Table 2.
The BOLD fMRI response in deqi (52 runs in 37 subjects) was compared with deqi plus sharp pain (52 runs in 29 subjects) during acupuncture at right LI4, ST36, LV3, using a voxel by voxel two sample t-test. In the deactivation network , the presence of pain attenuated the signal decrease of most structures (thresholded at p < 0.05). The hypothalamus, left amygdala, cerebellar vermis became activated instead (Fig A). In the activation network, the somatosensory cortex signal increase was enhanced while activation of the right anterior insula and divisions of the cingulate cortex was attenuated on by pain (Fig B). t* is the value taken from the voxel with maximal signal change. Numbers in blue = signal decrease, red = increase.
| Deqi | Mixed | t-test | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| %Sig Δ | %Sig Δ | %Sig Δ | ||||||||||||
| Brain Structure | Side/Area | x | y | z | t* | % | x | y | z | t* | % | t | p < | |
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| A. Deactivation Network | ||||||||||||||
| Posterior cingulate/ | L | BA31/7m | −2 | −53 | 38 | −20.2 | −0.14 | −2 | −53 | 33 | −4.8 | −0.1 | 3.19 | 0.002 |
| Precunious | R | 3 | −55 | 35 | −20.8 | −0.14 | 3 | −53 | 33 | −6.1 | −0.13 | 3.32 | 0.001 | |
| Pregenual cingulate/ | L | BA32/10 | −3 | 43 | 2 | −9.5 | −0.08 | −2 | 46 | 2 | −7.3 | −0.12 | 3.2 | 0.002 |
| Frontal pole | R | 5 | 37 | 8 | −11.3 | −0.08 | 3 | 46 | 2 | −8 | −0.12 | 3.29 | 0.001 | |
| Subgenual area | L | SG25 | −3 | 20 | −12 | −25.6 | −0.52 | −2 | 11 | −9 | −19 | −0.63 | 2.19 | 0.032 |
| R | 4 | 18 | −12 | −35.5 | −0.51 | 4 | 14 | −10 | −15.6 | −0.42 | 2.14 | 0.034 | ||
| Orbitofrontal cortex | L | BA11 | −3 | 40 | −18 | −13 | −0.16 | nil | 2.05 | 0.044 | ||||
| R | 5 | 52 | −21 | −20.4 | −0.54 | nil | 2.31 | 0.004 | ||||||
| Temporal pole | L | BA38 | −28 | 19 | −32 | −26 | −0.34 | −32 | 18 | −32 | −7.6 | −0.15 | 3.31 | 0.001 |
| R | 35 | 19 | −33 | −25.8 | −0.32 | 64 | 20 | −30 | −18.7 | −0.3 | 3.19 | 0.002 | ||
| Amygdala | L | BA34 | −21 | −6 | −20 | −14.3 | −0.9 | −25 | 5 | −12 | 4.8 | 0.12 | 3.91 | 0.001 |
| R | 22 | −8 | −12 | −13.6 | −0.08 | 17 | 5 | −15 | −7 | −0.12 | 2.63 | (0.010) | ||
| Hippocampus | L | −18 | −11 | −15 | −12.7 | −0.08 | nil | 3.63 | 0.001 | |||||
| R | 18 | −11 | −14 | −12.7 | −0.11 | 20 | −16 | −12 | −5 | −0.1 | 3.35 | 0.001 | ||
| Parahippocampus | L | BA28/36 | −23 | −11 | −22 | −7.9 | −0.07 | nil | 2.96 | 0.004 | ||||
| R | 19 | −7 | −25 | −11.6 | −0.12 | 25 | −22 | −21 | 5.9 | 0.24 | 2.52 | 0.014 | ||
| Hypothalamus | L | −1 | −2 | −8 | −20.2 | −0.2 | −1 | −4 | −7 | 5.9 | 0.12 | 3.88 | 0.001 | |
| R | 2 | −2 | −8 | −18.6 | −0.2 | 2 | −6 | −6 | 5.8 | 0.14 | 3.27 | 0.002 | ||
| Cerebellar vermis | lobule VII | −1 | −79 | −30 | −7.9 | −0.16 | −1 | −71 | −21 | 11 | 0.15 | 3.52 | 0.001 | |
| lobule VIII | −1 | −65 | −37 | −6.5 | −0.12 | −1 | −63 | −27 | 9.3 | 0.14 | 3.66 | 0.001 | ||
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| B. Activation Network | ||||||||||||||
| SII, operculum | L | BA43 | −61 | −12 | 20 | 15.4 | 0.16 | −62 | −13 | 17 | 17.09 | 0.33 | 3.73 | 0.001 |
| R | 59 | −12 | 20 | 6.7 | 0.05 | 55 | −6 | 11 | 7.4 | 0.14 | ns | |||
| SII, inferior parietal | L | BA40 | −59 | −21 | 22 | 19.8 | 0.16 | −64 | −25 | 20 | 15.7 | 0.42 | 5.4 | 0.001 |
| R | 54 | −21 | 25 | 13.3 | 0.1 | 55 | −25 | 26 | 13 | 0.16 | 3.51 | 0.001 | ||
| Ant middle cingulate/DMPFC | L | BA32/10 | nil | −2 | 22 | 41 | 11 | 0.15 | 3.91 | 0.001 | ||||
| R | 4 | 27 | 37 | 7.8 | 0.07 | 1 | 31 | 34 | 10 | 0.15 | 5.93 | 0.001 | ||
| Ant middle cingulate | L | BA24 | −3 | 14 | 32 | 7.4 | 0.08 | −3 | 19 | 27 | 6.9 | 0.1 | 2.91 | 0.005 |
| R | 3 | 11 | 34 | 6.2 | 0.07 | 2 | 18 | 31 | 7.6 | 0.15 | 3.95 | 0.001 | ||