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Jiao X, Yuan M, Li Q, Huang Y, Ji M, Li J, Yan S, Sun H, Wang X, Pan Z, Ren Q, Wang D, Wang G. Brain Morphological and Functional Changes in Adenomyosis with Pain: A Resting State Functional Magnetic Resonance Imaging Study. J Clin Med 2022; 11:jcm11185286. [PMID: 36142933 PMCID: PMC9504732 DOI: 10.3390/jcm11185286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 09/02/2022] [Accepted: 09/06/2022] [Indexed: 11/16/2022] Open
Abstract
The absence of clinically objective methods to evaluate adenomyosis-associated pain and the poor understanding of its pathophysiology lead to treatment limitations. We conducted a resting-state functional magnetic resonance imaging study with 49 patients with pain-related adenomyosis and 30 pain-free controls to investigate brain morphological alterations and regional dysfunctions in patients with pain-related adenomyosis. These patients had significantly higher scores for anxiety and depression than the control group (p < 0.05). They also had a lower gray matter volume (GMV) in the bilateral insula, left angular gyrus, precuneus, left inferior temporal gyrus, and left postcentral gyrus (p < 0.05, AlphaSim corrected). Similarly, decreased voxel-mirrored homotopic connectivity was observed in the bilateral insula, posterior cingulate cortex, middle frontal gyrus, and postcentral gyrus in the adenomyosis patient group (p < 0.05, AlphaSim corrected). Regional homogeneity showed significant differences mainly in the bilateral cerebellum, left inferior frontal gyrus, medial prefrontal cortex, and posterior cingulate gyrus. Correlation analysis showed that the degree of depression in patients with adenomyosis was negatively correlated with the GMV of the left angular gyrus. The results show that these patients exhibited changes in multiple brain regions associated with pain as well as emotion perception and processing.
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Affiliation(s)
- Xue Jiao
- Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Ming Yuan
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
| | - Qiuju Li
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
| | - Yufei Huang
- Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Miaomiao Ji
- Maternal and Child Health Care Hospital of Shandong Province, Jinan 250014, China
| | - Jing Li
- Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Shumin Yan
- Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Hao Sun
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Xinyu Wang
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Zangyu Pan
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Qianhui Ren
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
| | - Dawei Wang
- Department of Radiology, Qilu Hospital of Shandong University, Jinan 250012, China
- Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, China
- Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China
- Correspondence: (D.W.); (G.W.); Tel.: +86-185-6008-1661 (D.W.); +86-185-6008-1729 (G.W.)
| | - Guoyun Wang
- Department of Gynecology, Shandong Provincial Hospital, Jinan 250021, China
- Medical Integration and Practice Center, Shandong University, Jinan 250012, China
- Correspondence: (D.W.); (G.W.); Tel.: +86-185-6008-1661 (D.W.); +86-185-6008-1729 (G.W.)
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