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Identifying robust neural signatures of acupuncture modulation in healthy brains: a multimodal meta-analysis mapping core network.

Frontiers in human neuroscienceยทSeptember 2025ยทChanghong Li, Yamin Liu, Baile Ning et al.
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Key Finding

Acupuncture consistently modulates bilateral inferior parietal lobule and right thalamus in healthy populations, core regions within the somatosensory pain processing network that engage distributed pain-related neural circuitry.

What This Means For You

Researchers have taken an important step in understanding how acupuncture affects the brain by analyzing multiple neuroimaging studies of healthy people. This meta-analysis examined brain scans from numerous studies to identify which brain regions consistently respond to acupuncture treatment. The scientists used advanced statistical methods to combine data from both fMRI and PET scans, focusing specifically on healthy individuals to establish a baseline of normal brain responses before comparing to patient populations. The study found that acupuncture consistently activated two key brain areas: the inferior parietal lobule (a region involved in processing touch and body sensations) and the thalamus (a central relay station for sensory information, including pain signals). These regions are part of the brain's pain processing network. Further analysis revealed that acupuncture engages a broader network of connected brain areas, including regions involved in motor control, sensory integration, and emotional processing. For patients considering acupuncture, these findings provide scientific evidence that acupuncture produces measurable, consistent changes in brain regions specifically involved in how we experience and process pain. This helps explain why acupuncture may be effective for pain-related conditions and offers a neurobiological foundation for its therapeutic effects. The research suggests that acupuncture works by modulating the brain's pain processing circuitry rather than simply providing a placebo effect. If you're considering acupuncture treatment, seek a licensed acupuncturist with appropriate credentials and training in your jurisdiction.

Clinical Notes for Practitioners

This multimodal meta-analysis employed activation likelihood estimation (ALE) methodology to synthesize fMRI and PET neuroimaging data examining acupuncture's neural effects in healthy populations. The analysis identified bilateral inferior parietal lobule (extending to postcentral gyrus) and right thalamus as core neural substrates consistently modulated by verum acupuncture. These regions represent key nodes within the somatosensory pain processing network. Meta-analytic connectivity modeling (MACM) and resting-state functional connectivity (rsFC) analyses revealed these clusters engage a distributed pain-processing network including bilateral supplementary motor area, superior temporal gyrus, and insular cortex. The study establishes normative neural signatures in healthy brains, providing a baseline for detecting pathological deviations in clinical populations. Clinical implications include identifying potential therapeutic targets within pain-associated neural circuitry and providing mechanistic evidence for acupuncture's efficacy in pain and inflammation-related conditions through modulation of established neurobiological pain pathways.

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