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Table 3 A summary of studies covering imaging biomarkers in headaches’ differentiation

From: Biomarkers in headaches as a potential solution to simplify differential diagnosis of primary headache disorders: a systematic review

Ref.

Year

Population

Comparison

Imaging type

Results

Sollmann et al. [52]

2023

12 TTH + MIG pts

16 TTH only pts

22 HC

3T MRI of neck and shoulder region

↑ trapezius muscle T2 values in TTH + MIG pts than in TTH pts and HC

↑ muscle T2 values associated with ↑ headache days and neck pain

Kazancı et al. [53]

2019

23 MIG pts ictally

20 MIG pts interictally

20 TTH pts

21 HC

carotid intima media thickness by USG

NSD between any groups

Messina et al. [54]

2023

20 MIG pts

20 CH pts

15 HC

brain 3T MRI (structural and functional data)

accuracy of CH and MIG differentiation of 78% (99% when combined with clinical data)

left thalamic network as the most discriminative feature

Giorgio et al. [37]

2020

13 MIG pts

12 CH pts

13 HC

brain 3T MRI

(T1- and T2- weighted)

↓ grey matter volumes of frontal regions in CH than MIG and HC and of occipital regions compared to MIG

↑ FC of working memory and executive control networks in CH than MIG and HC and of cerebellar and auditory language comprehension networks than MIG

Chong et al. [38]

2020

19 MIG pts

18 CH pts

22 HC

brain 3T MRI (T1-weighted)

+ correlation for each group between right and left hypothalamic region volumes with cortical thickness

↓ structural covariance of hypothalamic region volume with frontal and temporal cortical thickness in MIG and CH than HC

Schewdt et al. [39]

2017

28 MIG pts

28 PPTH pts

28 HC

brain 3T MRI (T1-weighted)

differences between MIG and PPTH of structure of R lateral orbitofrontal, L caudal middle frontal, and L superior frontal lobes and L praecuneus and R supramarginal gyrus

differences between PPTH and HC in structure of R lateral orbitofrontal lobe, R supramarginal gyrus, and L superior frontal lobe

NSD between MIG and HC in those structures

Dumkrieger et al. [40]

2019

33 MIG pts

44 PPTH pts

36 HC

brain 3T MRI (T1- and T2-weighted)

differences between MIG and PPTH in static FC in 17 regions pairs

differences between MIG and PPTH in dynamic FC in 10 regions pairs

  1. ↑, increase; ↓, decrease; +, positive; CH, cluster headache; FC, functional connectivity; HC, healthy controls; L, left; MIG, migraine; MRI, magnetic resonance imaging; NSD, no significant difference; PPTH, persistent post-traumatic headache; pts, patients; R, right; Ref, reference; T, Tesla; TTH, tension-type headache; USG, ultrasonography