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  <title>NITRC News Group Forum: individualized-real-time-fmri-neurofeedback-to--attenuate-craving-in-nicotine-dependent-smokers.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=5697</link>
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        &lt;p&gt;&lt;b&gt;Individualized real-time fMRI neurofeedback to attenuate craving in nicotine-dependent smokers.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;J Psychiatry Neurosci. 2015 Oct 20;41(1):140200&lt;/p&gt;
        &lt;p&gt;Authors:  Hartwell KJ, Hanlon CA, Li X, Borckardt JJ, Canterberry M, Prisciandaro JJ, Moran-Santa Maria MM, LeMatty T, George MS, Brady KT&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        BACKGROUND: Cue-induced craving plays an important role in relapse, and the neural correlates of cue-induced craving have been elucidated using fMRI. This study examined the utility of real-time fMRI (rtfMRI) neurofeedback to strengthen self-regulation of craving-related neural activation and cue-reactivity in cigarette smokers.&lt;br/&gt;
        METHODS: Nicotine-dependent smokers were randomized to rtfMRI neurofeedback or to a no-feedback control group. Participants completed 3 neuroimaging visits. Within each visit, an initial run during which smoking-related cues were used to provoke craving, an individualized craving-related region of interest (ROI) in the prefrontal cortex or anterior cingulate cortex was identified. In the rtfMRI group, activity from the ROI was fed back via a visual display during 3 subsequent runs while participants were instructed to reduce craving during cue exposure. The control group had an identical experience with no feedback provided.&lt;br/&gt;
        RESULTS: Forty-four nicotine-dependent smokers were recruited to participate in our study; data from the 33 participants who completed a 1-week follow-up visit were included in the analysis. Subjective craving ratings and cue-induced brain activation were lower in the rtfMRI group than in the control group.&lt;br/&gt;
        LIMITATIONS: As participants were not seeking treatment, clinical outcomes are lacking.&lt;br/&gt;
        CONCLUSION: Nicotine-dependent smokers receiving rtfMRI feedback from an individualized ROI attenuated smoking cue-elicited neural activation and craving, relative to a control group. Further studies are needed in treatment-seeking smokers to determine if this intervention can translate into a clinically meaningful treatment modality.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 26505139 [PubMed - as supplied by publisher]&lt;/p&gt;
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