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Related Concept Videos

Brain Imaging01:14

Brain Imaging

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Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans),  magnetic resonance imaging (MRI),  functional magnetic resonance imaging (fMRI), and Transcranial Magnetic...
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Non-invasive brain stimulation as a tool to decrease chronic pain in current opiate users: A parametric evaluation of

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Motor cortex transcranial magnetic stimulation (TMS) significantly reduced pain interference and opiate cravings more than dorsolateral prefrontal cortex TMS in chronic pain patients. This suggests motor cortex is a promising target for opiate dependence.

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Area of Science:

  • Neurology
  • Pain Management
  • Neuroscience

Background:

  • Chronic pain often leads to opiate use, presenting a community health crisis.
  • Transcranial magnetic stimulation (TMS) is an emerging non-invasive treatment for chronic pain.
  • Optimal TMS stimulation site for pain and opiate use remains unclear.

Purpose of the Study:

  • To directly compare the efficacy of dorsolateral prefrontal cortex (DLPFC) versus motor cortex (MC) TMS.
  • To assess the impact on pain severity and the urge to use opiates in chronic pain patients.

Main Methods:

  • Twenty-two chronic pain patients using prescription opiates were randomized.
  • Received 10 sessions of 10 Hz repetitive TMS (rTMS) to either left DLPFC or left MC.
  • Multivariate linear models analyzed pain, distress, and opiate urge using Brief Pain Inventory (BPI) data.

Main Results:

  • Twenty participants completed the study.
  • Motor cortex (MC) TMS significantly decreased pain interference compared to DLPFC TMS.
  • MC stimulation showed larger effects on pain interference (Cohen's d: 0.7) and opiate urge (Cohen's d: 0.5).

Conclusions:

  • Motor cortex (MC) stimulation appears more effective than DLPFC stimulation.
  • MC TMS may be a promising target for reducing opiate dependence.
  • Further research into MC TMS for chronic pain and opiate use is warranted.