Multiple Voxel Pattern Analysis Shows Associations Between Chronic Fatigue Syndrome and Cortical Atrophy, 2025, Wu et al

Discussion in 'ME/CFS research' started by Wyva, Feb 25, 2025.

  1. Wyva

    Wyva Senior Member (Voting Rights)

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    Now published - see here
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    Kang Wu, Yihuai Zou, Yuanyuan Li, Xiaojie Hu, Yahui Wang, TZ CHEN, Yuhang Chen, Kuangshi Li

    Abstract

    Chronic Fatigue Syndrome (CFS) is a disease characterized by unexplained fatigue and impaired cognition for more than six months. Recent studies have reported declines in large-scale brain networks' functional connections among patients with CFS, and these declines correlated with the patients' symptom severity. However, these reported networks are inconsistent.

    Brain structure serves as the essential architecture supporting brain functional fluctuations. Investigating structural alterations could provide insights into functional changes in different brain areas and facilitate the clinical diagnosis of CFS.

    In this study, we recruited 37 patients with CFS and 34 healthy controls to collect their clinical assessments and structural magnetic resonance imaging data. Multiple Voxel Pattern Analysis (MVPA) was employed to recognize chronic fatigue-related brain areas, and cortical thickness was compared between the two groups.

    By constructing a predictive MVPA classifier with 70% balanced accuracy, we identified five relevant brain areas, including the paracentral cortex, precentral cortex, central cortex, intraparietal cortex, and superior temporal cortex.

    Subsequently, the results showed that the thickness of these areas had associations with fatigue severity, healthy life status, and pain levels among our subjects. Furthermore, compared to healthy controls, the thickness reduction was observed in patients with CFS.

    In summary, our study revealed a pathological chronic fatigue pattern for understanding CFS and suggested associations between cortical atrophy and CFS, with the aim of highlighting potential impacts of chronic fatigue. The trial was registered in the Chinese Clinical Trial Registry (ChiCTR2000032577).

    Only abstract available: https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2025.1535088/abstract
     
    Last edited by a moderator: Mar 17, 2025
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  2. Wyva

    Wyva Senior Member (Voting Rights)

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    I'm not sure if this is true ME/CFS research or not. May be just chronic fatigue.
     
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  3. Hutan

    Hutan Moderator Staff Member

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    Yes, it seems that any sort of neuronal loss can cause cortical thinning - dementia, Parkinsons, aging, brain injury. If the authors think that CFS is a disease only of fatigue and impaired cognition, then the study doesn't tell us much.

    I don't think we have seen much consistency between studies about the parts of the brain that are found to have different volumes in ME/CFS. ?
     
  4. Utsikt

    Utsikt Senior Member (Voting Rights)

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  5. forestglip

    forestglip Senior Member (Voting Rights)

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  6. Utsikt

    Utsikt Senior Member (Voting Rights)

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    I wonder what being right-handed has to do with anything - why would they report this?
    And is it normal to exclude women that menstruate during the MRI scanning?
     
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  7. forestglip

    forestglip Senior Member (Voting Rights)

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    I assume since right and left handed people's brains are expected to look a bit different, since different parts of the brain control the two sides of the body, so might have changed structurally after a lifetime of use.

    Here's one study from a quick search. No idea how well replicated the science is, but it makes sense to match to play it safe.

    Asymmetries of cortical thickness: effects of handedness, sex, and schizophrenia (2007, Neuroreport)
     
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  8. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

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    Here's the data on the cortical thickness of the brain areas they tested in both groups:

    upload_2025-4-1_19-35-40.png

     
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