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​Roswell Park Study Shows Virtual Reality and Brain Imaging Could Transform Cancer Pain Management

April 11, 2025 · News Release

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Researchers at Roswell Park Comprehensive Cancer Center have unveiled a promising approach to managing cancer-related pain by combining non-invasive brain imaging with virtual reality (VR) therapy. The study, published in Scientific Reports, suggests this method could reduce reliance on opioids and enhance patient quality of life.​

Led by Dr. Somayeh Besharat Shafiei, Assistant Professor of Oncology, and Dr. Oscar de Leon-Casasola, Chief of Pain Medicine, the research team employed functional near-infrared spectroscopy (fNIRS) to objectively measure pain levels. This technique uses a head cap with optical sensors to detect changes in blood oxygenation, enabling the identification of brain-based biomarkers corresponding to varying pain intensities.​

The study involved 147 participants:​

  • 13 healthy individuals who wore fNIRS head caps for 10 minutes.​
  • 93 cancer patients experiencing pain, also wearing fNIRS head caps for 10 minutes.​
  • 41 cancer patients who, in addition to the fNIRS head caps, used VR headsets displaying immersive underwater scenes for a total of 29 minutes—10 minutes before VR, 9 minutes during, and 10 minutes after.​

Among the cancer patients who experienced the VR intervention, over 75% reported a significant decrease in pain, surpassing the clinically relevant threshold of 30%. Brain imaging indicated that VR influenced both cognitive and emotional aspects of pain perception.​

"This study signals a new era in precision medicine where neuroimaging and digital therapeutics revolutionize pain assessment and treatment," said Dr. Besharat Shafiei. She emphasized that approximately 60-80% of cancer pain is inadequately managed, and this combined approach could reshape clinical protocols, reduce opioid dependence, and improve outcomes for millions globally.​

The research team included members from Roswell Park and the University of Guelph in Ontario, reflecting a collaborative effort to advance non-pharmacological pain management strategies.​

For more information, please refer to the full study in Scientific Reports.​

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