Pain medicine

Resting-state brain functional connectivity in patients with chronic intractable pain who respond to spinal cord stimulation therapy

Br J AnaesthPublished Diagnostic accuracy study

Authors' conclusion

For patients with intractable chronic pain, functional connectivity between the middle anterior cingulate cortex and precuneus/posterior cingulate cortex is a promising candidate biomarker to estimate responsiveness to spinal cord stimulation before treatment.

Study context

Population
Patients with intractable chronic pain undergoing spinal cord stimulation (SCS) trials
Participants
29 patients
Comparison
Responder vs Non-responder
  • Respondern = 14
  • Non-respondern = 15reference
Outcome
Prediction of SCS responsiveness by resting-state functional connectivity (ROC analysis)

Performance

As reported in the abstract

Middle anterior cingulate cortex–precuneus/posterior cingulate cortex functional connectivity predicting SCS responsiveness
Sensitivity
71%
Specificity
87%
AUC
0.814
Prediction greater than chance
P<0.001

Original publication

Resting-state brain functional connectivity in patients with chronic intractable pain who respond to spinal cord stimulation therapy. Br J Anaesth. Published 30 November 2024. doi:10.1016/j.bja.2024.10.011

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