Brain-predicted age difference estimated using DeepBrainNet is significantly associated with pain and function-a multi-institutional and multiscanner study.


Journal

Pain
ISSN: 1872-6623
Titre abrégé: Pain
Pays: United States
ID NLM: 7508686

Informations de publication

Date de publication:
01 Dec 2023
Historique:
received: 28 09 2022
accepted: 31 05 2023
medline: 17 11 2023
pubmed: 25 7 2023
entrez: 25 7 2023
Statut: ppublish

Résumé

Brain age predicted differences (brain-PAD: predicted brain age minus chronological age) have been reported to be significantly larger for individuals with chronic pain compared with those without. However, a debate remains after one article showed no significant differences. Using Gaussian Process Regression, an article provides evidence that these negative results might owe to the use of mixed samples by reporting a differential effect of chronic pain on brain-PAD across pain types. However, some remaining methodological issues regarding training sample size and sex-specific effects should be tackled before settling this controversy. Here, we explored differences in brain-PAD between musculoskeletal pain types and controls using a novel convolutional neural network for predicting brain-PADs, ie, DeepBrainNet. Based on a very large, multi-institutional, and heterogeneous training sample and requiring less magnetic resonance imaging preprocessing than other methods for brain age prediction, DeepBrainNet offers robust and reproducible brain-PADs, possibly highly sensitive to neuropathology. Controlling for scanner-related variability, we used a large sample (n = 660) with different scanners, ages (19-83 years), and musculoskeletal pain types (chronic low back [CBP] and osteoarthritis [OA] pain). Irrespective of sex, brain-PAD of OA pain participants was ∼3 to 4.7 years higher than that of CBP and controls, whereas brain-PAD did not significantly differ among controls and CBP. Moreover, brain-PAD was significantly related to multiple variables underlying the multidimensional pain experience. This comprehensive work adds evidence of pain type-specific effects of chronic pain on brain age. This could help in the clarification of the debate around possible relationships between brain aging mechanisms and pain.

Identifiants

pubmed: 37490099
doi: 10.1097/j.pain.0000000000002984
pii: 00006396-990000000-00361
doi:

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2822-2838

Subventions

Organisme : NIA NIH HHS
ID : R01 AG059809
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG076082
Pays : United States

Informations de copyright

Copyright © 2023 International Association for the Study of Pain.

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Auteurs

Pedro A Valdes-Hernandez (PA)

Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, United States.
Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, United States.
Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.

Chavier Laffitte Nodarse (C)

Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, United States.
Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, United States.
Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.

Alisa J Johnson (AJ)

Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, United States.
Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, United States.

Soamy Montesino-Goicolea (S)

Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, United States.
Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, United States.
Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.

Vishnu Bashyam (V)

AI2D Center for AI and Data Science for Integrated Diagnostics, Center for Biomedical Image Computing & Analytics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Artificial Intelligence in Biomedical Imaging Lab (AIBIL), Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

Christos Davatzikos (C)

AI2D Center for AI and Data Science for Integrated Diagnostics, Center for Biomedical Image Computing & Analytics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

Julio A Peraza (JA)

Department of Physics, Florida International University, Miami, FL, United States.

James H Cole (JH)

Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom.
Dementia Research Centre, Queen Square Institute of Neurology, University College London, London, United Kingdom.

Zhiguang Huo (Z)

Department of Biostatistics, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, FL, United States.

Roger B Fillingim (RB)

Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, United States.

Yenisel Cruz-Almeida (Y)

Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, United States.
Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, United States.
Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.
Department of Neuroscience, College of Medicine, University of Florida, Gainesville, FL, United States.

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