SlideShare una empresa de Scribd logo
1 de 62
Impacts of pain on brain health explored using neuroimaging techniques: implications for patient treatment Emma Duerden, M.Sc.  PhD candidate (Neurological Sciences) Département de physiologie Université de Montréal
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object]
Peripheral mechanisms  of pain
Central mechanisms of pain
Introduction ,[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object]
Brain imaging methods Laboratory of Neuro Imaging (LONI) at UCLA (http://www.loni.ucla.edu/)
http://www.fmrib.ox.ac.uk
Brain activity during pain ,[object Object]
Brain activity during pain
Brain activity during pain
Brain activity during pain Rainville  et al. ,  M édecine Science  16  (2000) Thalamus S1 S2 Insula ACC
Why do a meta-analysis? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Probabilistic mapping ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ALE method
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Meta-Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Meta-Analysis Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thresholded 3D probability map Duerden, Fu, Rainville, Duncan. IASP 2008
Results: All pain ,[object Object],[object Object],BILATERAL IC BILATERAL thalamus BILATERAL SII R: 52, -26, 22 p = 0.18 L: -52, -24, 22 p = 0.17 0.25 0.003 THAL (R): 10, -18, 6 p = 0.22 THAL (L): -14, -16, 8 p = 0.25
Other Applications ALE Method ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain sensitivity and cortical thickness in Zen meditators Grant, Duerden, Courtemanche, Duncan, Rainville.  Emotion  2009  submitted
Pain and meditation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain and meditation ,[object Object],[object Object]
[object Object]
Pain mask
Pain mask
Pain Meta-Analysis Zen meditators have thicker cortex in pain processing regions Grant, Duerden, Courtemanche, Duncan, and Rainville, Emotion 2009  submitted
Pain and meditation ,[object Object],[object Object],[object Object],[object Object]
Other Applications ALE Method ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brain morphometric changes associated with pain catastrophizing D. Laverdure-Dupont; E.G. Duerden; A.-A. Dubé; K.J. Worsley; G.H. Duncan; G. Lavigne; P. Rainville
Pain catastrophizing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain catastrophizing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain catastrophizing PCS is significantly correlated with CT in ACC
Pain catastrophizing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Memory traces of pain in human cortex Albanese, Duerden, Rainville, Duncan. J Neurosci, 2007
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods: Stimulation protocol encoding retention retrieval
Copyright ©2007 Society for Neuroscience Albanese, M.-C. et al. J. Neurosci. 2007;27:4612-4620 Figure 2. Cortical regions significantly activated during the ISI between the pairs of stimuli in both the memory and control trials and memory-specific activation observed within pain-related sites
Copyright ©2007 Society for Neuroscience Albanese, M.-C. et al. J. Neurosci. 2007;27:4612-4620 Figure 3. Mean time course of the memory-specific percentage BOLD signal from the group average observed during the course of experimental and control trials, synchronized on the start of each trial
Conclusions   ,[object Object],[object Object],[object Object],[object Object]
Long-term memory ,[object Object],[object Object],[object Object],[object Object]
Copyright ©2008 Society for Neuroscience Duerden, E. G. et al. J. Neurosci. 2008;28:8655-8657 Figure 1. Meta-analysis of voxel-based morphometric studies reporting increased gray matter density after learning in the cortex and cerebellum
Habituation to painful stimuli ,[object Object],[object Object],* * * *
Pain Stimulus Session 1-4: H
Copyright ©2004 Society for Neuroscience Apkarian, A. V. et al. J. Neurosci. 2004;24:10410-10415 Figure 2. Regional gray matter density decreases in CBP subjects
Copyright ©2007 Society for Neuroscience Kuchinad, A. et al. J. Neurosci. 2007;27:4004-4007 Figure 2. Voxel-wise comparison of gray matter density between fibromyalgia patients and healthy control subjects
DaSilva et al., Neurology. 2007 Nov 20;69(21):1990-5
Chronic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Training: phantom limb pain ,[object Object],[object Object],[object Object],[object Object],[object Object],(Flor et al. 2001)
Acknowledgements   Mentors: Dr. Gary Duncan Dr. Pierre Rainville Funding Canadian Institutes of Health Research (CIHR)   Lab mates: Dr. Marie-Claire Albanese Jen-I Chen Mathieu Roy Joshua Grant Audrey-Anne Dub é Marianne Arsenault Mathieu Piché Collaborators: Dr. Bruce Pike Dr. Stefan Posse Dr. Keith Worsley Tech Support: Mathieu Desrosiers Leo Tenbokum
Thank you
Introduction ,[object Object],[object Object]
Topographic maps ,[object Object],[object Object],Primary somatosensory cortex
Phantom limbs ,[object Object],[object Object],[object Object]
Why do a meta-analysis? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Más contenido relacionado

La actualidad más candente

Pain in mnd - final script
Pain in mnd - final scriptPain in mnd - final script
Pain in mnd - final scriptBrendon Fulton
 
NZ Pain Conference Poster Presentation1
NZ Pain Conference Poster Presentation1NZ Pain Conference Poster Presentation1
NZ Pain Conference Poster Presentation1Kenneth Craig
 
Salon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassoglou
Salon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassoglouSalon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassoglou
Salon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassogloutyfngnc
 
Acupuncture PStim Power Point
Acupuncture PStim Power PointAcupuncture PStim Power Point
Acupuncture PStim Power PointMaxiMedRx
 
ANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEW
ANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEWANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEW
ANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEWDr. Raghavendra Kumar Gunda
 
‘Clinical Neurodynamics: clinical application from an anatomical perspective’
	‘Clinical Neurodynamics: clinical application from an anatomical perspective’ 	‘Clinical Neurodynamics: clinical application from an anatomical perspective’
‘Clinical Neurodynamics: clinical application from an anatomical perspective’ NVMT-symposium
 
Chronic pain: Role of tricyclic antidepressants, dolsulepin
Chronic pain: Role of tricyclic antidepressants, dolsulepinChronic pain: Role of tricyclic antidepressants, dolsulepin
Chronic pain: Role of tricyclic antidepressants, dolsulepinSudhir Kumar
 
Data analysis by using machine
Data analysis by using machineData analysis by using machine
Data analysis by using machineijcsa
 
Van stegeren(2007) prog brain res
Van stegeren(2007) prog brain resVan stegeren(2007) prog brain res
Van stegeren(2007) prog brain resPaul Coelho, MD
 
Facial/Dental Pain Pathway and Atypical Odontalgia
Facial/Dental Pain Pathway and Atypical OdontalgiaFacial/Dental Pain Pathway and Atypical Odontalgia
Facial/Dental Pain Pathway and Atypical OdontalgiaBoluwatife Afolabi
 
ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...
ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...
ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...painezeeman
 
Emerging concepts in pain management
Emerging concepts in pain managementEmerging concepts in pain management
Emerging concepts in pain managementVikram Kumar
 
Phantom limb pain is a real pain
Phantom limb pain is a real painPhantom limb pain is a real pain
Phantom limb pain is a real painModupe Sarratt
 
Role of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer painRole of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer painDrUday Pratap Singh
 
Passive manipulation and its effect on the fluorescent distribution of Dextra...
Passive manipulation and its effect on the fluorescent distribution of Dextra...Passive manipulation and its effect on the fluorescent distribution of Dextra...
Passive manipulation and its effect on the fluorescent distribution of Dextra...Armando Gallegos, Jr.
 

La actualidad más candente (18)

Ev based pres 1
Ev based pres 1Ev based pres 1
Ev based pres 1
 
Pain in mnd - final script
Pain in mnd - final scriptPain in mnd - final script
Pain in mnd - final script
 
NZ Pain Conference Poster Presentation1
NZ Pain Conference Poster Presentation1NZ Pain Conference Poster Presentation1
NZ Pain Conference Poster Presentation1
 
Salon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassoglou
Salon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassoglouSalon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassoglou
Salon 1 14 kasim 09.30 10.30 eli̇zabeth papathanassoglou
 
Acupuncture PStim Power Point
Acupuncture PStim Power PointAcupuncture PStim Power Point
Acupuncture PStim Power Point
 
ANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEW
ANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEWANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEW
ANTIDEPRESSANTS IN CHRONIC PAIN RELIEF- A REVIEW
 
‘Clinical Neurodynamics: clinical application from an anatomical perspective’
	‘Clinical Neurodynamics: clinical application from an anatomical perspective’ 	‘Clinical Neurodynamics: clinical application from an anatomical perspective’
‘Clinical Neurodynamics: clinical application from an anatomical perspective’
 
Paintronics presentation
Paintronics presentationPaintronics presentation
Paintronics presentation
 
Chronic pain: Role of tricyclic antidepressants, dolsulepin
Chronic pain: Role of tricyclic antidepressants, dolsulepinChronic pain: Role of tricyclic antidepressants, dolsulepin
Chronic pain: Role of tricyclic antidepressants, dolsulepin
 
Data analysis by using machine
Data analysis by using machineData analysis by using machine
Data analysis by using machine
 
Van stegeren(2007) prog brain res
Van stegeren(2007) prog brain resVan stegeren(2007) prog brain res
Van stegeren(2007) prog brain res
 
Facial/Dental Pain Pathway and Atypical Odontalgia
Facial/Dental Pain Pathway and Atypical OdontalgiaFacial/Dental Pain Pathway and Atypical Odontalgia
Facial/Dental Pain Pathway and Atypical Odontalgia
 
knee
kneeknee
knee
 
ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...
ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...
ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...
 
Emerging concepts in pain management
Emerging concepts in pain managementEmerging concepts in pain management
Emerging concepts in pain management
 
Phantom limb pain is a real pain
Phantom limb pain is a real painPhantom limb pain is a real pain
Phantom limb pain is a real pain
 
Role of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer painRole of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer pain
 
Passive manipulation and its effect on the fluorescent distribution of Dextra...
Passive manipulation and its effect on the fluorescent distribution of Dextra...Passive manipulation and its effect on the fluorescent distribution of Dextra...
Passive manipulation and its effect on the fluorescent distribution of Dextra...
 

Destacado

Anat 321 Lab1
Anat 321 Lab1Anat 321 Lab1
Anat 321 Lab1eduerden
 
Anat 321 Lab2
Anat 321 Lab2Anat 321 Lab2
Anat 321 Lab2eduerden
 
Anat 321 Lab3
Anat 321  Lab3Anat 321  Lab3
Anat 321 Lab3eduerden
 
Anat 321 Lab4
Anat 321  Lab4Anat 321  Lab4
Anat 321 Lab4eduerden
 
Anat 321 Lab4 2009
Anat 321 Lab4 2009Anat 321 Lab4 2009
Anat 321 Lab4 2009erinwdickie
 
Phantom limbs past present-future
Phantom limbs past present-futurePhantom limbs past present-future
Phantom limbs past present-futurewebzforu
 

Destacado (6)

Anat 321 Lab1
Anat 321 Lab1Anat 321 Lab1
Anat 321 Lab1
 
Anat 321 Lab2
Anat 321 Lab2Anat 321 Lab2
Anat 321 Lab2
 
Anat 321 Lab3
Anat 321  Lab3Anat 321  Lab3
Anat 321 Lab3
 
Anat 321 Lab4
Anat 321  Lab4Anat 321  Lab4
Anat 321 Lab4
 
Anat 321 Lab4 2009
Anat 321 Lab4 2009Anat 321 Lab4 2009
Anat 321 Lab4 2009
 
Phantom limbs past present-future
Phantom limbs past present-futurePhantom limbs past present-future
Phantom limbs past present-future
 

Similar a Duerden Rotman 2009 07 29

Pain and Orthopedic Physical Therapy
Pain and Orthopedic Physical TherapyPain and Orthopedic Physical Therapy
Pain and Orthopedic Physical TherapyRoderick Henderson
 
EDS & Central Sensitization
EDS & Central SensitizationEDS & Central Sensitization
EDS & Central SensitizationPaul Coelho, MD
 
Central Sensitization in EDS
Central Sensitization in EDSCentral Sensitization in EDS
Central Sensitization in EDSPaul Coelho, MD
 
ZMPCZM016000.11.23 Electrotherapy for pain management
ZMPCZM016000.11.23 Electrotherapy for pain managementZMPCZM016000.11.23 Electrotherapy for pain management
ZMPCZM016000.11.23 Electrotherapy for pain managementpainezeeman
 
Hand fun assessing cortical changes
Hand fun assessing cortical changesHand fun assessing cortical changes
Hand fun assessing cortical changesArturo Such Sanz
 
phantom limb pain handout assessment
phantom limb pain handout assessmentphantom limb pain handout assessment
phantom limb pain handout assessmentMathew Aspey
 
gevirtz on myopain
gevirtz on myopaingevirtz on myopain
gevirtz on myopainwilensk
 
Presentatie Drs. Ronald Kan - Even wat rechtzetten
Presentatie Drs. Ronald Kan - Even wat rechtzetten Presentatie Drs. Ronald Kan - Even wat rechtzetten
Presentatie Drs. Ronald Kan - Even wat rechtzetten NVMT-symposium
 
Transcranial Magnetic Stimulation ( TMS) for Chronic Pain
Transcranial Magnetic Stimulation ( TMS) for Chronic PainTranscranial Magnetic Stimulation ( TMS) for Chronic Pain
Transcranial Magnetic Stimulation ( TMS) for Chronic PainDr. Rafael Higashi
 
Y2 s1 pain physiology
Y2 s1 pain physiologyY2 s1 pain physiology
Y2 s1 pain physiologyvajira54
 
oro-facial pain (other than neuralgias)
oro-facial pain (other than neuralgias)oro-facial pain (other than neuralgias)
oro-facial pain (other than neuralgias)Mammootty Ik
 
slides_iiib1_fregni.ppt
slides_iiib1_fregni.pptslides_iiib1_fregni.ppt
slides_iiib1_fregni.pptmousaderhem1
 
Endogenous Opioid Dysregulation
Endogenous Opioid DysregulationEndogenous Opioid Dysregulation
Endogenous Opioid DysregulationPaul Coelho, MD
 
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPY
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPYA NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPY
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPYijma
 

Similar a Duerden Rotman 2009 07 29 (20)

Pain
PainPain
Pain
 
Pain and Orthopedic Physical Therapy
Pain and Orthopedic Physical TherapyPain and Orthopedic Physical Therapy
Pain and Orthopedic Physical Therapy
 
pain pathway
pain pathwaypain pathway
pain pathway
 
EDS & Central Sensitization
EDS & Central SensitizationEDS & Central Sensitization
EDS & Central Sensitization
 
Central Sensitization in EDS
Central Sensitization in EDSCentral Sensitization in EDS
Central Sensitization in EDS
 
What we know about pain very new prof husni
What we know about pain very new   prof husniWhat we know about pain very new   prof husni
What we know about pain very new prof husni
 
ZMPCZM016000.11.23 Electrotherapy for pain management
ZMPCZM016000.11.23 Electrotherapy for pain managementZMPCZM016000.11.23 Electrotherapy for pain management
ZMPCZM016000.11.23 Electrotherapy for pain management
 
Hand fun assessing cortical changes
Hand fun assessing cortical changesHand fun assessing cortical changes
Hand fun assessing cortical changes
 
phantom limb pain handout assessment
phantom limb pain handout assessmentphantom limb pain handout assessment
phantom limb pain handout assessment
 
Pain
PainPain
Pain
 
gevirtz on myopain
gevirtz on myopaingevirtz on myopain
gevirtz on myopain
 
Presentatie Drs. Ronald Kan - Even wat rechtzetten
Presentatie Drs. Ronald Kan - Even wat rechtzetten Presentatie Drs. Ronald Kan - Even wat rechtzetten
Presentatie Drs. Ronald Kan - Even wat rechtzetten
 
Transcranial Magnetic Stimulation ( TMS) for Chronic Pain
Transcranial Magnetic Stimulation ( TMS) for Chronic PainTranscranial Magnetic Stimulation ( TMS) for Chronic Pain
Transcranial Magnetic Stimulation ( TMS) for Chronic Pain
 
Y2 s1 pain physiology
Y2 s1 pain physiologyY2 s1 pain physiology
Y2 s1 pain physiology
 
Pain pathway
Pain pathwayPain pathway
Pain pathway
 
oro-facial pain (other than neuralgias)
oro-facial pain (other than neuralgias)oro-facial pain (other than neuralgias)
oro-facial pain (other than neuralgias)
 
Understanding Neuropathic pain
Understanding Neuropathic painUnderstanding Neuropathic pain
Understanding Neuropathic pain
 
slides_iiib1_fregni.ppt
slides_iiib1_fregni.pptslides_iiib1_fregni.ppt
slides_iiib1_fregni.ppt
 
Endogenous Opioid Dysregulation
Endogenous Opioid DysregulationEndogenous Opioid Dysregulation
Endogenous Opioid Dysregulation
 
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPY
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPYA NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPY
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPY
 

Más de eduerden

ANAT-321 demonstrator lab: review lab 3 & 4
ANAT-321 demonstrator lab: review lab 3 & 4ANAT-321 demonstrator lab: review lab 3 & 4
ANAT-321 demonstrator lab: review lab 3 & 4eduerden
 
ANAT-321: review lab 3 & 4
ANAT-321: review lab 3 & 4ANAT-321: review lab 3 & 4
ANAT-321: review lab 3 & 4eduerden
 
ANAT-321: review lab 1 & 2
ANAT-321: review lab 1 & 2ANAT-321: review lab 1 & 2
ANAT-321: review lab 1 & 2eduerden
 
ANAT-321: demonstrator review lab 1 & 2
ANAT-321: demonstrator review lab 1 & 2ANAT-321: demonstrator review lab 1 & 2
ANAT-321: demonstrator review lab 1 & 2eduerden
 
Anat 321 Review Lab 4
Anat 321 Review Lab 4Anat 321 Review Lab 4
Anat 321 Review Lab 4eduerden
 
Anat 321 Review Lab 3
Anat 321 Review Lab 3Anat 321 Review Lab 3
Anat 321 Review Lab 3eduerden
 
Anat 321 Review Lab 2
Anat 321 Review Lab 2Anat 321 Review Lab 2
Anat 321 Review Lab 2eduerden
 
ANAT-321 DEMONSTRATOR LAB1
ANAT-321 DEMONSTRATOR LAB1ANAT-321 DEMONSTRATOR LAB1
ANAT-321 DEMONSTRATOR LAB1eduerden
 

Más de eduerden (8)

ANAT-321 demonstrator lab: review lab 3 & 4
ANAT-321 demonstrator lab: review lab 3 & 4ANAT-321 demonstrator lab: review lab 3 & 4
ANAT-321 demonstrator lab: review lab 3 & 4
 
ANAT-321: review lab 3 & 4
ANAT-321: review lab 3 & 4ANAT-321: review lab 3 & 4
ANAT-321: review lab 3 & 4
 
ANAT-321: review lab 1 & 2
ANAT-321: review lab 1 & 2ANAT-321: review lab 1 & 2
ANAT-321: review lab 1 & 2
 
ANAT-321: demonstrator review lab 1 & 2
ANAT-321: demonstrator review lab 1 & 2ANAT-321: demonstrator review lab 1 & 2
ANAT-321: demonstrator review lab 1 & 2
 
Anat 321 Review Lab 4
Anat 321 Review Lab 4Anat 321 Review Lab 4
Anat 321 Review Lab 4
 
Anat 321 Review Lab 3
Anat 321 Review Lab 3Anat 321 Review Lab 3
Anat 321 Review Lab 3
 
Anat 321 Review Lab 2
Anat 321 Review Lab 2Anat 321 Review Lab 2
Anat 321 Review Lab 2
 
ANAT-321 DEMONSTRATOR LAB1
ANAT-321 DEMONSTRATOR LAB1ANAT-321 DEMONSTRATOR LAB1
ANAT-321 DEMONSTRATOR LAB1
 

Último

Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfDivya Kanojiya
 
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...saminamagar
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...sdateam0
 
world health day presentation ppt download
world health day presentation ppt downloadworld health day presentation ppt download
world health day presentation ppt downloadAnkitKumar311566
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.ANJALI
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma
 
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdfPULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdfDolisha Warbi
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?bkling
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptxBibekananda shah
 
Introduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiIntroduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiGoogle
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdfDolisha Warbi
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfSreeja Cherukuru
 
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxdrashraf369
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurNavdeep Kaur
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisGolden Helix
 

Último (20)

Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdf
 
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
 
world health day presentation ppt download
world health day presentation ppt downloadworld health day presentation ppt download
world health day presentation ppt download
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!
 
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdfPULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
 
Introduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiIntroduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali Rai
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
 
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
 

Duerden Rotman 2009 07 29

  • 1. Impacts of pain on brain health explored using neuroimaging techniques: implications for patient treatment Emma Duerden, M.Sc. PhD candidate (Neurological Sciences) Département de physiologie Université de Montréal
  • 2.
  • 3.
  • 4.
  • 5.
  • 8.
  • 9.
  • 10.
  • 11. Brain imaging methods Laboratory of Neuro Imaging (LONI) at UCLA (http://www.loni.ucla.edu/)
  • 13.
  • 16. Brain activity during pain Rainville et al. , M édecine Science 16 (2000) Thalamus S1 S2 Insula ACC
  • 17.
  • 18.
  • 20.
  • 21.
  • 22.
  • 23. Thresholded 3D probability map Duerden, Fu, Rainville, Duncan. IASP 2008
  • 24.
  • 25.
  • 26. Pain sensitivity and cortical thickness in Zen meditators Grant, Duerden, Courtemanche, Duncan, Rainville. Emotion 2009 submitted
  • 27.
  • 28.
  • 29.
  • 32. Pain Meta-Analysis Zen meditators have thicker cortex in pain processing regions Grant, Duerden, Courtemanche, Duncan, and Rainville, Emotion 2009 submitted
  • 33.
  • 34.
  • 35. Brain morphometric changes associated with pain catastrophizing D. Laverdure-Dupont; E.G. Duerden; A.-A. Dubé; K.J. Worsley; G.H. Duncan; G. Lavigne; P. Rainville
  • 36.
  • 37.
  • 38. Pain catastrophizing PCS is significantly correlated with CT in ACC
  • 39.
  • 40.
  • 41. Memory traces of pain in human cortex Albanese, Duerden, Rainville, Duncan. J Neurosci, 2007
  • 42.
  • 43. Methods: Stimulation protocol encoding retention retrieval
  • 44. Copyright ©2007 Society for Neuroscience Albanese, M.-C. et al. J. Neurosci. 2007;27:4612-4620 Figure 2. Cortical regions significantly activated during the ISI between the pairs of stimuli in both the memory and control trials and memory-specific activation observed within pain-related sites
  • 45. Copyright ©2007 Society for Neuroscience Albanese, M.-C. et al. J. Neurosci. 2007;27:4612-4620 Figure 3. Mean time course of the memory-specific percentage BOLD signal from the group average observed during the course of experimental and control trials, synchronized on the start of each trial
  • 46.
  • 47.
  • 48. Copyright ©2008 Society for Neuroscience Duerden, E. G. et al. J. Neurosci. 2008;28:8655-8657 Figure 1. Meta-analysis of voxel-based morphometric studies reporting increased gray matter density after learning in the cortex and cerebellum
  • 49.
  • 51. Copyright ©2004 Society for Neuroscience Apkarian, A. V. et al. J. Neurosci. 2004;24:10410-10415 Figure 2. Regional gray matter density decreases in CBP subjects
  • 52. Copyright ©2007 Society for Neuroscience Kuchinad, A. et al. J. Neurosci. 2007;27:4004-4007 Figure 2. Voxel-wise comparison of gray matter density between fibromyalgia patients and healthy control subjects
  • 53. DaSilva et al., Neurology. 2007 Nov 20;69(21):1990-5
  • 54.
  • 55.
  • 56. Acknowledgements Mentors: Dr. Gary Duncan Dr. Pierre Rainville Funding Canadian Institutes of Health Research (CIHR) Lab mates: Dr. Marie-Claire Albanese Jen-I Chen Mathieu Roy Joshua Grant Audrey-Anne Dub é Marianne Arsenault Mathieu Piché Collaborators: Dr. Bruce Pike Dr. Stefan Posse Dr. Keith Worsley Tech Support: Mathieu Desrosiers Leo Tenbokum
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.

Notas del editor

  1. Brain Health group Janet Muchison
  2. The variable Xi is defined as the likelihood of a pain-evoked activation coordinate will occur in any voxel in the anatomical MRI. The value of d is calculated as the Euclidean (3D) distance between the centre of mass of the voxel and that of the coordinate. The value for σ is the standard deviation of the Gaussian blurring kernel. In the present study the standard deviation is 3.4mm with a FWHM blurring kernel of 8mm. This value was determined based on the average blurring kernel used by all of the studies included in the meta-analysis. Resulting values at each voxel are then multiplied by 8mm 3 (ΔV) to determine the extent of spatial localization probability of a pain-evoked activation occurring in the 3D template MRI that is sampled into 2 x 2 x 2mm voxels. For each coordinate in the meta-analysis the probabilistic value of pain-evoked activation is calculated and this value is also calculated for the coordinates as a whole.
  3. We then performed a quantitative voxel-level meta-analysis on the coordinates and generated an ALE map. The method applies a spatial localization technique whereby each reported coordinate is initially given equal weighting not taking into account effect size. Probabilistic values are calculated for each coordinate whereby each point is assigned a likelihood of obtaining pain-evoked activation in every voxel in the template MRI. Values are assigned using the following formula from Laird et al., : The variable Xi is defined as the likelihood of a pain-evoked activation coordinate will occur in any voxel in the anatomical MRI. The value of d is calculated as the Euclidean (3D) distance between the centre of mass of the voxel and that of the coordinate. The value for σ is the standard deviation of the Gaussian blurring kernel. In the present study the standard deviation is 3.4mm with a FWHM blurring kernel of 8mm. This value was determined based on the average blurring kernel used by all of the studies included in the meta-analysis. Resulting values at each voxel are then multiplied by 8mm 3 (ΔV) to determine the extent of spatial localization probability of a pain-evoked activation occurring in the 3D template MRI that is sampled into 2 x 2 x 2mm voxels. For each coordinate in the meta-analysis the probabilistic value of pain-evoked activation is calculated and this value is also calculated for the coordinates as a whole. In order to determine the distribution of the resulting ALE values, the resulting maps were compared to those randomly generated by way of a non-parametric permutation test (N=5000) . Essentially, 5000 groups of the same number of coordinates as that used in the meta-analysis of randomly generated coordinates were created and tested according to the same methods. The resulting distribution is then used as the null hypothesis to which the ALE values computed for the pain-evoked activation is compared to. The permutation test essentially determines as to whether the pain-evoked activation could be generated by random coordinates alone or represents coherent activation pattern across studies.
  4. MNI outside 112 Tal 43
  5. Pronounced recruitment of affective processes in high catastrophizers appears to be associated with an enhanced development of areas associated with emotional processing
  6. I am interested to study long term effects of repeated exposure to painful stimuli and its relation to brain plasticity Not only training related changes in the brain and the effects of learning - next slide is a meta analysis on training related changes But also some models of chronic pain have been linked to rely on similar mechanisms involved in memory formation - such as LTP Also interested in brain plasticity in relation to loss of input as in the case of amputation Using online training to modify maladaptive brain plasticity
  7. Results demonstrate that although structural changes occur in functional areas related to the task, increases also occur in associative areas such as the posterior parietal and temporal cortices. Furthermore, studies examining explicit learning showed an overlap of increased gray matter density in the hippocampal gyrus.
  8. orderly connections between peripheral nerve afferents and the CNS