title: Cortical Activation Patterns of Bodily Attention triggered by Acupuncture Stimulation.
abstract: We investigated commonalities and differences in brain responses to enhanced bodily attention around acupuncture points with and without stimulation. Fourteen participants received acupuncture needles at both PC6 and HT7 acupoints in the left hand. To enhance bodily attention to acupoints, participants responded to the locations of stimulations in a two-alternative forced choice task. Two fMRI scans were taken in a block design: session 1 labeled with manual stimulation (genuine stimulation) and session 2 labeled with electro-acupuncture (pseudo-stimulation). To compare cortical activation patterns, data were analyzed using the Freesurfer software package. Both genuine-and pseudo-stimulation resulted in brain activations in the insula, anterior cingulate cortex, secondary somatosensory cortex, superior parietal cortex, and brain deactivation in the medial prefrontal cortex, posterior cingulate cortex, inferior parietal cortex, and the parahippocampus. Genuine acupuncture stimulation exhibited greater brain activation in the posterior insula, posterior operculum and the caudal part of the anterior cingulate cortex, compared with pseudo-stimulation. We demonstrated that enhanced bodily attention triggered by genuine acupuncture stimulation can activate the salience network and deactivate the default mode network regardless of the type of stimulation. The component of enhanced attention to a certain part of the body is significant in the brain response to acupuncture stimulation.
authors.affiliation: Acupuncture &Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.
authors.forename: Won-Mo
authors.initials: WM
authors.lastname: Jung
authors.affiliation: 1] Acupuncture &Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea [2] Department of Internal Medicine: Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany [3] IMPRS for Cognitive and Systems Neuroscience, University Tübingen, Tübingen, Germany.
authors.forename: In-Seon
authors.initials: IS
authors.lastname: Lee
authors.affiliation: Department of Brain Cognitive Engineering, Korea University, Seoul, Republic of Korea.
authors.forename: Christian
authors.initials: C
authors.lastname: Wallraven
authors.affiliation: Acupuncture, Moxibustion and Meridian Research Center, Division of Standard Research, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
authors.forename: Yeon-Hee
authors.initials: YH
authors.lastname: Ryu
authors.affiliation: Acupuncture &Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.
authors.forename: Hi-Joon
authors.initials: HJ
authors.lastname: Park
authors.affiliation: 1] Acupuncture &Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea [2] Department of Brain Cognitive Engineering, Korea University, Seoul, Republic of Korea.
authors.forename: Younbyoung
authors.initials: Y
authors.lastname: Chae
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D001288:Attention / Q000502:physiology*; D001828:Body Image; D001921:Brain / Q000502:physiology*; D001931:Brain Mapping / Q000379:methods; D002755:Choice Behavior / Q000502:physiology; D005073:Evoked Potentials, Somatosensory / Q000502:physiology*; D006801:Humans; D008297:Male; D010812:Physical Stimulation / Q000379:methods; D011434:Proprioception / Q000502:physiology*; D016896:Treatment Outcome