORCID https://orcid.org/0000-0002-1465-2961
Olav JansenDepartment of Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany, uksh.de.ORCID https://orcid.org/0000-0002-7330-1942
Janne GierthmühlenDepartment of Pain Research and Therapy, University Hospital of Schleswig Holstein, Kiel, Schleswig-Holstein, Germany, uksh.de.ORCID https://orcid.org/0000-0003-2160-5503
Sönke PetersDepartment of Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany, uksh.de.ORCID https://orcid.org/0000-0001-5151-5838

Funding

Projekt DEAL
6 · The paper itself

Abstract

objectiveTo determine whether regional iron levels are associated with endogenous pain-inhibitory function and whether iron-sensitive MRI techniques, quantitative magnetic susceptibility (QSM) and

methodsSixty participants (20 CP, 20 M, and 20 HV) underwent a 3T MRI examination. Pain modulatory and autonomic function was assessed using conditioned pain modulation (CPM) and pupil reflex dilation (PRD) across all participants (n = 60), whereas quantitative sensory testing (QST) and pain sensitivity questionnaire (PSQ) were assessed in CP and M only (n = 40). Group differences and iron-pain relationships were evaluated using ANOVA or Kruskal-Wallis tests and linear regression models.

resultsDistinct region- and modality-specific relationships were observed between iron-sensitive MRI measures and pain-related outcomes.

conclusionModality-specific associations between iron-sensitive MRI measures and descending inhibition, nociceptive gain, and autonomic reactivity were observed. These findings indicate that QSM and

Indexed as

BrainChronic PainIndividualityIronMagnetic Resonance ImagingMigraine DisordersAdultBrain MappingFemaleHumansMaleMiddle AgedPain MeasurementPain ThresholdPeriaqueductal GrayYoung AdultIronconditioned pain modulationglobus pallidumperiaqueductal greypupil reflex dilationquantitative magnetic susceptibility mappingquantitative sensory testingR2∗ mappingred nucleus

Identifiers

PMID42865001
PMCPMC13659051

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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.