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Comment & Response |

Comparing Painful Stimulation vs Rest in Studies of Pain—Reply ONLINE FIRST

Tim V. Salomons, PhD1
[+] Author Affiliations
1School of Psychology and Clinical Language Sciences, Centre for Integrative Neuroscience & Neurodynamics, University of Reading, Reading, England
JAMA Neurol. Published online August 29, 2016. doi:10.1001/jamaneurol.2016.2992
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In Reply We thank Büchel and colleagues for their letter, and we are pleased to see that their considerations are based on a viewpoint almost entirely in agreement with our own. Their statement that pain matrix responses generated using traditional analysis methods and experimental designs are “confounded by unspecific effects” is a concise summary of our letter1 and a theme of much of our previous work.2

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Figure.
Pain Matrix Responses in a Reverse Inference Mask of Pain

A, Red indicates Neurosynth-based pain matrix (reverse inference, feature set pain; N = 420 studies). Blue indicates conjunction of control individuals’ responses to noxious stimulation. B, Activation levels (z scores) of single participants within the pain matrix. C, Neurosynth-based pain matrix (red) and conjunction of patients’ responses to noxious stimulation (yellow). ACC indicates anterior cingulate cortex.

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August 29, 2016
Christian Büchel, MD; Stephan Geuter, PhD; Christian Sprenger, MD
1Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
2Institute of Cognitive Science, University of Colorado Boulder
JAMA Neurol. Published online August 29, 2016.;():. doi:10.1001/jamaneurol.2016.2989.
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