Clinical Utility of FDG PET/MRI in detection of pain generators in Patients with Chronic Pain

Author

Lu Mao

Published

September 21, 2025

Statistical analysis

SUVmax values were summarized by level and region in lumbar, cervical, and thoracic spine. The summary statistics included mean (SD) and/or median (IQR). Between-level differences for each subject are tested by the Kruskal-Wallis test. Boxplots were created to visualize the distribution of SUVmax across different levels and regions. P values < 0.05 were considered statistically significant. All analyses were performed using R version 4.2.2 (R Core Team, 2022).

Preliminary analysis

Lumbar

Table 1 summarizes subject-level SUVmax values by Level in lumbar, showing both mean (SD) and median (IQR). The boxplot in Figure 1 visualizes the distribution of SUVmax across different levels for each subject.

Table 1: Subject-level summary statistics of SUVmax by Level in lumbar
Characteristic L1-L2, N = 181 L2-L3, N = 181 L3-L4, N = 181 L4-L5, N = 181 L5-S1, N = 181 T12-L1, N = 181 p-value2
SM 1.70 (0.75) 1.68 (0.74) 1.68 (0.74) 1.76 (0.76) 1.76 (0.76) 1.83 (0.72) >0.9
SJ 1.67 (0.75) 1.66 (0.76) 1.66 (0.76) 1.66 (0.76) 1.66 (0.76) 1.67 (0.76) >0.9
ST 1.52 (0.42) 1.54 (0.43) 1.54 (0.43) 1.62 (0.49) 1.54 (0.43) 1.52 (0.42) >0.9
BJ 1.67 (0.40) 1.62 (0.41) 1.62 (0.41) 1.66 (0.46) 1.73 (0.49) 1.69 (0.43) >0.9
LC 1.35 (0.40) 1.41 (0.39) 1.41 (0.39) 1.35 (0.42) 1.40 (0.42) 1.35 (0.40) >0.9
WA 1.49 (0.50) 1.51 (0.49) 1.51 (0.49) 1.51 (0.49) 1.56 (0.50) 1.49 (0.50) >0.9
KS 1.16 (0.25) 1.16 (0.25) 1.16 (0.25) 1.16 (0.35) 1.18 (0.26) 1.16 (0.25) >0.9
TR 1.22 (0.27) 1.25 (0.30) 1.25 (0.30) 1.21 (0.33) 1.28 (0.33) 1.22 (0.27) >0.9
HR 2.65 (2.05) 1.80 (0.85) 1.80 (0.85) 1.80 (0.85) 1.51 (0.36) 1.95 (0.67) 0.5
GC 1.49 (0.58) 1.53 (0.57) 1.53 (0.57) 1.50 (0.58) 1.53 (0.56) 1.50 (0.58) >0.9
TK 1.21 (0.33) 1.06 (0.38) 1.06 (0.38) 1.01 (0.42) 1.09 (0.36) 1.06 (0.38) 0.2
AR 1.41 (0.77) 1.41 (0.77) 1.44 (0.72) 1.45 (0.47) 1.32 (0.54) 1.44 (0.74) 0.8
RM 1.48 (0.58) 1.48 (0.58) 1.48 (0.58) 1.29 (0.41) 1.38 (0.34) 1.48 (0.58) >0.9
SJ2 1.17 (0.34) 1.18 (0.35) 1.18 (0.35) 1.05 (0.41) 1.21 (0.34) 1.21 (0.34) 0.6
BJ2 1.38 (0.37) 1.36 (0.38) 1.36 (0.38) 1.31 (0.43) 1.43 (0.40) 1.37 (0.38) >0.9
BA 1.31 (0.49) 1.31 (0.49) 1.31 (0.49) 1.31 (0.48) 1.31 (0.49) 1.31 (0.49) >0.9
BB 1.68 (0.70) 1.74 (0.70) 1.74 (0.70) 1.62 (0.75) 1.81 (0.66) 1.68 (0.70) 0.8
CB 0.99 (0.52) 0.99 (0.52) 0.99 (0.52) 0.99 (0.52) 0.99 (0.52) 0.99 (0.52) >0.9
BK 1.48 (0.48) 1.44 (0.49) 1.44 (0.49) 1.44 (0.49) 1.33 (0.55) 1.51 (0.27) >0.9
1 Mean (SD)
2 Kruskal-Wallis rank sum test
Figure 1: Boxplot of SUVmax by Level in lumbar for each subject

Cervical

Table 2 summarizes subject-level SUVmax values by Level in cervical, showing both mean (SD) and median (IQR). The boxplot in Figure 2 visualizes the distribution of SUVmax across different levels for each subject.

Table 2: Subject-level summary statistics of SUVmax by Level in cervical
Characteristic C1-C2, N = 151 C2-C3, N = 151 C3-C4, N = 151 C4-C5, N = 151 C5-C6, N = 151 C6-C7, N = 151 C7-T1, N = 151 p-value2
LK 1.25 (0.37) 1.25 (0.37) 1.25 (0.37) 1.25 (0.37) 1.28 (0.35) 1.25 (0.37) 1.25 (0.37) >0.9
TK 1.47 (0.49) 1.47 (0.49) 1.47 (0.49) 1.47 (0.49) 1.47 (0.49) 1.47 (0.49) 1.47 (0.49) >0.9
LT 1.36 (0.21) 1.31 (0.24) 1.31 (0.24) 1.31 (0.24) 1.34 (0.21) 1.31 (0.24) 1.31 (0.24) >0.9
HM 1.33 (0.26) 1.33 (0.26) 1.43 (0.23) 1.37 (0.25) 1.40 (0.24) 1.36 (0.25) 1.31 (0.24) 0.7
HR 1.27 (0.41) 1.29 (0.39) 1.27 (0.40) 1.27 (0.40) 1.32 (0.36) 1.37 (0.36) 1.33 (0.36) >0.9
HR2 1.59 (0.54) 1.87 (0.80) 1.90 (0.77) 1.90 (0.77) 1.63 (0.51) 1.64 (0.50) 1.64 (0.50) 0.8
AAC 1.03 (0.33) 1.03 (0.33) 1.06 (0.35) 1.06 (0.35) 1.11 (0.36) 1.11 (0.36) 1.16 (0.37) >0.9
BO 1.28 (0.22) 1.28 (0.22) 1.28 (0.22) 1.28 (0.22) 1.28 (0.22) 1.28 (0.22) 1.28 (0.22) >0.9
KL 1.33 (0.36) 1.33 (0.36) 1.33 (0.36) 1.33 (0.36) 1.33 (0.36) 1.33 (0.36) 1.59 (0.47) 0.7
CKM 1.70 (2.05) 1.79 (2.04) 1.70 (2.05) 1.70 (2.05) 1.96 (1.99) 1.75 (2.04) 1.85 (2.02) 0.3
1 Mean (SD)
2 Kruskal-Wallis rank sum test
Figure 2: Boxplot of SUVmax by Level in cervical for each subject

Thoracic

Table 3 summarizes subject-level SUVmax values by Level in thoracic, showing both mean (SD) and median (IQR). The boxplot in Figure 3 visualizes the distribution of SUVmax across different levels for each subject.

Table 3: Subject-level summary statistics of SUVmax by Level in thoracic
Characteristic T1-T2, N = 201 T10-T11, N = 201 T11-T12, N = 241 T2-T3, N = 201 T3-T4, N = 201 T4-T5, N = 201 T5-T6, N = 201 T6-T7, N = 201 T7-T8, N = 201 T8-T9, N = 201 T9-T10, N = 201 p-value2
SR 1.59 (0.70) 1.67 (0.66) 1.56 (0.64) 1.59 (0.70) 1.59 (0.70) 1.59 (0.70) 1.59 (0.70) 1.59 (0.70) 1.64 (0.66) 1.70 (0.63) 1.66 (0.66) >0.9
RJ 1.27 (0.37) 1.27 (0.37) 1.25 (0.34) 1.27 (0.37) 1.27 (0.37) 1.27 (0.37) 1.27 (0.37) 1.27 (0.37) 1.30 (0.37) 1.30 (0.37) 1.29 (0.37) >0.9
MS 1.30 (0.41) 1.37 (0.45) 1.36 (0.40) 1.30 (0.41) 1.30 (0.41) 1.30 (0.41) 1.30 (0.41) 1.30 (0.41) 1.30 (0.41) 1.30 (0.41) 1.31 (0.39) >0.9
HT 1.40 (0.63) 1.40 (0.63) 1.37 (0.57) 1.40 (0.63) 1.40 (0.63) 1.40 (0.63) 1.40 (0.63) 1.40 (0.63) 1.40 (0.63) 1.40 (0.63) 1.40 (0.63) >0.9
RK 2.10 (1.49) 1.98 (1.50) 1.83 (1.40) 2.09 (1.49) 2.09 (1.49) 2.09 (1.47) 1.97 (1.50) 1.97 (1.50) 1.97 (1.50) 1.97 (1.50) 1.98 (1.50) >0.9
RD 1.37 (0.29) 1.44 (0.27) 1.38 (0.27) 1.37 (0.29) 1.37 (0.29) 1.37 (0.29) 1.37 (0.29) 1.37 (0.29) 1.37 (0.29) 1.37 (0.29) 1.37 (0.29) >0.9
KM 1.80 (0.36) 1.80 (0.36) 1.79 (0.36) 1.80 (0.36) 1.80 (0.36) 1.80 (0.36) 1.80 (0.36) 1.89 (0.44) 1.85 (0.38) 1.84 (0.37) 1.82 (0.36) >0.9
KM2 1.93 (0.59) 1.96 (0.58) 1.91 (0.56) 1.93 (0.59) 1.93 (0.59) 1.93 (0.59) 1.93 (0.59) 1.93 (0.59) 1.94 (0.58) 1.94 (0.58) 1.96 (0.58) >0.9
CM 1.30 (0.29) 1.30 (0.29) 1.28 (0.27) 1.30 (0.29) 1.30 (0.29) 1.30 (0.29) 1.34 (0.27) 1.32 (0.28) 1.33 (0.28) 1.30 (0.29) 1.30 (0.29) >0.9
LA 1.52 (0.48) 1.57 (0.48) 1.65 (0.75) 1.52 (0.48) 1.52 (0.48) 1.52 (0.48) 1.52 (0.48) 1.52 (0.48) 1.59 (0.51) 1.59 (0.51) 1.78 (0.49) 0.9
DM 1.58 (0.45) 1.61 (0.44) 1.55 (0.43) 1.58 (0.45) 1.58 (0.45) 1.58 (0.45) 1.58 (0.45) 1.62 (0.46) 1.60 (0.45) 1.60 (0.45) 1.61 (0.44) >0.9
LG 1.67 (0.47) 1.69 (0.47) 1.61 (0.46) 1.67 (0.47) 1.69 (0.47) 1.73 (0.45) 1.73 (0.45) 1.72 (0.45) 1.73 (0.50) 1.73 (0.50) 1.77 (0.57) >0.9
KL 1.60 (0.59) 1.53 (0.53) 1.45 (0.52) 1.56 (0.54) 1.53 (0.53) 1.53 (0.53) 1.53 (0.53) 1.53 (0.53) 1.53 (0.53) 1.53 (0.53) 1.53 (0.53) >0.9
HM 1.34 (0.30) 1.39 (0.34) 1.31 (0.28) 1.34 (0.30) 1.34 (0.30) 1.34 (0.30) 1.48 (0.46) 1.34 (0.30) 1.34 (0.30) 1.34 (0.30) 1.34 (0.30) >0.9
LT 1.29 (0.28) 1.29 (0.28) 1.26 (0.27) 1.29 (0.28) 1.29 (0.28) 1.29 (0.28) 1.29 (0.28) 1.29 (0.28) 1.29 (0.28) 1.29 (0.28) 1.29 (0.28) >0.9
1 Mean (SD)
2 Kruskal-Wallis rank sum test
Figure 3: Boxplot of SUVmax by Level in thoracic for each subject