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Absence of BOLD adaptation in chronic fatigue syndrome revealed by task functional MRI
Journal article   Open access   Peer reviewed

Absence of BOLD adaptation in chronic fatigue syndrome revealed by task functional MRI

Laura Schonberg, Abdalla Z. Mohamed, Qiang Yu, Richard A. Kwiatek, Peter Del Fante, Vince D. Calhoun and Zack Y. Shan
Journal of Cerebral Blood Flow and Metabolism, Vol.45(1), pp.115-124
2025
PMCID: PMC11840696
PMID: 39113421
Appears in  Thompson Institute Research Collection
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Abstract

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) task functional MRI (tfMRI) neurophysiological adaptation Symbol Digit Modalities Test (SDMT) fatigue severity Chronic fatigue syndrome Neuroimaging Thompson Institute Special Collection
Neurological symptoms are central to Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), yet its underlying neurophysiological mechanisms remain elusive. We examined a neglected aspect of task-based functional MRI, focusing on how blood oxygenation level-dependent (BOLD) signals alter during cognitive tasks in ME/CFS. This prospective observational study utilised MRI scans on ME/CFS participants and healthy controls (HCs) with sedentary lifestyles (ACTRN12622001095752). Participants completed two blocks of a Symbol Digit Modalities Test, with 30 trials per block split into two sets. The fMRI signal changes between blocks and sets were compared within and between groups. Thirty-four ME/CFS participants (38 years +/- 10; 27 women) and 34 HCs (38 +/- 10; 27 women), were evaluated. In the second task block, ME/CFS participants exhibited increased activation in the right postcentral gyrus, contrasting with decreased activation in multiple regions in HCs. These results were further confirmed by significantly higher bilateral dynamic changes (2nd vs 1st set) in the motor, sensory and cognitive cortex in ME/CFS compared to HCs and significant correlations between those changes in the left primary motor cortex with fatigue severities. BOLD adaptation, potentially improving energy economy, was absent in ME/CFS, which may provide an underlying neurophysiological process in ME/CFS.

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