Innovations in acute and chronic pain biomarkers: enhancing diagnosis and personalized therapy
Regional Anesthesia & Pain Medicine,
Journal Year:
2025,
Volume and Issue:
50(2), P. 110 - 120
Published: Feb. 1, 2025
Pain
affects
millions
worldwide,
posing
significant
challenges
in
diagnosis
and
treatment.
Despite
advances
understanding
pain
mechanisms,
there
remains
a
critical
need
for
validated
biomarkers
to
enhance
diagnosis,
prognostication,
personalized
therapy.
This
review
synthesizes
recent
advancements
identifying
validating
acute
chronic
biomarkers,
including
imaging,
molecular,
sensory,
neurophysiological
approaches.
We
emphasize
the
emergence
of
composite,
multimodal
strategies
that
integrate
psychosocial
factors
improve
precision
applicability
management.
Neuroimaging
techniques
like
MRI
positron
emission
tomography
provide
insights
into
structural
functional
abnormalities
related
pain,
while
electrophysiological
methods
electroencepholography
magnetoencepholography
assess
dysfunctional
processing
neuroaxis.
Molecular
cytokines,
proteomics,
metabolites,
offer
diagnostic
prognostic
potential,
though
extensive
validation
is
needed.
Integrating
these
with
clinical
practice
can
revolutionize
management
by
enabling
treatment
strategies,
improving
patient
outcomes,
potentially
reducing
healthcare
costs.
Future
directions
include
development
composite
biomarker
signatures,
artificial
intelligence,
signature
integration
decision
support
systems.
Rigorous
standardization
efforts
are
also
necessary
ensure
clinically
useful.
Large-scale
collaborative
research
will
be
vital
driving
progress
this
field
implementing
practice.
comprehensive
highlights
potential
transform
management,
offering
hope
improved
personalization,
outcomes.
Language: Английский
Mapping Hand Function with Simultaneous Brain-Spinal Cord Functional MRI
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 27, 2025
Hand
motor
control
depends
on
intricate
brain-spinal
cord
interactions
that
regulate
muscle
activity.
function
can
be
disrupted
by
injury
to
the
brain,
spinal
cord,
and
peripheral
nerves
leading
weakness
impaired
coordination.
Functional
MRI
(fMRI)
map
motor-related
neural
activity
potentially
characterize
mechanisms
underlying
hand
diminished
Although
brain
has
been
extensively
studied,
remain
less
explored.
Here
we
use
simultaneous
fMRI
related
strength
dexterity
across
central
nervous
system
using
force
matching
finger
tapping
tasks.
This
study
pioneers
of
comprehensively
function,
offering
novel
insights
into
coordinated
processing
system.
We
performed
in
28
right-handed
healthy
volunteers
(age:
40.0
±
13.8
years,
14
females,
males)
a
3T
GE
SIGNA
Premier
scanner
equipped
with
21-channel
head-neck
coil.
Participants
force-matching
task
at
10%,
20%,
30%
maximum
voluntary
contraction
dynamometer.
For
task,
participants
completed
button-presses
1
Hz
5-button
response
pad
for
three
levels:
single-digit
second
digit
only
(low),
all
digits
sequential
order
(medium),
random
(high).
Visual
cues
feedback
were
provided
during
tasks.Brain
images
processed
separately
FSL
Spinal
Cord
Toolbox,
motion
correction,
physiological
noise
filtering,
spatial
normalization
standard
templates.
Subject
level
maps
generated
entered
group
analyses
explore
both
activations
deactivations.
used
mixed
effect
design
voxelwise
threshold
Z
score
>
3.10
cluster
p
<
0.05.
fixed
1.64
Region
interest
(ROI)
conducted
examine
localized
changes
activation
levels.
Both
tasks
elicited
sensory
regions
graded
responses
left
primary
(M1),
(S1)
cortex,
right
gray
matter
Deactivation
M1
S1
was
also
present
high
task.
The
ROI
analysis
findings
complemented
maps.
Our
provides
detailed
revealing
inhibition
patterns
regions.
Interhemispheric
inhibition,
reflected
deactivation,
likely
restricts
extraneous
output
unilateral
matching,
deactivation
ventral
dorsal
horns
first
evidence
areas
extends
cord.
Whether
this
results
from
direct
descending
modulation
or
interneuronal
remains
interrogated.
These
expand
our
understanding
could
inform
rehabilitation
strategies
individuals
impairments.
approach
coordination
enhancing
its
modulation.
may
offer
foundation
studying
dysfunction
conditions
such
as
stroke,
injury,
neurodegenerative
diseases.
Language: Английский
Cerebro-spinal somatotopic organization uncovered through functional connectivity mapping
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 12, 2024
Abstract
Somatotopy,
the
topographical
arrangement
of
sensorimotor
pathways
corresponding
to
distinct
body
parts,
is
a
fundamental
feature
human
central
nervous
system
(CNS).
Traditionally,
investigations
into
brain
and
spinal
cord
somatotopy
have
been
conducted
independently,
primarily
utilizing
stimulations
or
movements.
To
date,
however,
no
study
has
probed
somatotopic
cerebro-spinal
functional
connections
in
vivo
humans.
In
this
study,
we
used
simultaneous
cervical
magnetic
resonance
imaging
(fMRI)
demonstrate
how
coordinated
activities
these
two
CNS
levels
at
rest
can
reveal
their
shared
somatotopy.
Using
connectivity
analyses,
mapped
preferential
correlation
patterns
between
each
segment
regions,
revealing
gradient
within
cortical
network.
We
then
validated
large-scale
organization
through
complementary
data-driven
analysis,
where
effectively
identified
segments
profiles
voxels
with
cortex.
These
findings
underscore
potential
resting-state
fMRI
probe
minimal
experimental
burden,
holding
promise
for
gaining
more
comprehensive
understanding
normal
impaired
somatosensory-motor
functions.
Language: Английский
Towards non-invasive imaging through spinal-cord generated magnetic fields
Frontiers in Medical Technology,
Journal Year:
2024,
Volume and Issue:
6
Published: Oct. 9, 2024
Non-invasive
imaging
of
the
human
spinal
cord
is
a
vital
tool
for
understanding
mechanisms
underlying
its
functions
in
both
healthy
and
pathological
conditions.
However,
non-invasive
presents
significant
methodological
challenge
because
difficult
to
access
with
conventional
neurophysiological
approaches,
due
proximity
other
organs
muscles,
as
well
physiological
movements
caused
by
respiration,
heartbeats,
cerebrospinal
fluid
(CSF)
flow.
Here,
we
discuss
present
state
future
directions
imaging,
focus
on
estimation
current
flow
through
magnetic
field
measurements.
We
existing
cryogenic
(superconducting)
non-cryogenic
(optically-pumped
magnetometer-based,
OPM)
systems,
highlight
their
strengths
limitations
studying
function.
While
challenges
remain,
particularly
source
interference
rejection,
field-based
neuroimaging
offers
novel
avenue
advancing
research
various
areas.
These
include
sensorimotor
processing,
cortico-spinal
interplay,
brain
plasticity
during
learning
recovery
from
injury,
pain
perception.
Additionally,
this
technology
holds
promise
diagnosing
optimizing
treatment
disorders.
Language: Английский
Cerebro-spinal somatotopic organization uncovered through functional connectivity mapping
Imaging Neuroscience,
Journal Year:
2024,
Volume and Issue:
2, P. 1 - 14
Published: Jan. 1, 2024
Abstract
Somatotopy,
the
topographical
arrangement
of
sensorimotor
pathways
corresponding
to
distinct
body
parts,
is
a
fundamental
feature
human
central
nervous
system
(CNS).
Traditionally,
investigations
into
brain
and
spinal
cord
somatotopy
have
been
conducted
independently,
primarily
utilizing
stimulations
or
movements.
To
date,
however,
no
study
has
probed
somatotopic
cerebro-spinal
functional
connections
in
vivo
humans.
In
this
study,
we
used
simultaneous
cervical
magnetic
resonance
imaging
(fMRI)
demonstrate
how
coordinated
activities
these
two
CNS
levels
at
rest
can
reveal
their
shared
somatotopy.
Using
connectivity
analyses,
mapped
preferential
correlation
patterns
between
each
segment
regions,
revealing
gradient
within
cortical
network.
We
then
validated
large-scale
organization
through
complementary
data-driven
analysis,
where
effectively
identified
segments
profiles
voxels
with
cortex.
These
findings
underscore
potential
resting-state
fMRI
probe
minimal
experimental
burden,
holding
promise
for
gaining
more
comprehensive
understanding
normal
impaired
somatosensory-motor
functions.
Language: Английский