WOBIB: 60 - Brooks, et al. (2002) fMRI of thermal pain: ...
 
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Jonathan C. W. Brooks; Turo J. Nurmikko; William E. Bimson; Krish D. Singh; Neil Roberts. fMRI of thermal pain: effects of stimulus laterality and attention. NeuroImage 15(2):293-301, 2002. PMID: 11798266. DOI: 10.1006/nimg.2001.0974. WOBIB: 60.

Brain activity was studied by fMRI in 18 healthy subjects during stimulation of the thenar eminence of the hand with either warm (non-painful, 40 degrees C) or hot (painful, 46-49 degrees C) stimuli using a contact thermode. Experiments were performed on the right and left hand independently and with two attentional contexts: subjects either attended to pain or attended to a visual global motion discrimination task (to distract them from pain). Group analysis demonstrated that attended warm stimulation of the right hand did not produce any significantly activated clusters. Painful thermal stimulation of either hand elicited significant activity over a large network of brain regions, including insula, inferior frontal gyrus, cingulate gyrus, secondary somatosensory cortex, cerebellum, and medial frontal gyrus (corrected P < 0.05). Insula activity was distributed along its anterior-posterior axis and depended on the hand stimulated and attentional context. In particular, activity within the posterior insula was contralateral to the site of stimulation, tested using regions of interest (ROI) analysis: significant side x site interaction (P = 0.001). With attention diverted from the painful stimulus bilateral anterior insula activity moved posteriorly to midinsula and decreased in extent (ROI analysis: significant main effect of attention (P = 0.03)). The role of the insula in thermosensation and attention is discussed.

Asymmetry: 0.12239 (left: -1, right: +1)

VRML2 file (151 Kb)

1 Attended heat pain on right hand. 46 to 49 degrees Celsius hot stimuli on the thenar eminence of the right hand using a peltier thermode versus 40 degrees warm stimuli. WOEXP: 186.
2 Distracted heat pain on right hand. 46 to 49 degrees Celsius hot stimuli on the thenar eminence of the right hand using a peltier thermode distracted by a visual motion task with silent counting of the number of partial coherent visual motion blocks versus distract 40 degrees warm stimuli. WOEXP: 187.
3 Attended heat pain on left hand. 46 to 49 degrees Celsius hot stimuli on the thenar eminence of the left hand using a peltier thermode versus 40 degrees warm stimuli. WOEXP: 188.
4 Distracted heat pain on left hand. 46 to 49 degrees Celsius hot stimuli on the thenar eminence of the left hand using a peltier thermode distracted by a visual motion task with silent counting of the number of partial coherent visual motion blocks versus distract 40 degrees warm stimuli. WOEXP: 189.


corner cube of WOBIB_60

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