Table 2.
Significant changes in gray matter density in patients with chronic pain due to primary hip osteoarthritis
Anatomical location | Patients < controls MNI coordinates |
p | Peak t score | Number of voxels | Testing periods 1, 2 <3 MNI coordinates |
p | Peak t score | Number of voxels | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
x | y | z | x | y | z | |||||||
L anterior cingulate cortex | −4 | 39 | 3 | 0.000 | 4.48 | 3401 | −2 | 34 | 0 | 0.007 | 2.75 | 813 |
R amygdala | 28 | 1 | −15 | 0.001 | 3.31 | 4 | 28 | 0 | −13 | 0.001 | 3.83 | 11,161 |
R DLPFC | 23 | 49 | 38 | 0.000 | 3.79 | 226 | 23 | 31 | 40 | 0.008 | 2.64 | 877 |
L midcingulate cortex | −11 | −14 | 35 | 0.000 | 4.02 | 75 | −17 | −18 | 50 | 0.007 | 2.75 | 219 |
R insular cortex | 51 | 17 | 1 | 0.000 | 5.38 | 4468 | 36 | 9 | 1 | 0.004 | 2.99 | 11,161 |
L insular cortex | −41 | 26 | 4 | 0.000 | 4.02 | 287 | −44 | 27 | −13 | 0.010 | 2.53 | 712 |
Brainstem | 2 | −30 | −48 | 0.000 | 3.72 | 20 | 0 | −28 | −42 | 0.008 | 2.68 | 1063 |
L medial temporal gyrus/S2 | −62 | −17 | 0 | 0.000 | 4.07 | 1201 | −58 | −5 | −10 | 0.012 | 2.47 | 493 |
R anterior cingulate cortex | 12 | 23 | 24 | 0.000 | 4.19 | 326 | 2 | 33 | 1 | 0.009 | 2.39 | 813 |
L midorbital gyrus | −9 | 24 | −22 | 0.000 | 4.65 | 1248 | ||||||
R midorbital gyrus | 6 | 62 | −12 | 0.000 | 5.10 | 776 | ||||||
R superior frontal gyrus/area 6 | 21 | −6 | 59 | 0.000 | 4.13 | 166 | ||||||
R medial temporal pole | 27 | 9 | −42 | 0.000 | 3.69 | 49 | ||||||
R cerebellum | 18 | −43 | −33 | 0.000 | 4.64 | 1544 | ||||||
R superior medial gyrus | 9 | 66 | 13 | 0.000 | 4.17 | 244 | ||||||
R area 2/S1 | 54 | −32 | 53 | 0.000 | 3.92 | 161 |
The changes are tabulated in terms of the brain region and the corresponding Brodmann's area. The x, y, z coordinates are according to the Montreal Neurological Institute (MNI) atlas. Each location is the peak within a cluster (defined as the voxel with the highest z score). The left side of the table (“patients < controls”) lists significant decreases of gray matter between patients and controls with a statistical threshold set at p < 0.001 uncorrected. The right side of the table (“testing periods 1, 2 <3”) lists corresponding areas showing a gray matter increase in 10 pain-free patients at the third scanning period 12–18 weeks after total hip replacement surgery, as compared to the first (preoperative) and second (6 weeks post surgery) scans (p < 0.05 uncorrected). R, Right side; L, left side.