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Structural connectivity changes in the cerebral pain matrix in burning mouth syndrome: a multi-shell,
Ryo Kurokawa1, Kouhei Kamiya2,3, Shohei Inui2
1Department of Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. rkurokawa-tky@umin.ac.jp.
Neuroradiology
|June 18, 2021
Summary
This study reveals altered brain connectivity in burning mouth syndrome (BMS) patients, particularly in areas related to pain processing. These findings suggest a distinct emotional-affective component to this chronic pain condition.
Area of Science:
- Neuroscience
- Medical Imaging
- Pain Research
Background:
- Burning mouth syndrome (BMS) is a chronic oral pain condition.
- Previous research explored brain connectivity in BMS using MRI, but not with advanced diffusion imaging techniques.
- This study introduces novel methods to investigate structural brain connectivity in BMS.
Purpose of the Study:
- To assess differences in brain structural connectivity between BMS patients and healthy controls.
- To utilize advanced diffusion imaging methods: multi-shell, multi-tissue-constrained spherical deconvolution (MSMT-CSD), anatomically constrained tractography (ACT), and spherical deconvolution informed filtering of tractograms (SIFT).
- To apply graph analysis to probabilistic tractography data for network comparison.
Main Methods:
- 14 BMS patients and 11 healthy controls underwent 3-T MRI.
- Probabilistic structural connectivity was computed using MSMT-CSD, ACT, and SIFT algorithms.
- Graph analysis, including t-tests, compared brain networks between groups based on 84 cortical regions.
Main Results:
- BMS patients showed significantly higher betweenness centrality in the left insula, right amygdala, and right lateral orbitofrontal cortex.
- BMS patients exhibited significantly lower betweenness centrality in the right inferotemporal cortex.
- No significant differences were observed in clustering coefficient, node degree, or small-worldness between groups.
Conclusions:
- Graph analysis of structural connectivity using advanced diffusion imaging identified alterations in pain-related brain regions in BMS.
- These findings underscore the emotional-affective aspects of burning mouth syndrome.
- The study highlights the utility of MSMT-CSD, ACT, and SIFT in characterizing chronic pain conditions.
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