Table 1.
Primary findings from fMRI studies using drug cue paradigms in individuals with OUD
Ref. | OUD (N, Fn) | HC (N, Fn) | Drug | Status | Acute drug? | Design | Findings |
---|---|---|---|---|---|---|---|
Langleben et al. [46] | 25, 12F | — | H | MMT | MMT | Pre and post | Pre-dose > Post-dose (heroin vs. neutral): OFC, insula, hippocampal complex, L amygdala |
Mei et al. [52] | 12, 1F | — | H | DTX | BUP | Onset & peak | Early scan > late scan (heroin vs. neutral): left VTA, thalamus, paracentral lobule, middle temporal gyrus and calcarine sulcus, R amygdala, hippocampus, precentral gyrus and postcentral gyrus |
Li et al. [49] | 24, 0F | 20, 0F | H | AB | — | Cross-sectional | OUD > HC (heroin vs. neutral): NAcc, caudate, putamen, dlPFC, OFC, MeFG, amygdala, hippocampus, MCC, midbrain, thalamus, ACC, PCC, subcallosal gyrus |
Lou et al. [51] | 17 SA, 0F | — | H | DTX | — | Cross-sectional | STA > LTA (heroin vs. neutral): hippocampus, insula, thalamus, dorsal striatum, cerebellum, PCC, temporal, parietal, occipital |
17 LA. 0F | |||||||
Li et al. [50] | 19 SA,?F | — | H | AB | — | Cross-sectional | STA > LTA (heroin vs. neutral): ACC, mPFC, caudate, IPL, precuneus, middle occipital gyrus |
18 LA,?F | |||||||
Langleben et al. [47] | 13, 2F | — | H | AB | XRNTX | Pre and post | Post > Pre (heroin vs. neutral): precuneus, MFG |
Post < Pre (heroin vs. neutral): amygdala, caudate, cuneus, precentral gyrus | |||||||
Wang et al. [45] | 30, 0F (15 SA, 15 LA) | 17,?F | H | MMT | MMT | Post MMT | OUD > HC (heroin vs. neutral): PHG, dACC, thalamus, MiFG, precuneus, cerebellum, SFG; |
STA > LTA (heroin vs. neutral): caudate | |||||||
Li et al. [48] | 44, 0F (23 REL, 21 NR) | 20, 0F | H | MMT | — | Cross-sectional | OUD > HC (heroin vs. neutral): NAcc, cerebellum, caudate, putamen, dlPFC, OFC, PHG, IPL, ITG, pons, ACC, precuneus, inferior occipital gyrus, mPFC, midbrain, SPL, STL, cingulate, fusiform |
NR < REL HC (heroin vs. neutral): NAcc, cerebellum | |||||||
Walter et al. [43] | 27, 8F | 20, 6F | H | HMT | Heroin vs. saline | Random, DB, CO | OUD > HC (heroin vs. neutral - saline only): OFC (ROI analysis) |
Heroin > saline (OUD only): OFC (ROI analysis) | |||||||
Wang et al. [44] | 30,15F | H | XRNTX | — | Pre- & post (n = 14) 3-month tx | No change pre- to post- XRTNX (heroin vs. neutral) | |
pre-tx activation in MFG and ACC (heroin vs. neutral) positively correlated with tx adherence (# of XRNTX injections) |
N total sample size, Fn number of female participants, Ref. reference, OUD opioid-use disorder, HC healthy control, F female, REL relapse, NR no relapse, SA short-term abstinence, LTA long-term abstinence, H heroin, AB abstinent, MMT methadone maintenance treatment, HMT heroin maintenance treatment, DTX detoxed, XRNTX extended release naltrexone, BUP buprenorphine, random, DB, CO randomized, double-blind, cross-over, NAcc nucleus accumbens, dlPFC dorsolateral prefrontal cortex, OFC orbitofrontal cortex, MeFG medial frontal gyrus, MCC midcingulate cortex, ACC anterior cingulate cortex, PCC posterior cingulate cortex, STN subthalamic nucleus, PHG parahippocampal gyrus, IPL inferior parietal lobule, ITG inferior temporal gyrus, mPFC medial prefrontal cortex, ROI region of interest, dACC dorsal anterior cingulate, MiFG middle frontal gyrus, MiTG middle temporal gyrus, MFG middle frontal gyrus, tx treatment, ? not reported