scholarly journals The mapping of cortical activation by near-infrared spectroscopy might be a biomarker related to the severity of fibromyalgia’s symptoms

Author(s):  
Daniela Gabiatti Donadel ◽  
Maxciel Zortea ◽  
Iraci Lucena da Silva Torres ◽  
Felipe Fregni ◽  
Wolnei Caumo

Abstract We compared the activation pattern at the motor cortex (MC and prefrontal cortex (PFC) based on the delta value (Δ) of oxy-hemoglobin (HbO) by functional near-infrared spectroscopy (fNIRS). We examined the relationship of the ΔHbO based on the peaks at 5°C and 25°C by right-hand immersion in water in 22 fibromyalgia and 19 controls. Fibromyalgia showed a shorter peak latency for HbO at the left MC. In contrast, at the left MC, their HbO increased 117.64% compared to 92.85% in the controls. A receiver operator characteristics (ROC) analysis showed the ΔHbO cutoffs equal to –0.175 at the left and –0.205 at the right PFC offer sensitivity and specificity of at least 80% in screening fibromyalgia compared to controls. In fibromyalgia, a ROC analysis showed that these cutoff points could discriminate those with higher disability due to pain and more severe central sensitization symptoms (CSS). The ROC with the best discriminatory profile was to the CSS score with the ΔHbO at the left PFC (AUC = 0.82, CI 95% = 0.61–100). These results indicate that cortical activation based on the ΔHbO at the PFC might be a sensitive marker to identify those fibromyalgia patients with more severe clinical symptoms.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniela Gabiatti Donadel ◽  
Maxciel Zortea ◽  
Iraci L. S. Torres ◽  
Felipe Fregni ◽  
Wolnei Caumo

AbstractThe delta value of oxyhemoglobin (Δ-HbO) determined by functional near-infrared spectroscopy at prefrontal cortex (PFC) and motor cortex (MC) based on primary (25 °C) and secondary (5 °C) thermal stimuli presented a larger peak latency at left MC in fibromyalgia than in controls. The difference between HbO concentration 15 s after the thermal stimuli ending and HbO concentration before the thermal stimuli onset (Δ-HbO*) at left PFC increased 47.82% in fibromyalgia and 76.66% in controls. This value had satisfactory discriminatory properties to differentiate cortical activation in fibromyalgia versus controls. A receiver operator characteristics (ROC) analysis showed the Δ-HbO* cutoffs of − 0.175 at left PFC and − 0.205 at right PFC offer sensitivity and specificity of at least 80% in screening fibromyalgia from controls. In fibromyalgia, a ROC analysis showed that these cutoffs could discriminate those with higher disability due to pain and more severe central sensitization symptoms (CSS). The ROC with the best discriminatory profile was the CSS score with the Δ-HbO* at left PFC (area under the curve = 0.82, 95% confidence interval = 0.61–100). These results indicate that cortical activation based on Δ-HbO* at left PFC might be a sensitive marker to identify fibromyalgia subjects with more severe clinical symptoms.


2021 ◽  
Vol 12 ◽  
Author(s):  
Juan Li ◽  
Junlin Mu ◽  
Chenyu Shen ◽  
Guanqun Yao ◽  
Kun Feng ◽  
...  

Background: Functional near-infrared spectroscopy (fNIRS) has many advantages over other neuroimaging modalities for routine measurement of task-dependent cortical activation, but most fNIRS studies of schizophrenia have used letter fluency tasks (LFTs). Further, performances on category fluency tasks (CFTs) and LFTs may be distinct in Chinese patients due to the unique semantic features of Chinese written characters. To identify unique disease biomarkers measurable by fNIRS in Chinese schizophrenia patients, this study compared cortical oxygenated hemoglobin changes ([oxy-Hb]) during a Chinese LFT and CFT between patients and healthy controls.Methods: Inpatients of the Second Affiliated Hospital of Xinxiang Medical University were recruited from Match 2020 to July 2021. The Positive and Negative Symptom Scale (PANSS) was used to evaluate psychiatric symptoms. Dynamic changes in [oxy-Hb], an indicator of neural activity, were measured during CFT and LFT performance by 52-channel fNIRS.Results: Forty-seven schizophrenia inpatients and 29 healthy controls completed all tests. Schizophrenia patients showed significant cortical activation at 15 channels covering the left hemisphere and 17 channels over the right hemisphere during the CFT. During the LFT, activity was significantly increased at only six channels, all over the left hemisphere (FDR P < 0.05). In healthy controls, significant [oxy-Hb] increases were found at 24 channels over the left hemisphere and 19 channels over the right hemisphere during CFT. While during the LFT, the significant increases were found at 7 channels all over the left hemisphere (FDR P < 0.05). When years of education was included as a covariate, the schizophrenia group demonstrated no significant hypoactivation relative to healthy controls at any channel after FDR correction (FDR P < 0.05) during CFT while demonstrated significant hypoactivation at channel 11 during LFT (FDR P < 0.05). There were no significant associations between PANSS scores and [oxy-Hb] changes after FDR correction (FDR P < 0.05).Conclusions: Left lateralization during CFT was reduced among schizophrenia patients and may be related to the semantic deficit. The Chinese-CFT could be a more sensitive indicator of frontal-temporal dysfunction in schizophrenia.


2019 ◽  
Author(s):  
Takayuki Nakahachi ◽  
Ryouhei Ishii ◽  
Leonides Canuet ◽  
Iori Sato ◽  
Kiyoko Kamibeppu ◽  
...  

Abstract Background: Tetris has recently expanded its place of activity not only to the original entertainment but also to clinical applications such as prevention of trauma flashback. However, to our knowledge, no studies focused on the cortical activation patterns themselves when playing Tetris in a natural form. This study aimed to investigate the activation patterns in the frontal cortex during naturally-performed Tetris for 90 seconds in 24 healthy subjects using functional near-infrared spectroscopy robust to artifacts by motion and electric devices. We also calculated the correlations of behavioral data with cortical activations, and compared the differences in activations between the high and low performers of Tetris. Results: The results demonstrated that significant activations in the frontal cortex during Tetris play had two factors, each showing a similar activation pattern. One of the factors was distributed over the lateral prefrontal cortex bilaterally, and the other was localized to the right prefrontal cortex. Moreover, in the high performers, the activations of the areas centered on the right dorsolateral prefrontal cortex (DLPFC) were estimated to increase and correlations of the activations between those areas and the other areas decrease compared with the low performers. Conclusions: It is suggested that high Tetris performers might reduce functional connectivity between activations of the areas centered on the right DLPFC and the other areas, and increase the local activations compared with low performers. It would be necessary to consider whether its visuospatial cognitive loads stimulate the appropriate areas of the subject’s brain to effectively utilize Tetris play for clinical interventions.


2021 ◽  
Author(s):  
Abigail Fiske ◽  
Carina de Klerk ◽  
Katie Y. K. Lui ◽  
Liam H Collins-Jones ◽  
Alexandra Hendry ◽  
...  

Inhibitory control, a core executive function, emerges in infancy and develops rapidly across childhood. Methodological limitations have meant that studies investigating the neural correlates underlying inhibitory control in infancy are rare. Employing functional near-infrared spectroscopy alongside a novel touchscreen task that measures response inhibition, this study aimed to uncover the neural underpinnings of inhibitory control in 10-month-old infants (N = 135). We found that when inhibition is required, the right prefrontal and parietal cortices were more activated than when there is no inhibitory demand. Further, activation in right prefrontal areas was associated with individual differences in response inhibition performance. This demonstrates that inhibitory control in infants as young as 10 months of age is supported by similar brain areas as in older children and adults. With this study we have lowered the age-boundary for localising the neural substrates of response inhibition to the first year of life.


Photonics ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. 87 ◽  
Author(s):  
Quaresima ◽  
Ferrari

This mini-review is aimed at briefly summarizing the present status of functional near-infrared spectroscopy (fNIRS) and predicting where the technique should go in the next decade. This mini-review quotes 33 articles on the different fNIRS basics and technical developments and 44 reviews on the fNIRS applications published in the last eight years. The huge number of review articles about a wide spectrum of topics in the field of cognitive and social sciences, functional neuroimaging research, and medicine testifies to the maturity achieved by this non-invasive optical vascular-based functional neuroimaging technique. Today, fNIRS has started to be utilized on healthy subjects while moving freely in different naturalistic settings. Further instrumental developments are expected to be done in the near future to fully satisfy this latter important aspect. In addition, fNIRS procedures, including correction methods for the strong extracranial interferences, need to be standardized before using fNIRS as a clinical tool in individual patients. New research avenues such as interactive neurosciences, cortical activation modulated by different type of sport performance, and cortical activation during neurofeedback training are highlighted.


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