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Altered network homogeneity of the default mode network in patients with tension-type headache.

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Τίτλος: Altered network homogeneity of the default mode network in patients with tension-type headache.
Συγγραφείς: Yin H; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Guo X; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Gao Y; Department of Psychiatry, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan University of Science and Technology, Wuhan, Hubei, China., Zhou Q; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Min P; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Xia M; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Peng X; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Chen L; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Wang Y; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China., Han Q; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Πηγή: Frontiers in neurology [Front Neurol] 2026 Sep 01; Vol. 17, pp. 1870552. Date of Electronic Publication: 2026 Sep 01 (Print Publication: 2026).
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101546899 Publication Model: eCollection Cited Medium: Internet ISSN: 1664-2295 (Electronic) Linking ISSN: 16642295 NLM ISO Abbreviation: Front Neurol Subsets: MEDLINE
Imprint Name(s): Original Publication: [Lausanne : Frontiers Research Foundation, 2010]-
Ιατρικοί όροι (MeSH): Tension-Type Headache*/physiopathology , Tension-Type Headache*/diagnostic imaging , Default Mode Network*/physiopathology , Default Mode Network*/diagnostic imaging , Nerve Net*/physiopathology , Nerve Net*/diagnostic imaging, Humans ; Female ; Adult ; Male ; Magnetic Resonance Imaging ; Young Adult ; Brain Mapping ; Support Vector Machine ; Middle Aged
Περίληψη: Objective: Dysfunction of the default mode network (DMN) is strongly linked to pain processing, as well as onset and progression of chronic pain disorders; however, its specific role in the pathogenesis of tension-type headache (TTH) remains incompletely understood. This study aims to explore the network homogeneity (NH) of the DMN in the pathophysiological mechanisms underlying TTH.
Methods: Resting-state functional magnetic resonance imaging (rs-fMRI) and clinical headache scale assessments were conducted on 68 patients with TTH and 63 healthy controls (HCs). Independent component analysis and NH analysis were used to evaluate the neuroimaging data.
Results: Patients with TTH exhibited decreased NH values in the right posterior cingulate cortex (PCC) and increased NH values in the right medial superior frontal gyrus (SFGmed), bilateral angular gyrus (AG), and left precuneus (PCu), compared to HCs. Additionally, the NH values of right AG, left AG and right PCC were positively correlated with Headache Impact Test-6 (HIT-6), Migraine Disability Assessment Test (MIDAS) scores and headache intensity. Furthermore, support vector machine (SVM) analysis revealed that NH values in the right PCC could distinguish TTH patients from HCs with an accuracy of 75.57%, sensitivity of 84.13%, specificity of 70.59%, and an AUC of 0.7156.
Conclusion: This study demonstrates altered network homogeneity (NH) within the DMN in patients with TTH. Furthermore, the NH value of the right PCC showed discriminative potential to distinguish TTH patients from healthy controls via SVM classification.
(Copyright © 2026 Yin, Guo, Gao, Zhou, Min, Xia, Peng, Chen, Wang and Han.)
Competing Interests: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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J Affect Disord. 2023 Oct 15;339:486-494. (PMID: 37437732)
Pain. 2014 Dec;155(12):2491-2501. (PMID: 25047783)
Neuroimage. 2005 Sep;27(3):520-32. (PMID: 15946864)
Mol Neurobiol. 2019 Feb;56(2):1137-1166. (PMID: 29876878)
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Contributed Indexing: Keywords: default mode network; network homogeneity; resting-state functional magnetic resonance; support vector machine; tension-type headache
Entry Date(s): Date Created: 20260916 Date Completed: 20260916 Latest Revision: 20260917
Update Code: 20260917
PubMed Central ID: PMC13574691
DOI: 10.3389/fneur.2026.1870552
PMID: 42745836
Βάση Δεδομένων: MEDLINE
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  Data: Altered network homogeneity of the default mode network in patients with tension-type headache.
– Name: Author
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  Data: <searchLink fieldCode="AU" term="%22Yin+H%22">Yin H</searchLink>; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Guo+X%22">Guo X</searchLink>; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Gao+Y%22">Gao Y</searchLink>; Department of Psychiatry, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan University of Science and Technology, Wuhan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Zhou+Q%22">Zhou Q</searchLink>; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Min+P%22">Min P</searchLink>; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Xia+M%22">Xia M</searchLink>; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Peng+X%22">Peng X</searchLink>; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Chen+L%22">Chen L</searchLink>; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Wang+Y%22">Wang Y</searchLink>; Department of Medical Imaging, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.<br /><searchLink fieldCode="AU" term="%22Han+Q%22">Han Q</searchLink>; Department of Neurology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
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  Data: <searchLink fieldCode="JN" term="%22101546899%22">Frontiers in neurology</searchLink> [Front Neurol] 2026 Sep 01; Vol. 17, pp. 1870552. <i>Date of Electronic Publication: </i>2026 Sep 01 (<i>Print Publication: </i>2026).
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Frontiers+Research+Foundation%22">Frontiers Research Foundation </searchLink><i>Country of Publication: </i>Switzerland <i>NLM ID: </i>101546899 <i>Publication Model: </i>eCollection <i>Cited Medium: </i>Internet <i>ISSN: </i>1664-2295 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2216642295%22">16642295 </searchLink><i>NLM ISO Abbreviation: </i>Front Neurol <i>Subsets: </i>MEDLINE
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  Data: <i>Original Publication</i>: [Lausanne : Frontiers Research Foundation, 2010]-
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  Label: MeSH Terms
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  Data: <searchLink fieldCode="MM" term="%22Tension-Type+Headache%22">Tension-Type Headache*</searchLink>/<searchLink fieldCode="MM" term="%22Tension-Type+Headache+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Tension-Type+Headache%22">Tension-Type Headache*</searchLink>/<searchLink fieldCode="MM" term="%22Tension-Type+Headache+diagnostic+imaging%22">diagnostic imaging</searchLink> <br /><searchLink fieldCode="MM" term="%22Default+Mode+Network%22">Default Mode Network*</searchLink>/<searchLink fieldCode="MM" term="%22Default+Mode+Network+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Default+Mode+Network%22">Default Mode Network*</searchLink>/<searchLink fieldCode="MM" term="%22Default+Mode+Network+diagnostic+imaging%22">diagnostic imaging</searchLink> <br /><searchLink fieldCode="MM" term="%22Nerve+Net%22">Nerve Net*</searchLink>/<searchLink fieldCode="MM" term="%22Nerve+Net+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Nerve+Net%22">Nerve Net*</searchLink>/<searchLink fieldCode="MM" term="%22Nerve+Net+diagnostic+imaging%22">diagnostic imaging</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Magnetic+Resonance+Imaging%22">Magnetic Resonance Imaging</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Brain+Mapping%22">Brain Mapping</searchLink> ; <searchLink fieldCode="MH" term="%22Support+Vector+Machine%22">Support Vector Machine</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Dysfunction of the default mode network (DMN) is strongly linked to pain processing, as well as onset and progression of chronic pain disorders; however, its specific role in the pathogenesis of tension-type headache (TTH) remains incompletely understood. This study aims to explore the network homogeneity (NH) of the DMN in the pathophysiological mechanisms underlying TTH.<br />Methods: Resting-state functional magnetic resonance imaging (rs-fMRI) and clinical headache scale assessments were conducted on 68 patients with TTH and 63 healthy controls (HCs). Independent component analysis and NH analysis were used to evaluate the neuroimaging data.<br />Results: Patients with TTH exhibited decreased NH values in the right posterior cingulate cortex (PCC) and increased NH values in the right medial superior frontal gyrus (SFGmed), bilateral angular gyrus (AG), and left precuneus (PCu), compared to HCs. Additionally, the NH values of right AG, left AG and right PCC were positively correlated with Headache Impact Test-6 (HIT-6), Migraine Disability Assessment Test (MIDAS) scores and headache intensity. Furthermore, support vector machine (SVM) analysis revealed that NH values in the right PCC could distinguish TTH patients from HCs with an accuracy of 75.57%, sensitivity of 84.13%, specificity of 70.59%, and an AUC of 0.7156.<br />Conclusion: This study demonstrates altered network homogeneity (NH) within the DMN in patients with TTH. Furthermore, the NH value of the right PCC showed discriminative potential to distinguish TTH patients from healthy controls via SVM classification.<br /> (Copyright © 2026 Yin, Guo, Gao, Zhou, Min, Xia, Peng, Chen, Wang and Han.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
– Name: Ref
  Label: References
  Group: RefInfo
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  Data: <i>Keywords: </i>default mode network; network homogeneity; resting-state functional magnetic resonance; support vector machine; tension-type headache
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  Data: <i>Date Created: </i>20260916 <i>Date Completed: </i>20260916 <i>Latest Revision: </i>20260917
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  Data: 20260917
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  Data: PMC13574691
– Name: DOI
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  Data: 10.3389/fneur.2026.1870552
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        Value: 10.3389/fneur.2026.1870552
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      – Code: eng
        Text: English
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        StartPage: 1870552
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Adult
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Magnetic Resonance Imaging
        Type: general
      – SubjectFull: Young Adult
        Type: general
      – SubjectFull: Brain Mapping
        Type: general
      – SubjectFull: Support Vector Machine
        Type: general
      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Tension-Type Headache physiopathology
        Type: general
      – SubjectFull: Tension-Type Headache diagnostic imaging
        Type: general
      – SubjectFull: Default Mode Network physiopathology
        Type: general
      – SubjectFull: Default Mode Network diagnostic imaging
        Type: general
      – SubjectFull: Nerve Net physiopathology
        Type: general
      – SubjectFull: Nerve Net diagnostic imaging
        Type: general
    Titles:
      – TitleFull: Altered network homogeneity of the default mode network in patients with tension-type headache.
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            – D: 01
              M: 09
              Text: 2026 Sep 01
              Type: published
              Y: 2026
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              Value: 17
          Titles:
            – TitleFull: Frontiers in neurology
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