Brain imaging approaches to the study of functional GI disorders: A Rome Working Team Report
Open accessAbstract
Abstract Progresses in the understanding of human brain‐gut interactions in health and disease have been limited by the lack of non‐invasive techniques to study brain activity. The advent of neuroimaging techniques has made it possible not only to study the structure and function of the brain, but also to characterize signaling system underlying brain function. This article gives a brief overview of relevant functional neuroanatomy, and of the most commonly used brain imaging techniques. It summarizes published functional brain imaging studies using acute visceral stimulation of the oesophagus, stomach and colon in healthy control subjects and patients with functional GI disorders, and briefly discusses pertinent findings from these studies. The article concludes with a critical assessment of published studies, and with recommendations for improved study paradigms and analysis strategies.
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The advent of human brain imaging techniques such as positron emission tomography in the 1980s allowed conclusive demonstrations that alterations in the gut lead to activation of key brain networks.
“The advent of human brain imaging techniques such as positron emission tomography in the 1980s allowed for conclusive demonstrations that alterations in the gut (e.g. by distension) lead to activation of key brain networks (Mayer et al., 2009;Van Oudenhove et al., 2007).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Mayer et al., 2009
Section 5 reports that imaging studies of esophageal, gastric and rectal stimulation consistently found activation in key brain regions, particularly the insula and anterior cingulate cortex. Section 6.3 also describes PET evidence of brain-network activation during rectal distension. The paper does not establish the claim’s specific chronology—that the advent of PET in the 1980s enabled these demonstrations. (LLM, conf=0.84)
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- Authors
- Mayer, E. A., Aziz, Q., Coen, S., Kern, M., Labus, J. S., Lane, R., Kuo, B., Naliboff, B., & Tracey, I.
- Affiliations
- University of California, Los Angeles (US)
- Queen Mary University of London (GB)
- Medical College of Wisconsin (US)
- University of Arizona (US)
- Harvard University (US)
- John Radcliffe Hospital (GB)
- Corresponding author
- Mayer, E. A.
- Venue
- Neurogastroenterology & Motility
- Publisher
- Wiley
- Published
- 2009-05-20
- Volume
- 21
- Issue
- 6
- Pages
- 579-596
- ISSN
- 1350-1925 (ISSN-L)
- 1365-2982
- PMC
- PMC3829384
- OpenAlex
- W1997428759
- Cited by
- 204
- References
- 15
- Citations by year
- 2026: 8 · 2025: 1 · 2024: 7 · 2023: 7 · 2022: 11 · 2021: 7 · 2020: 12 · 2019: 15 · 2018: 14 · 2017: 7 · 2016: 16 · 2015: 16 · 2014: 19 · 2013: 13 · 2012: 17
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neurogastroenterology & Motility (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Institute of Nursing Research (R01NR007768, NR007768)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-48351, K23DK069614, R01DK048351, P50DK064539, DK 64530)
- National Center for Complementary and Integrative Health (R24AT002681, AT00268)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- functional gastrointestinal disorders, brain-gut interaction, neuroimaging, functional neuroanatomy, visceral stimulation, esophagus, stomach, colon, brain activity, analytical strategies
- MeSH terms
- Brain, Brain Mapping, Electric Stimulation, Female, Gastrointestinal Diseases, Humans, Magnetic Resonance Imaging, Male, Sex Characteristics, Positron-Emission Tomography
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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