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Original Research

Cingulate metabolites during pain and morphine treatment as assessed by magnetic resonance spectroscopy

, , , &
Pages 269-276 | Published online: 19 May 2014

Figures & data

Figure 1 MRS of ACC was recorded at rest and during painful skin heat stimulation before and 80 minutes after drug administration in a randomized, double-blind, cross-over study using orally administered morphine (30 mg) or placebo. Heat was applied using a contact heat-evoked potential stimulator (CHEPS) for 5 minutes with a destination temperature found prior to the scan (maximum 45°C) and the starting temperature was 32°C. Subjective pain perception of the stimulus was rated.

Abbreviations: ACC, anterior cingulate cortex; MRS, magnetic resonance spectroscopy; CHEPS, contract heat-evoked potential stimulator.
Figure 1 MRS of ACC was recorded at rest and during painful skin heat stimulation before and 80 minutes after drug administration in a randomized, double-blind, cross-over study using orally administered morphine (30 mg) or placebo. Heat was applied using a contact heat-evoked potential stimulator (CHEPS) for 5 minutes with a destination temperature found prior to the scan (maximum 45°C) and the starting temperature was 32°C. Subjective pain perception of the stimulus was rated.

Figure 2 The voxel of interest was placed in the midline in the pregenual anterior cingulate cortex with the inferior border along the anterior-posterior commissure line. An example of the metabolite spectrum is shown, along with peaks for the analyzed metabolites.

Abbreviations: mI, myo-inositol; cre, creatine; glu, glutamine; NAA, N-acetylaspartate.
Figure 2 The voxel of interest was placed in the midline in the pregenual anterior cingulate cortex with the inferior border along the anterior-posterior commissure line. An example of the metabolite spectrum is shown, along with peaks for the analyzed metabolites.

Table 1 Overview of the means ± standard deviations of quality measurements (full width at half maximum, signal-to-noise ratio, Cramér-Rao), pain ratings, and metabolite concentrations in the anterior cingulate cortex

Figure 3 Creatine concentration (A) and metabolite ratios (ratio, no unit) (B) at rest (gray) and during painful stimulus before treatment (black). *P<0.05.

Abbreviations: mI, myo-inositol; cre, creatine; glu, glutamine; NAA, N-acetylaspartate.
Figure 3 Creatine concentration (A) and metabolite ratios (ratio, no unit) (B) at rest (gray) and during painful stimulus before treatment (black). *P<0.05.

Figure 4 NAA/creatine for each subject during rest and painful stimulation before and during treatment with morphine (A) and placebo (B).

Abbreviations: cre, creatine; NAA, N-acetylaspartate.
Figure 4 NAA/creatine for each subject during rest and painful stimulation before and during treatment with morphine (A) and placebo (B).