arXiv:2509.10552q-bio.NCcs.LG2025-09

通过单次试验的脑电波变化,识别疼痛的神经标记物。

Trial-Level Time-frequency EEG Desynchronization as a Neural Marker of Pain

  • 基于单次试验的脑电时频分析,发现前中央区β波段去同步化
  • 该去同步化程度与主观疼痛评分(VAS)显著相关,且受年龄性别影响
  • 可作为无语言能力患者疼痛监测的潜在客观指标

疼痛是重大健康挑战,但其评估仍依赖自述,限制了非沟通患者监测和转化研究。脑电图(EEG)记录的神经振荡为识别可重复的伤害性处理标记提供了可能。以往研究报道了α和β波段事件相关去同步化(ERD),但多依赖试次平均,掩盖了可能影响感知的变异。本研究分析了59名健康参与者在痛觉与非痛觉条件下接受电刺激的高密度脑电数据。单次试次时频分解显示,前中央电极β波段存在显著去同步化,能有效区分有痛与无痛试次。广义线性混合模型表明,去同步化强度与主观疼痛评分(VAS)呈正相关,且年龄与性别调节该关系。反向模型进一步显示,去同步化可预测跨被试的VAS评分,凸显其作为无言疼痛标记物的潜力。研究提示,单次试验水平的脑电振荡可成为可靠的疼痛指标,为个体化、无需报告的疼痛监测开辟路径。未来需在患者群体中验证,并拓展至结合脑磁图(MRI)、EEG与注意力调控的多模态方法。

原文摘要 · Abstract (English)

Pain remains one of the most pressing health challenges, yet its measurement still relies heavily on self-report, limiting monitoring in non-communicative patients and hindering translational research. Neural oscillations recorded with electroencephalography (EEG) provide a promising avenue for identifying reproducible markers of nociceptive processing. Prior studies have reported pain-related event-related desynchronization (ERD) in the alpha and beta bands, but most rely on trial-averaging, obscuring variability that may be critical for perception. We analyzed high-density EEG from 59 healthy participants who underwent electrical stimulation under Pain and No-Pain conditions. Per-trial time-frequency decomposition revealed robust beta-band ERD in frontal-central electrodes that differentiated Pain from No-Pain trials. Generalized linear mixed models demonstrated that ERD scaled with subjective intensity ratings (VAS), and that age and gender moderated this relationship. Reverse models further showed that ERD predicted VAS ratings across participants, underscoring its potential as a nonverbal marker of pain. These findings provide preliminary evidence that trial-level EEG oscillations can serve as reliable indicators of pain and open avenues for individualized, report-free pain monitoring. Future work should validate these results in patient populations and extend analyses to multimodal approaches combining EEG, MRI, and attention-based modulation strategies.

脑电图疼痛检测神经标记

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