Painful Issues in Pain Prediction

Trends Neurosci. 2016 Apr;39(4):212-220. doi: 10.1016/j.tins.2016.01.004. Epub 2016 Feb 18.

Abstract

How perception of pain emerges from neural activity is largely unknown. Identifying a neural 'pain signature' and deriving a way to predict perceived pain from brain activity would have enormous basic and clinical implications. Researchers are increasingly turning to functional brain imaging, often applying machine-learning algorithms to infer that pain perception occurred. Yet, such sophisticated analyses are fraught with interpretive difficulties. Here, we highlight some common and troublesome problems in the literature, and suggest methods to ensure researchers draw accurate conclusions from their results. Since functional brain imaging is increasingly finding practical applications with real-world consequences, it is critical to interpret brain scans accurately, because decisions based on neural data will only be as good as the science behind them.

Keywords: functional magnetic resonance imaging (fMRI); machine learning; multivariate pattern analysis (MVPA); pain; pain signature; prediction.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Brain / physiology*
  • Brain Mapping / methods*
  • Humans
  • Pain Perception / physiology*