Journal of Neuroscience Methods 271 (2016) 160–168
Contents lists available at ScienceDirect
Journal of Neuroscience Methods
jo ur nal home p age: www.elsevier.com/locate/jneumeth
Demonstration and validation of a new pressure-based MRI-safe pain
tolerance device
Margaret T. Davis
a,1
, Thomas A. Daniel
a,1
, Tracy K. Witte
a,∗∗
, Ronald J. Beyers
b
,
J. Zachary Willis
b
, Yun Wang
b
, Thomas S. Denney Jr.
a,b,c
, Jeffrey S. Katz
a,b,c
,
Nouha Salibi
b,d
, Gopikrishna Deshpande
a,b,c,∗
a
Department of Psychology, Auburn University, Auburn, AL, USA
b
AU MRI Research Center, Department of Electrical Engineering, Auburn University, Auburn, AL, USA
c
Alabama Advanced Imaging Consortium, Auburn University and University of Alabama Birmingham, AL, USA
d
MR R&D Siemens Healthcare, Malvern, PA, USA
h i g h l i g h t s
•
Creation of a novel, MRI-safe, pressure-based pain tolerance device.
•
Strong correlation between pain tolerance as assessed by MRI-safe device and as assessed by commercially available algometer (Experiment 1).
•
With additional pressure, increased activation in insula, anterior cingulate cortex (Experiment 2).
•
Activations found in Experiment 2 were comparable with activations found with other types of pain (e.g., thermal, mechanical).
a r t i c l e i n f o
Article history:
Received 9 February 2016
Received in revised form 29 June 2016
Accepted 1 July 2016
Available online 1 July 2016
Keywords:
Pain
Insula
Anterior cingulate cortex
MRI-safe pressure-based pain tolerance
device
Algometer
a b s t r a c t
Background: One of the barriers to studying the behavioral and emotional effects of pain using func-
tional Magnetic Resonance Imaging (fMRI) is the absence of a commercially available, MRI-compatible,
pressure-based algometer to elicit pain. The present study sought to address this barrier through creation
and validation of a novel MRI-safe apparatus capable of delivering incremental, measurable amounts of
pressure inside a scanning bore.
New method: We introduced an MR-safe device used to administer pressure-based pain. To test against
a commercially available, MRI-incompatible algometer (AlgoMed), 199 participants reported their pain
tolerance for both devices. A second experiment tested the validity of pressure-based pain in an MRI
environment by comparing brain activation with established neural networks for pain. 10 participants
performed an identical procedure to test for pain tolerance while being scanned in a 7T MRI scanner.
Results: Results support the validity and reliability of our novel device. In Study 1, pain tolerance with this
device was strongly correlated with pain tolerance as measured by a commercially available algometer
(r = 0.78). In Study 2, this device yielded BOLD activation within the insula (BA 13) and anterior cingulate
gyrus (BA 24); as pressure increased, activation in these areas parametrically increased.
Comparison with existing method: These findings correspond to other studies using thermal, electrical, or
mechanical pain applications. Behavioral and functional data demonstrate that this new device is a valid
method of administering pressure-related pain in MRI environments.
Conclusions: Our novel MRI-safe device is a valid instrument to measure and administer pressure-based
pain.
© 2016 Elsevier B.V. All rights reserved.
∗
Corresponding author (methodological issues) at: AU MRI Research Center, Dept. of Electrical & Computer Engineering, 560 Devall Dr., Suite 266D, Auburn University,
Auburn, AL 36849, USA.
∗∗
Corresponding author (scientific issues) at: Department of Psychology, 226 Thach Hall, Auburn University, Auburn, AL 36849, USA.
E-mail addresses: tracy.witte@auburn.edu (T.K. Witte), gopi@auburn.edu (G. Deshpande).
1
The first two authors contributed equally.
http://dx.doi.org/10.1016/j.jneumeth.2016.07.001
0165-0270/© 2016 Elsevier B.V. All rights reserved.