Fibromyalgia & musculoskeletal pain

Functional Connectivity and Structural Signatures of the Visual Cortical System in Fibromyalgia: A Magnetic Resonance Imaging Study

J RheumatolPublished Cross-sectional study

Authors' conclusion

Altered FCs and structure in the visual cortical system might be involved in the pathomechanisms and clinical presentation in FM.

Study context

Population
Patients with fibromyalgia (FM) and pain-free participants
Participants
26 vs 30
Exposure
Patients with FM vs pain-free participants
  • FMn = 26
  • Pain-freen = 30reference
Outcome
FC and cortical structure of the visual system
Methodological detailsresting-state functional MRI, seed-based functional connectivity (FC) analyses, voxel-based morphometry, surface-based morphometry
  • Resting-state functional MRI
  • Seed-based FC analyses
  • Voxel-based morphometry
  • Surface-based morphometry

Main finding

As reported in the abstract

  • FM: increased FCs within visual networks; FC between visual medial network and right lingual gyrus positively correlated with Fibromyalgia Impact Questionnaire (FIQ) score
  • FM: decreased FCs from the visual occipital network to several regions; FCs to bilateral frontal orbital cortices negatively correlated with FIQ and Pittsburgh Sleep Quality Index scores
  • FM: cortical thickness of lateral occipital cortex, lingual gyrus and pericalcarine tended to increase

Observational data: associations, not effects.

Original publication

Functional Connectivity and Structural Signatures of the Visual Cortical System in Fibromyalgia: A Magnetic Resonance Imaging Study. J Rheumatol. Published 1 May 2023. doi:10.3899/jrheum.2022-1309

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