Evidence map›Paper›PMID 42836392›Full record

ArticleNeural plasticity2026

Effects of Acupuncture on Cerebral Blood Flow in Episodic Migraine Patients Investigated by Arterial Spin Labeling MRI.

Tomokazu Kikuchi, Satoru Yamaguchi, Hiroshi Matsuda, Kazuhiro Tsuchiya, Nobuo Araki

Abstract read
In one paragraph

Article in Neural plasticity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tomokazu KikuchiDepartment of Oriental Medicine, Saitama Medical University, Saitama, Japan, saitama-med.ac.jp.ORCID https://orcid.org/0009-0008-6346-2591
Satoru YamaguchiDepartment of Oriental Medicine, Saitama Medical University, Saitama, Japan, saitama-med.ac.jp.ORCID https://orcid.org/0009-0003-0422-4167
Hiroshi MatsudaClinical Imaging Center for Healthcare, Nippon Medical School, Tokyo, Japan, nms.ac.jp.
Kazuhiro TsuchiyaDepartment of Radiology, Saitama Medical Center, Saitama Medical University, Saitama, Japan, saitama-med.ac.jp.ORCID https://orcid.org/0000-0001-5018-7756
Nobuo ArakiDepartment of Neurology, Saitama Medical School, Saitama, Japan.ORCID https://orcid.org/0000-0003-3134-1134

Funding

Ministry of Health, Labour and Welfare H24-Iryo-Ippan-023Saitama Medical University
6 · The paper itself

Abstract

objectiveTo investigate the temporal dynamics of cerebral blood flow (CBF) responses to Japanese-style acupuncture in patients with episodic migraine using arterial spin labeling (ASL) magnetic resonance imaging (MRI) and to compare these responses with those of healthy controls.

methodsPatients with episodic migraine were recruited according to the International Classification of Headache Disorders, 3rd edition (ICHD-3), and healthy volunteers without migraine served as controls. Japanese-style acupuncture was administered for 10 min at four clinically relevant cranio-cervical acupoints (ST8, ST6, GB21, and GB12) using nonmagnetic silver needles (0.2 mm in diameter). All acupuncture procedures were performed by the same licensed acupuncturist. CBF was assessed during the interictal period using repeated ASL MRI at baseline, during acupuncture stimulation (early and late phases), immediately after needle removal, and 15 and 30 min after stimulation.

resultsEleven patients with episodic migraine (3 men and 8 women; mean age, 39.1 ± 4.6 years) and 11 healthy volunteers (4 men and 7 women; mean age, 32.3 ± 9.2 years) were included in the final analysis. Both groups demonstrated increased cerebral perfusion within the operculum, insula, cingulate cortex, and thalamus during acupuncture stimulation. In healthy controls, these perfusion changes gradually returned toward baseline following stimulation. In contrast, patients with episodic migraine exhibited more prolonged cerebral perfusion responses that persisted after needle removal and extended into frontal cortical regions. Compared with healthy controls, migraine patients demonstrated greater temporal persistence of cerebral perfusion modulation.

conclusionsTemporally organized cerebral perfusion changes were observed during and after Japanese-style acupuncture in both healthy controls and patients with episodic migraine. Compared with healthy controls, patients with episodic migraine exhibited cerebral perfusion changes that remained evident during the poststimulation period. These exploratory findings suggest differences in the temporal dynamics of cerebral perfusion between the two groups. Further controlled studies are required to determine the specificity and physiological significance of these responses.

trial registrationUMIN Clinical Trials Registry (UMIN-CTR): UMIN000005644.

Indexed as

Acupuncture TherapyBrainCerebrovascular CirculationMigraine DisordersAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPerfusion Magnetic Resonance ImagingSpin LabelsSpin Labels

Identifiers

PMID42836392
PMCPMC13639932

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.