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. 2018 Oct 3;44(2):259–273. doi: 10.1038/s41386-018-0232-4

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