Decoding pain: uncovering the factors that affect the performance of neuroimaging-based pain models
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초록

Neuroimaging-based pain biomarkers, when combined with machine learning techniques, have demonstrated potential in decoding pain intensity and diagnosing clinical pain conditions. However, a systematic evaluation of how different modeling options affect model performance remains unexplored. This study presents the results from a comprehensive literature survey and benchmark analysis. We conducted a survey of 57 previously published articles that included neuroimaging-based predictive modeling of pain, comparing classification and prediction performance based on the following modeling variables-the levels of data, spatial scales, idiographic vs population models, and sample sizes. The findings revealed a preference for population-level modeling with brain-wide features, aligning with the goal of clinical translation of neuroimaging biomarkers. However, a systematic evaluation of the influence of different modeling options was hindered by a limited number of independent test results. This prompted us to conduct benchmark analyses using a locally collected functional magnetic resonance imaging dataset (N 5 124) involving an experimental thermal pain task. The results demonstrated that data levels, spatial scales, and sample sizes significantly impact model performance. Specifically, incorporating more pain-related brain regions, increasing sample sizes, and averaging less data during training and more data during testing improved performance. These findings offer useful guidance for developing neuroimaging-based biomarkers, underscoring the importance of strategic selection of modeling approaches to build better-performing neuroimaging pain biomarkers. However, the generalizability of these findings to clinical pain requires further investigation. Copyright © 2024 The Author(s).

키워드

BiomarkerClassificationMachine learningNeuroimagingPredictive modelingFUNCTIONAL CONNECTIVITYVISUAL ANALOGHUMAN BRAINPERCEPTIONMECHANISMSSIGNATURESBIOMARKERSTATE
제목
Decoding pain: uncovering the factors that affect the performance of neuroimaging-based pain models
저자
Lee, Dong HeeLee, SungwooWoo, Choong-Wan
DOI
10.1097/j.pain.0000000000003392
발행일
2025-02
유형
Article
저널명
Pain
166
2
페이지
360 ~ 375