2000
DOI: 10.1016/s0376-8716(99)00158-1
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Neural responses associated with cue evoked emotional states and heroin in opiate addicts

Abstract: Ten male opiate addicts, who were current heroin injectors, underwent positron emission tomographic (PET) scanning during exposure to a sequence of six alternating drug related and neutral video cues, on two occasions. After the second scan, each subject received heroin or placebo using a randomised single-blind procedure. This design allowed the investigation of patterns of brain activity during a range of self-reported cue evoked emotional states, both in the presence and absence of heroin. Self-reports of '… Show more

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Cited by 221 publications
(121 citation statements)
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References 53 publications
(58 reference statements)
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“…We also found positive correlations between intensity of cigarette craving and relative glucose metabolism in the orbitofrontal cortex (OFC), dorsolateral prefrontal cortex (DLPFC), and anterior insula. These findings are consistent with brain imaging studies of exposure to cues for dependent drugs other than nicotine, in which ACC activation and similar correlations between craving and brain activity have been reported (Grant et al, 1996;Maas et al, 1998;Childress et al, 1999;Volkow et al, 1999;Garavan et al, 2000;Sell et al, 2000;Daglish et al, 2001;Kilts et al, 2001;Wexler et al, 2001;Bonson et al, 2002). While the brain structures that are associated with craving in untreated substancedependent subjects have been described, no one has yet reported the effects of standardized treatment on regional brain activation associated with exposure to drug-related cues.…”
Section: Introductionsupporting
confidence: 87%
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“…We also found positive correlations between intensity of cigarette craving and relative glucose metabolism in the orbitofrontal cortex (OFC), dorsolateral prefrontal cortex (DLPFC), and anterior insula. These findings are consistent with brain imaging studies of exposure to cues for dependent drugs other than nicotine, in which ACC activation and similar correlations between craving and brain activity have been reported (Grant et al, 1996;Maas et al, 1998;Childress et al, 1999;Volkow et al, 1999;Garavan et al, 2000;Sell et al, 2000;Daglish et al, 2001;Kilts et al, 2001;Wexler et al, 2001;Bonson et al, 2002). While the brain structures that are associated with craving in untreated substancedependent subjects have been described, no one has yet reported the effects of standardized treatment on regional brain activation associated with exposure to drug-related cues.…”
Section: Introductionsupporting
confidence: 87%
“…The finding here of a positive correlation between craving and OFC metabolism adds to the many reports of this association in untreated substance-dependent subjects (Volkow et al, 1991(Volkow et al, , 1999Sell et al, 2000;Daglish et al, 2001;Bonson et al, 2002;Brody et al, 2002). The link between drug craving and OFC activity is the most common association found in this type of functional imaging work, and has led to the hypothesis that the OFC mediates drive and compulsive behavior associated with drug dependence (Volkow and Fowler, 2000).…”
Section: Discussionsupporting
confidence: 69%
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“…The work by Breiter et al (1997) is especially interesting given that both nucleus accumbens and insula activation was found. Sell et al (2000) found that craving during heroin-related visual cue stimulation correlated with left insula activity as well as orbitofrontal cortex activity. Likewise, a recent study by Brody et al (2002) found that the increased craving for cigarettes while watching a videotape of cigarette-related cues correlated with anterior insula activation bilaterally as well as the orbitofrontal cortex.…”
Section: Discussionmentioning
confidence: 94%
“…Several functional brain-imaging studies have now investigated the neural response to conditioned drug cues in users of various drugs of abuse, including cocaine (Grant et al, 1996;Garavan et al, 2000), alcohol (Tapert et al, 2003), opiates (Sell et al, 2000), and nicotine (Brody et al, 2002;Due et al, 2002;McClernon et al, 2005). In these studies, drug cues elicit activation of neural circuitry thought to encode the motivational and emotional value of the drug, and to play a role in the planning and control of behavior.…”
Section: Introductionmentioning
confidence: 99%