Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic pain

Abstract. Introduction:. Objective disease markers are a key for diagnosis and personalized interventions. In chronic pain, such markers are still not available, and therapy relies on individual patients' reports. However, several pain studies have reported group-based differences in functional...

Full description

Bibliographic Details
Main Authors: Bart Witjes, Sylvain Baillet, Mathieu Roy, Robert Oostenveld, Frank J.P.M. Huygen, Cecile C. de Vos
Format: Article
Language:English
Published: Wolters Kluwer 2021-07-01
Series:PAIN Reports
Online Access:http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000928
_version_ 1819004438405185536
author Bart Witjes
Sylvain Baillet
Mathieu Roy
Robert Oostenveld
Frank J.P.M. Huygen
Cecile C. de Vos
author_facet Bart Witjes
Sylvain Baillet
Mathieu Roy
Robert Oostenveld
Frank J.P.M. Huygen
Cecile C. de Vos
author_sort Bart Witjes
collection DOAJ
description Abstract. Introduction:. Objective disease markers are a key for diagnosis and personalized interventions. In chronic pain, such markers are still not available, and therapy relies on individual patients' reports. However, several pain studies have reported group-based differences in functional magnetic resonance imaging, electroencephalography, and magnetoencephalography (MEG). Objectives:. We aimed to explore spectral differences in resting-state MEG brain signals between patients with chronic pain and pain-free controls and to characterize the cortical and subcortical regions involved. Methods:. We estimated power spectral density over 5 minutes of resting-state MEG recordings in patients with chronic pain and controls and derived 7 spectral features at the sensor and source levels: alpha peak frequency, alpha power ratio (power 7–9 Hz divided by power 9–11 Hz), and average power in theta, alpha, beta, low-gamma, and high-gamma bands. We performed nonparametric permutation t tests (false discovery rate corrected) to assess between-group differences in these 7 spectral features. Results:. Twenty-one patients with chronic pain and 25 controls were included. No significant group differences were found in alpha peak frequency or average power in any frequency band. The alpha power ratio was significantly higher (P < 0.05) in patients with chronic pain at both the sensor and brain source levels. The brain regions showing significantly higher ratios included the occipital, parietal, temporal and frontal lobe areas, insular and cingulate cortex, and right thalamus. Conclusion:. The alpha power ratio is a simple, promising signal marker of chronic pain, affecting an expansive range of cortical and subcortical regions, including known pain-processing areas.
first_indexed 2024-12-20T23:36:54Z
format Article
id doaj.art-860548088cb6462599652373913d8b0c
institution Directory Open Access Journal
issn 2471-2531
language English
last_indexed 2024-12-20T23:36:54Z
publishDate 2021-07-01
publisher Wolters Kluwer
record_format Article
series PAIN Reports
spelling doaj.art-860548088cb6462599652373913d8b0c2022-12-21T19:23:11ZengWolters KluwerPAIN Reports2471-25312021-07-0162e92810.1097/PR9.0000000000000928202107000-00002Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic painBart Witjes0Sylvain Baillet1Mathieu Roy2Robert Oostenveld3Frank J.P.M. Huygen4Cecile C. de Vos5a Center for Pain Medicine, Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlandsb McConnell Brain imaging Centre, Montreal Neurological Institute, McGill University, Montreal, Canadac Department of Psychology, McGill University, Montreal, Canadad Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlandsa Center for Pain Medicine, Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlandsa Center for Pain Medicine, Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the NetherlandsAbstract. Introduction:. Objective disease markers are a key for diagnosis and personalized interventions. In chronic pain, such markers are still not available, and therapy relies on individual patients' reports. However, several pain studies have reported group-based differences in functional magnetic resonance imaging, electroencephalography, and magnetoencephalography (MEG). Objectives:. We aimed to explore spectral differences in resting-state MEG brain signals between patients with chronic pain and pain-free controls and to characterize the cortical and subcortical regions involved. Methods:. We estimated power spectral density over 5 minutes of resting-state MEG recordings in patients with chronic pain and controls and derived 7 spectral features at the sensor and source levels: alpha peak frequency, alpha power ratio (power 7–9 Hz divided by power 9–11 Hz), and average power in theta, alpha, beta, low-gamma, and high-gamma bands. We performed nonparametric permutation t tests (false discovery rate corrected) to assess between-group differences in these 7 spectral features. Results:. Twenty-one patients with chronic pain and 25 controls were included. No significant group differences were found in alpha peak frequency or average power in any frequency band. The alpha power ratio was significantly higher (P < 0.05) in patients with chronic pain at both the sensor and brain source levels. The brain regions showing significantly higher ratios included the occipital, parietal, temporal and frontal lobe areas, insular and cingulate cortex, and right thalamus. Conclusion:. The alpha power ratio is a simple, promising signal marker of chronic pain, affecting an expansive range of cortical and subcortical regions, including known pain-processing areas.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000928
spellingShingle Bart Witjes
Sylvain Baillet
Mathieu Roy
Robert Oostenveld
Frank J.P.M. Huygen
Cecile C. de Vos
Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic pain
PAIN Reports
title Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic pain
title_full Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic pain
title_fullStr Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic pain
title_full_unstemmed Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic pain
title_short Magnetoencephalography reveals increased slow-to-fast alpha power ratios in patients with chronic pain
title_sort magnetoencephalography reveals increased slow to fast alpha power ratios in patients with chronic pain
url http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000928
work_keys_str_mv AT bartwitjes magnetoencephalographyrevealsincreasedslowtofastalphapowerratiosinpatientswithchronicpain
AT sylvainbaillet magnetoencephalographyrevealsincreasedslowtofastalphapowerratiosinpatientswithchronicpain
AT mathieuroy magnetoencephalographyrevealsincreasedslowtofastalphapowerratiosinpatientswithchronicpain
AT robertoostenveld magnetoencephalographyrevealsincreasedslowtofastalphapowerratiosinpatientswithchronicpain
AT frankjpmhuygen magnetoencephalographyrevealsincreasedslowtofastalphapowerratiosinpatientswithchronicpain
AT cecilecdevos magnetoencephalographyrevealsincreasedslowtofastalphapowerratiosinpatientswithchronicpain