Fibromyalgia: fMRI Neural Signature May Aid Diagnosis & Treatment; Signature Is 93% Accurate

University of Colorado (CU) Boulder researchers have discovered a brain signature that identifies fibromyalgia sufferers with 93 percent accuracy, a potential breakthrough for future clinical diagnosis and treatment of the highly prevalent condition. Fibromyalgia is commonly defined as chronic widespread musculoskeletal pain accompanied by symptoms such as fatigue, anxiety, and mood disorders. The Centers for Disease Control and Prevention (CDC) estimates that fibromyalgia affects more than five million adults annually in the U.S., with significantly higher occurrence rates in women than in men. Historically, fibromyalgia has been difficult to diagnose and treat due to a lack of a well-categorized tissue pathology and a variety of symptoms that overlap with other common chronic illnesses. CU Boulder researchers used functional MRI (fMRI) scans to study brain activity in a group of 37 fibromyalgia patients and 35 control patients as they were exposed to a variety of non-painful visual, auditory, and tactile cues as well as painful pressure. The multisensory testing allowed the researchers to identify a series of three sub-markers, or neurological patterns, that correlated with the hypersensitivity to pain that characterizes fibromyalgia."The novelty of this study is that it provides potential neuroimaging-based tools that can be used with new patients to inform about the degree of certain neural pathology underlying their pain symptoms," said Dr. Marina López-Solà, a post-doctoral researcher in CU Boulder's Cognitive and Affective Control Laboratory and lead author of the new study. "The set of tools may be helpful to identify patient subtypes, which may be important for adjusting treatment selection on an individualized basis."
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