Association between aberrant brain activity and pain in patients with primary osteoporotic pain: a resting-state fMRI study

Studies have shown that chronic pain is associated with altered brain activity, while the pathological mechanism of Primary osteoporotic pain (POPP) is still unclear. MRI data and visual analogue scale (VAS) scores of 15 POPP patients and 16 HCs were collected. MRI data were preprocessed and then regional homogeneity (ReHo) and amplitude of low-frequency fluctuation (ALFF) values were calculated and compared between groups. Moreover, the correlations between ReHo and ALFF values of impaired brain regions and VAS scores were evaluated. Reduced ReHo values were found in the left medial superior frontal gyrus, middle frontal gyrus, opercular part of inferior frontal gyrus and right dorsolateral superior frontal gyrus of POPP patients. Increased ReHo values were detected in the left dorsolateral superior frontal gyrus and right middle frontal gyrus. Reduced ALFF values were identified in the left dorsolateral superior frontal gyrus, medial superior frontal gyrus, orbital part of middle frontal gyrus, opercular part of inferior frontal gyrus and right dorsolateral superior frontal gyrus. Increased ALFF values were observed in the right middle frontal gyrus and triangular part of inferior frontal gyrus. Negative correlations were identified between ReHo values of the left middle frontal gyrus and VAS scores in the patient group. In conclusion, the prefrontal dysfunction may be related to the occurrence of POPP. In addition, the left middle frontal gyrus can be used as an indicator to evaluate the severity of pain in patients with POPP.