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Figure Supplementary 1 Demonstration of Horner’s syndrome and autotomic behaviour following brachial plexus avulsion injury. (A) A rat showed complete paralysis of the right forelimb (red arrow 1) and the Horner's syndrome, including ptosis and concave eyeballs (red arrow 2). (B) Autotomic behaviour of biting the toe on the right side following global BPAI (red arrow 3). BPAI = brachial plexus avulsion injury.

Dove Medical Press Web view164 4.148 L_Superior_Colliculus-9 9 23 133 5.298 L_Cortex_Somatosensory-32 28-41 130 4.056 L_Thalamus_Dorsolateral-15 3-17 72 4.284 R_Cortex_Motor 3 36-37

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Figure Supplementary 1 Demonstration of Horner’s syndrome and autotomic behaviour following brachial plexus avulsion injury.

(A) A rat showed complete paralysis of the right forelimb (red arrow 1) and the Horner's syndrome, including ptosis and concave eyeballs (red arrow 2). (B) Autotomic behaviour of biting the toe on the right side following global BPAI (red arrow 3).

BPAI = brachial plexus avulsion injury.

Figure Supplementary 2 Brain regions showing significant differences in the 18F-FDG uptake value between the EA and model groups at day 28. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the EA group than that in the model group, while the cold colour indicated a significantly lower 18F-FDG uptake in the EA group.

Figure Supplementary 3 Brain regions showing significant differences in the 18F-FDG uptake value between the EA and sham EA groups at day 28. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significant higher 18F-FDG uptake in the EA group than that in the sham EA group, while the cold colour indicated a significantly lower 18F-FDG uptake in the EA group.

Figure Supplementary 4 Brain regions showing significant differences in the 18F-FDG uptake value between the model and normal groups at day 28. L = left hemisphere; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the model group than that in the normal group, while the cold colour indicated a significantly lower 18F-FDG uptake in the model group.

Figure Supplementary 5 Brain regions showing significant differences in the 18F-FDG uptake value between the sham EA and model groups at day 28. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the sham EA group than that in the model group, while the cold colour indicated a significantly lower 18F-FDG uptake in the sham EA group.

Figure Supplementary 6 Brain regions showing significant differences in the 18F-FDG uptake value between the EA and model groups at day 84. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the EA group than that in the model group, while the cold colour indicated a significantly lower 18F-FDG uptake in the EA group.

Figure Supplementary 7 Brain regions showing significant differences in the 18F-FDG uptake value between the EA and sham EA groups at day 84. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the EA group than that in the sham EA group, while the cold colour indicated a significantly lower 18F-FDG uptake in the EA group.

Figure Supplementary 8 Brain regions showing significant differences in the 18F-FDG uptake value between the model and normal groups at day 84. L = left hemisphere; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the model than that in the normal group, while the cold colour indicated a significantly lower 18F-FDG uptake in the model group.

Figure Supplementary 9 Brain regions showing significant differences in the 18F-FDG uptake value between the sham EA and model groups at day 84. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the sham EA group than that in the model group, while the cold colour indicated a significantly lower 18F-FDG uptake in the sham EA group.

Figure Supplementary 10 Brain regions showing significant differences in the 18F-FDG uptake value between the EA and model groups at day 112. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the EA group than that in the model group, while the cold colour indicated a significantly lower 18F-FDG uptake in the EA group.

Figure Supplementary 11 Brain regions showing significant differences in the 18F-FDG uptake value between the EA and sham EA groups at day 112. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the EA group than that in the sham EA group, while the cold colour indicated a significantly lower 18F-FDG uptake in the EA group.

Figure Supplementary 12 Brain regions showing significant differences in the 18F-FDG uptake value between the model and normal groups at day 112. L = left hemisphere; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the model group than that in the normal group, while the cold colour indicated a significantly lower 18F-FDG uptake in the model group.

Figure Supplementary 13 Brain regions showing significant differences in the 18F-FDG uptake value between the sham EA and model groups at day 112. L = left hemisphere; EA = electroacupuncture; 18F-FDG = 18F-fluorodeoxyglucose. The warm colour indicated significantly higher 18F-FDG uptake in the sham EA group than that in the model group, while the cold colour indicated a significantly lower 18F-FDG uptake in the sham EA group.

Table S1. The average autotomic score and incidence rate of autotomic behaviour in four groups (mean ± SD (incidence rate)).

Forelimb

Hindlimb

Left

Right

Left

Right

Normal group

Baseline

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Day 112

0 (0%)

0.13±0.35 (12.5%)

0 (0%)

0 (0%)

Model group

Baseline

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Day 112

2.88 ± 3.97 (37.5%)

5.50 ± 3.55 (75.0%) *

3.13 ± 4.32 (37.5%)

3.38 ± 3.70 (50%)

Sham EA group

Baseline

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Day 112

3.25±3.69

(50%)

4.88 ± 4.09 (62.5%)

2.25 ± 3.15 (37.5%)

3.00 ±3.59 (50%)

EA group

Baseline

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Day 112

2.5 ± 3.55 (37.5%)

3.63 ± 4.00 (50%)

1.75± 2.43 (37.5%)

1.38 ± 2.56 (25%)

EA = electroacupuncture. * indicated significant differences between the normal and model groups at the Day 112 (p<0.05)

Table S2 Brain regions of significant metabolism changes on Days 28 after brachial plexus avulsion injury (BPAI) of electroacupuncture (EA) group compared with Model group (p<0.005)

Metabolism changes

EA group vs Model group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related brain regions

Positive

R_Cortex_Motor

22

15

-89

407

6.408

R_Cortex_Somatosensory

61

13

-37

265

6.381

R_Globus_Pallidus

26

-22

-37

90

3.572

R_Thalamus_Dorsolateral

18

-20

-17

82

4.137

L_Cortex_Visual

-17

36

1

69

4.224

R_Cortex_Visual

59

13

29

67

4.290

L_Cortex_Motor

-28

28

-87

53

4.348

R_ic

24

-36

-9

50

3.478

L_Cortex_Somatosensory

-56

20

-41

30

4.747

L_Globus_Pallidus

-30

-13

-35

18

3.272

L_Cortex_Piriform

-52

-42

-41

14

3.908

R_Superior_Colliculus

24

3

29

6

4.569

R_Cortex_Piriform

61

-32

-17

5

3.088

Negative

L_Thalamus_Dorsolateral

-44

-9

-1

52

-4.171

L_Thalamus_Ventromedial

-3

-20

-35

24

-3.702

R_Thalamus_Dorsolateral

42

-16

-3

18

-3.837

R_Thalamus_Midline_Dorsal

1

-7

-27

15

-3.240

L_Cortex_Somatosensory

-17

24

-41

14

-3.407

L_Cortex_Frontal_Association

-9

26

-97

11

-3.473

L_Mesencephalic_Region

-11

-24

29

5

-3.123

Emotion and cognition related brain regions

Positive

R_Amygdala

26

-51

-31

73

5.160

L_Cortex_Medial_Prefrontal

-3

3

-79

42

3.722

R_Cortex_Medial_Prefrontal

3

5

-77

19

3.365

R_Hippocampus_Ventral

63

-12

5

15

3.342

Negative

R_Septum

1

3

-47

62

-4.386

L_Hippocampus_Ventral

-40

-32

11

45

-3.925

R_Cortex_Retrosplenial

3

28

21

30

-4.374

L_Hippocampus_Postero_Dorsal

-32

17

-3

16

-3.341

Positive indicated EA group > Model group, and negative indicated EA group < Model group

Table S3 Brain regions of significant metabolism changes on Days 28 after brachial plexus avulsion injury (BPAI) of electroacupuncture (EA) group compared with sham electroacupuncture (sham EA) group (p<0.005)

Metabolism changes

EA group vs sham EA group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

R_Cortex_Somatosensory

44

30

-33

1253

6.114

R_Cortex_Motor

42

26

-63

323

5.942

R_Cortex_Visual

26

34

7

219

5.128

L_Cortex_Visual

-17

36

1

56

3.913

L_Cortex_Motor

-32

28

-71

37

3.683

R_Caudate_Putamen

20

-9

-51

21

3.535

R_Thalamus_Dorsolateral

18

-14

-17

17

3.402

L_Cortex_Somatosensory

-42

26

-15

17

3.475

R_Substantia_Nigra

22

-38

3

8

3.180

R_Cortex_Piriform

42

-18

-81

7

3.585

Negative

R_Caudate_Putamen

36

9

-27

56

-3.623

L_Caudate_Putamen

-30

3

-31

28

-6.226

R_Thalamus_Dorsolateral

16

3

-31

23

-3.544

R_Pons

5

-55

15

22

-4.691

L_Cortex_Somatosensory

-46

9

-73

10

-3.335

L_Thalamus_Dorsolateral

-24

5

-27

8

-3.433

Pain-related regions

Positive

L_Raphe

-5

-36

17

15

3.313

Negative

R_Periaqueductal_Grey

5

-7

19

219

-4.578

L_Periaqueductal_Grey

-3

-7

23

120

-6.988

Emotion and cognition related brain regions

Positive

R_Cortex_Medial_Prefrontal

3

3

-75

87

3.936

R_Cortex_Orbitofrontal

28

11

-93

55

3.689

L_Cortex_Retrosplenial

-5

34

-19

18

3.143

R_Cortex_Retrosplenial

1

34

-19

10

3.094

L_Cortex_Medial_Prefrontal

-3

7

-81

40

3.477

Negative

L_Hippocampus_Ventral

-42

-32

11

106

-4.645

R_Amygdala

48

-40

-13

93

-3.532

L_Hippocampus_Antero_Dorsal

-24

15

-11

93

-3.956

L_Hypothalamus_Medial

-7

-28

-9

35

-4.726

L_Amygdala

-38

-44

-23

35

-4.638

R_Septum

3

-22

-57

29

-4.632

L_Hippocampus_Posterior

-48

-13

19

19

-3.312

R_Hippocampus_Postero_Dorsal

38

11

-1

13

-3.110

L_Septum

-3

-22

-53

7

-3.373

R_Hypothalamus_Medial

3

-32

-9

5

-3.285

Positive indicated EA group > sham EA group, and negative indicated EA group < sham EA group

Table S4 Brain regions of significant metabolism changes on Days 28 after brachial plexus avulsion injury (BPAI) of Model group compared with Normal group (p<0.005)

Metabolism changes

Model group vs Normal group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

R_Cortex_Piriform

58

-44

-17

78

4.788

L_Mesencephalic_Region

-7

-26

27

40

3.958

R_Caudate_Putamen

11

-9

-59

29

4.059

R_Globus_Pallidus

44

-13

-27

14

4.443

L_Cortex_Piriform

-55

-50

-19

14

5.684

R_Pons

22

-36

29

10

4.977

L_Cortex_Parietal_Association

-38

38

-1

8

3.793

L_Cortex_Somatosensory

-44

11

-59

6

3.615

R_Cortex_Temporal_Association

75

-9

15

5

4.973

R_Mesencephalic_Region

7

-22

25

4

3.286

R_Cortex_Motor

7

38

-49

2

3.272

Negative

L_Caudate_Putamen

-54

-21

-23

42

-3.793

L_Cortex_Piriform

-52

-42

-35

23

-4.729

L_Cortex_Somatosensory

-67

-13

-39

15

-4.009

R_Cortex_Piriform

40

-38

-55

12

-3.412

R_Cortex_Somatosensory

63

15

-35

8

-3.895

L_Cortex_Motor

-30

30

-89

8

-3.804

R_Cortex_Visual

59

13

29

7

-3.539

R_Cortex_Parietal_Association

22

44

-9

3

-3.141

R_Thalamus_Dorsolateral

38

1

-11

2

-3.145

Pain-related regions

Positive

R_Raphe

1

-28

3

6

5.542

L_Periaqueductal_Grey

-3

-20

1

1

3.406

Negative

R_Cortex_Insular

71

-15

-23

27

-5.175

L_Cortex_Insular

-61

-9

-61

4

-3.172

Emotion and cognition related brain regions

Positive

L_Septum

-9

-30

-35

49

3.857

R_Hypothalamus_Medial

1

-26

-1

29

4.778

R_Hippocampus_Postero_Dorsal

50

5

-1

18

3.716

L_VTA

-5

-30

3

18

5.067

R_Cortex_Orbitofrontal

48

-19

-69

10

3.470

L_Thalamus_Midline_Dorsal

-7

-15

-15

10

3.369

R_Substantia_Innominata

24

-42

-43

9

3.497

R_Cortex_Retrosplenial

3

38

-7

3

3.233

L_Amygdala

-59

-42

1

2

3.215

Negative

R_Hippocampus_Postero_Dorsal

34

17

-1

136

-4.144

L_Hippocampus_Antero_Dorsal

-15

13

-9

94

-4.847

L_AcbSh

-26

-40

-59

84

-9.603

R_Hypothalamus_Lateral

19

-38

-33

14

-3.533

L_Septum

-3

-26

-63

13

-3.645

R_Cortex_Entorhinal

69

-20

5

8

-3.420

L_Hippocampus_Postero_Dorsal

-40

15

11

6

-3.394

L_Cortex_Entorhinal

-61

-15

-15

6

-3.243

L_Amygdala

-42

-48

-33

6

-3.378

R_Septum

3

-24

-59

2

-3.708

R_AcbSh

5

-28

-63

2

-3.163

L_Hypothalamus_Medial

-3

-48

-25

2

-3.322

Positive indicated Model group > Normal group, and negative indicated Model group < Normal group

Table S5 Brain regions of significant metabolism changes on Days 28 after brachial plexus avulsion injury (BPAI) of sham electroacupuncture (sham EA) group compared with Model group (p<0.005)

metabolism changes

sham EA group vs Model group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

L_Cortex_Motor

-32

28

-89

118

5.535

R_Thalamus_Dorsolateral

32

7

-5

115

4.319

R_Cortex_Somatosensory

65

7

-23

33

4.020

L_Caudate_Putamen

-54

-17

-27

31

4.216

R_Cortex_Motor

42

15

-83

21

3.477

L_Cortex_Somatosensory

-67

-7

-41

7

3.495

R_Mesencephalic_Region

15

-15

13

5

3.235

R_Cortex_Visual

54

19

27

4

3.240

L_Cortex_Piriform

-34

-15

-81

3

3.124

R_Pons

15

-52

17

2

3.274

L_Thalamus_Dorsolateral

-22

3

-29

2

3.074

Negative

L_Cortex_Somatosensory

-46

7

-59

130

-4.698

R_Caudate_Putamen

15

1

-65

72

-4.552

L_Cortex_Visual

-36

32

13

31

-3.743

R_Cortex_Somatosensory

50

15

-19

22

-3.408

R_Cortex_Motor

22

36

-49

19

-3.428

L_Cortex_Motor

-19

38

-65

18

-4.047

R_Cortex_Piriform

71

-34

-9

5

-4.450

L_Thalamus_Midline_Dorsal

-3

-7

-15

2

-3.227

Pain-related regions

Positive

R_Cortex_Cingulate

7

26

-81

1

2.988

Emotion and cognition related brain regions

Positive

R_Septum

3

-24

-59

68

5.852

R_Cortex_Orbitofrontal

26

-7

-81

60

4.609

L_Hippocampus_Antero_Dorsal

-5

11

-21

56

4.202

R_Cortex_Retrosplenial

13

15

17

36

3.549

L_Septum

-3

-26

-59

23

4.330

R_Amygdala

46

-42

-13

8

3.277

R_Hippocampus_Antero_Dorsal

26

15

-15

5

3.156

R_Hypothalamus_Lateral

19

-42

-35

4

3.124

L_Hippocampus_Subiculum

-54

-9

21

2

3.013

L_Cortex_Parietal_Association

-50

30

-1

1

3.028

L_Diagonal_Band

-3

-40

-49

1

2.990

Negative

R_Hippocampus_Postero_Dorsal

52

3

-3

57

-4.458

R_Cortex_Frontal_Association

36

11

-97

20

-3.870

L_Cortex_Orbitofrontal

-3

11

-87

16

-3.272

L_Cortex_Frontal_Association

-11

26

-97

14

-3.360

R_Cortex_Temporal_Association

73

-7

21

4

-3.115

R_Cortex_Medial_Prefrontal

3

11

-85

3

-3.193

Positive indicated sham EA group > Model group, and negative indicated sham EA group < Model group

Table S6 Brain regions of significant metabolism changes on Days 84 after brachial plexus avulsion injury (BPAI) of electroacupuncture (EA) group compared with Model group (p<0.005)

Metabolism changes

EA group vs Model group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

L_Mesencephalic_Region

-20

-24

1

216

5.031

L_Caudate_Putamen

-32

-21

-47

145

4.415

L_Thalamus_Dorsolateral

-32

-9

13

108

3.685

L_Cortex_Somatosensory

-63

11

-35

106

5.337

R_Caudate_Putamen

44

3

-39

97

3.938

L_Pons

-9

-52

29

39

4.236

L_Cortex_Piriform

-50

-44

-33

22

5.336

L_Cortex_Motor

-26

26

-67

19

3.573

R_Cortex_Visual

65

17

21

8

3.578

L_Cortex_Visual

-42

30

21

3

3.229

R_Cortex_Piriform

54

-42

-29

2

3.120

R_Cortex_Motor

34

30

-69

2

3.081

Negative

L_Thalamus_Dorsolateral

-32

-7

-11

294

-4.363

L_Cortex_Somatosensory

-28

40

-13

218

-4.631

L_Cortex_Auditory

-71

-1

-7

114

-4.242

R_Cortex_Motor

11

28

-43

70

-3.856

R_Thalamus_Dorsolateral

15

-3

-17

40

-4.600

L_Cortex_Visual

-26

34

27

39

-3.841

R_Cortex_Somatosensory

63

-5

-35

21

-4.784

R_Cortex_Parietal_Association

34

30

-5

18

-3.314

L_Cortex_Frontal_Association

-17

22

-93

12

-3.372

L_Cortex_Motor

-26

16

-85

11

-3.327

R_Superior_Colliculus

7

13

29

7

-3.220

R_Caudate_Putamen

24

5

-49

2

-3.130

Pain-related regions

Positive

R_Cortex_Insular

54

-9

-59

34

3.634

L_Cortex_Insular

-67

-19

-27

2

3.117

Negative

R_Cortex_Insular

40

-3

-71

6

-3.482

Emotion and cognition related brain regions

Positive

L_Amygdala

-42

-46

-5

10

4.064

R_Hypothalamus_Lateral

9

-38

-7

5

3.076

Negative

L_Cortex_Retrosplenial

-5

32

-27

215

-4.377

R_Cortex_Retrosplenial

9

30

-19

48

-3.619

L_Cortex_Medial_Prefrontal

-3

-3

-75

22

-5.749

L_Hypothalamus_Medial

-9

-36

-19

18

-3.998

L_Hippocampus_Postero_Dorsal

-32

9

7

17

-4.086

R_Cortex_Medial_Prefrontal

1

-3

-75

12

-4.616

Positive indicated EA group > Model group, and negative indicated EA group < Model group

Table S7 Brain regions of significant metabolism changes on Days 84 after brachial plexus avulsion injury (BPAI) of electroacupuncture (EA) group compared with sham electroacupuncture (sham EA) group (p<0.005)

Metabolism changes

EA group vs sham EA group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

R_Cortex_Somatosensory

54

17

-57

258

4.498

L_Thalamus_Dorsolateral

-32

-17

5

82

4.358

L_Cortex_Somatosensory

-61

22

-37

81

4.279

L_Caudate_Putamen

-44

-26

-31

64

3.614

L_Superior_Colliculus

-11

11

11

28

3.830

R_Thalamus_Dorsolateral

24

-3

-25

21

3.859

R_Cortex_Motor

48

15

-77

13

3.577

R_Caudate_Putamen

44

3

-37

10

3.211

R_Cortex_Piriform

63

-38

-31

7

3.850

L_Cortex_Motor

-24

26

-63

6

3.236

L_Cortex_Piriform

-50

-44

-37

3

3.121

Negative

L_Cortex_Auditory

-69

-3

-5

225

-4.213

L_Cortex_Somatosensory

-63

7

-19

77

-5.283

R_Cortex_Motor

9

26

-43

40

-3.908

L_Cortex_Motor

-42

26

-75

31

-3.786

R_Cortex_Somatosensory

69

-5

-39

23

-3.860

L_Cortex_Visual

-24

36

27

17

-3.195

R_Cortex_Visual

22

36

29

4

-3.421

R_Thalamus_Midline_Dorsal

5

-5

-35

2

-2.987

Pain-related regions

Positive

R_Cortex_Cingulate

9

15

-61

17

3.336

Negative

R_Cortex_Insular

71

-20

-33

9

-3.365

L_Cortex_Insular

-67

-17

-33

3

-3.245

Emotion and cognition related brain regions

Positive

L_Cortex_Medial_Prefrontal

-11

-7

-75

101

4.467

L_AcbSh

-26

-34

-55

40

4.564

L_Cortex_Orbitofrontal

-28

7

-95

38

5.522

R_Hippocampus_Ventral

50

-20

5

37

3.765

L_Amygdala

-34

-48

-19

17

3.396

L_Pons

-18

-50

29

15

3.328

R_Cortex_Frontal_Association

32

20

-93

6

3.855

R_Hippocampus_Subiculum

38

17

15

3

3.283

R_Cortex_Orbitofrontal

34

7

-93

1

3.004

R_Amygdala

40

-54

-29

1

3.089

Negative

L_Cortex_Parietal_Association

-65

11

11

225

-4.995

R_Septum

9

-3

-41

90

-4.420

R_Cortex_Retrosplenial

13

26

13

56

-4.070

L_Hippocampus_Subiculum

-34

13

11

48

-3.737

R_Amygdala

36

-38

-19

38

-4.499

L_Cortex_Frontal_Association

-17

22

-97

38

-4.300

R_Hypothalamus_Lateral

22

-40

-29

22

-4.407

L_Cortex_Medial_Prefrontal

-11

11

-71

8

-3.282

Positive indicated EA group > sham EA group, and negative indicated EA group < sham EA group

Table S8 Brain regions of significant metabolism changes on Days 84 after brachial plexus avulsion injury (BPAI) of Model group compared with Normal group (p<0.005)

Metabolism changes

Model group vs Normal group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

L_Cortex_Auditory

-61

1

-1

243

4.845

L_Thalamus_Dorsolateral

-24

-11

-15

192

6.346

R_Thalamus_Dorsolateral

22

-15

-9

83

4.329

R_Superior_Colliculus

3

7

27

45

3.637

L_Cortex_Somatosensory

-36

38

-49

44

4.328

L_Caudate_Putamen

-22

1

-47

29

4.126

L_Superior_Colliculus

-9

7

9

15

3.279

R_Cortex_Motor

13

24

-91

12

3.889

L_Cortex_Piriform

-55

-32

-57

10

3.520

R_Cortex_Piriform

30

-15

-83

4

3.039

R_Cortex_Somatosensory

57

24

-51

2

3.246

R_Mesencephalic_Region

11

-22

17

1

3.014

Negative

L_Mesencephalic_Region

-13

-17

23

93

-3.952

R_Cortex_Visual

63

13

17

86

-4.642

R_Cortex_Motor

30

22

-63

45

-3.737

L_ic

-42

-5

-19

45

-5.341

R_Cortex_Somatosensory

46

32

-47

37

-4.035

L_Cortex_Visual

-63

5

19

16

-4.113

L_Cortex_Somatosensory

-67

7

-33

11

-3.474

L_Pons

-5

-52

21

10

-3.337

L_Thalamus_Midline_Dorsal

-9

-13

-1

7

-3.668

R_ic

19

-22

-35

4

-3.112

L_Caudate_Putamen

-50

-23

-41

3

-3.033

R_Cortex_Piriform

63

-32

-39

2

-2.981

R_Caudate_Putamen

38

-32

-53

2

-3.391

Pain-related regions

Positive

R_Cortex_Insular

32

-5

-73

28

3.563

R_Raphe

1

-28

3

3

3.483

L_Zona_Incerta

-9

-32

-17

1

2.993

Negative

L_Cortex_Insular

-57

-23

-33

27

-3.664

R_Cortex_Insular

54

-9

-59

3

-3.025

Emotion and cognition related brain regions

Positive

R_Cortex_Medial_Prefrontal

1

3

-71

62

4.226

R_Hypothalamus_Medial

1

-30

-3

37

3.780

L_AcbC

-15

-19

-65

31

3.850

R_Cortex_Orbitofrontal

7

1

-93

17

3.823

L_Cortex_Medial_Prefrontal

-3

5

-71

12

3.600

L_Hypothalamus_Medial

-11

-36

-21

11

3.804

L_Hypothalamus_Lateral

-3

-32

-3

11

3.943

L_Cortex_Retrosplenial

-3

34

23

8

3.417

R_Cortex_Retrosplenial

3

32

29

3

3.124

Negative

L_Cortex_Entorhinal

-40

-21

-63

82

-4.340

R_Cortex_Entorhinal

69

-14

25

55

-4.146

R_Septum

1

-1

-49

47

-5.162

L_Amygdala

-32

-40

-29

42

-3.575

R_Hippocampus_Postero_Dorsal

30

13

1

31

-3.880

L_Septum

-7

-17

-53

26

-3.828

R_Hippocampus_Ventral

46

-28

5

5

-3.317

L_Cortex_Orbitofrontal

-20

5

-95

3

-3.731

R_Cortex_Retrosplenial

15

17

15

2

-3.011

Positive indicated sham Model group > Normal group, and negative indicated Model group < Normal group

Table S9 Brain regions of significant metabolism changes on Days 84 after brachial plexus avulsion injury (BPAI) of sham electroacupuncture (sham EA) group compared with Model group (p<0.005)

metabolism changes

sham EA group vs Model group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

L_Cortex_Somatosensory

-65

1

-33

152

7.412

R_Cortex_Somatosensory

71

-7

-39

40

3.935

R_Cortex_Motor

34

26

-79

35

3.870

L_Mesencephalic_Region

-11

-16

3

17

4.420

L_Cortex_Motor

-42

26

-73

14

4.927

L_Caudate_Putamen

-46

-20

-41

13

3.746

R_ic

34

-30

-15

11

3.661

L_Pons

-11

-61

23

11

3.628

L_Cortex_Visual

-40

30

23

8

3.451

R_Cortex_Visual

65

15

19

6

3.348

R_Caudate_Putamen

36

-28

-53

3

3.157

L_Cortex_Auditory

-71

9

5

1

2.954

Negative

R_Thalamus_Midline_Dorsal

14

-5

-27

233

-3.138

R_Thalamus_Dorsolateral

34

-14

-27

233

-4.665

L_Thalamus_Dorsolateral

-28

-9

-13

118

-5.257

R_Cortex_Motor

20

34

-89

97

-4.046

R_Cortex_Somatosensory

51

15

-51

84

-4.537

L_Superior_Colliculus

-9

9

11

77

-5.237

R_Cortex_Piriform

32

-18

-83

74

-4.069

L_Caudate_Putamen

-46

-11

-51

56

-4.197

R_Caudate_Putamen

26

-3

-49

46

-4.386

R_Mesencephalic_Region

7

-12

7

32

-3.759

L_Cortex_Motor

-36

13

-79

12

-3.296

L_Thalamus_Ventromedial

-3

-28

-29

10

-3.966

R_Superior_Colliculus

20

9

19

5

-3.282

L_Cortex_Somatosensory

-61

26

-7

4

-3.206

R_Cortex_Auditory

75

-3

15

2

-3.431

L_Cortex_Visual

-59

22

21

2

-3.052

L_Cortex_Auditory

-75

-9

9

2

-3.177

R_Thalamus_Ventromedial

1

-26

-27

1

-3.076

Pain-related regions

Positive

L_Cortex_Insular

-67

-20

-33

82

4.720

L_Periaqueductal_Grey

-9

-7

29

49

5.789

R_Cortex_Insular

61

-7

-59

34

3.790

Negative

R_Cortex_Insular

42

-1

-73

73

-5.111

Emotion and cognition related brain regions

Positive

R_Amygdala

34

-38

-15

105

4.070

R_Septum

5

-1

-45

32

3.553

R_Hypothalamus_Lateral

18

-40

-31

7

3.790

L_Diagonal_Band

-3

-26

-47

7

3.420

R_Hippocampus_Postero_Dorsal

34

15

3

6

3.873

L_Hypothalamus_Medial

-3

-30

-43

4

3.836

L_Cortex_Parietal_Association

-65

22

5

4

3.020

R_Hypothalamus_Medial

3

-30

-43

3

3.014

R_Cortex_Temporal_Association

69

-12

9

3

3.027

Negative

L_Cortex_Medial_Prefrontal

-3

-5

-75

259

-10.640

R_Cortex_Medial_Prefrontal

3

13

-69

164

-7.757

R_Cortex_Orbitofrontal

22

7

-85

74

-3.772

L_Hippocampus_Postero_Dorsal

-50

11

7

54

-4.210

L_Hypothalamus_Medial

-7

-30

-19

45

-4.916

L_Hippocampus_Antero_Dorsal

-13

11

-27

27

-3.845

L_Cortex_Orbitofrontal

-28

9

-93

17

-4.225

R_Septum

3

-24

-59

15

-4.026

L_Cortex_Parietal_Association

-32

40

-7

15

-3.530

R_Hippocampus_Ventral

55

-16

13

11

-3.394

R_Amygdala

59

-28

-9

10

-4.058

R_Cortex_Parietal_Association

45

38

-7

5

-3.464

L_Amygdala

-38

-53

-27

4

-3.240

R_Hypothalamus_Lateral

13

-36

-41

2

-3.236

L_Cortex_Temporal_Association

-75

-15

-1

2

-3.462

R_Hippocampus_Postero_Dorsal

9

13

-1

1

-2.976

R_Cortex_Frontal_Association

34

20

-93

1

-2.971

Positive indicated sham EA group > Model group, and negative indicated sham EA group < Model group

Table S10 Brain regions of significant metabolism changes on Days 112 after brachial plexus avulsion injury (BPAI) of electroacupuncture (EA) group compared with Model group (p<0.005)

Metabolism changes

EA group vs Model group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

R_Caudate_Putamen

34

7

-57

164

4.148

L_Superior_Colliculus

-9

9

23

133

5.298

L_Cortex_Somatosensory

-32

28

-41

130

4.056

L_Thalamus_Dorsolateral

-15

3

-17

72

4.284

R_Cortex_Motor

3

36

-37

60

3.871

L_Medial_Geniculate

-32

-7

1

39

3.864

L_Cortex_Motor

-13

34

-87

22

4.512

R_Cortex_Somatosensory

44

15

-27

15

3.184

R_Thalamus_Dorsolateral

17

-11

-13

14

3.250

L_Caudate_Putamen

-13

3

-57

11

3.043

R_Thalamus_Midline_Dorsal

7

-26

1

5

3.595

R_Cortex_Temporal_Association

71

1

21

3

3.178

L_Mesencephalic_Region

-20

-1

5

2

3.239

R_Cortex_Visual

11

38

23

1

3.389

Negative

L_Cortex_Somatosensory

-57

7

-39

177

-6.957

R_Superior_Colliculus

26

-3

23

40

-4.428

L_Cortex_Motor

-36

14

-65

36

-3.666

R_Ventral_Pallidum

28

-44

-47

20

-3.408

L_Cortex_Piriform

-34

-21

-81

15

-3.644

R_Cortex_Somatosensory

57

13

-65

14

-3.421

L_Thalamus_Midline_Dorsal

-28

-22

5

6

-3.413

L_Substantia_Nigra

-30

-26

5

2

-3.103

Emotion and cognition related brain regions

Positive

L_Hypothalamus_Medial

-18

-28

-29

24

3.494

R_Cortex_Orbitofrontal

40

5

-89

5

3.727

R_Hippocampus_Postero_Dorsal

52

3

-3

3

3.177

L_Cortex_Medial_Prefrontal

-7

5

-77

1

2.925

Negative

L_Cortex_Medial_Prefrontal

-9

20

-95

73

-4.921

L_Cortex_Entorhinal

-69

-19

11

48

-4.473

L_Amygdala

-48

-32

-17

47

-3.618

R_Cortex_Entorhinal

69

-22

21

14

-3.292

R_Amygdala

48

-38

-19

11

-3.289

R_Cortex_Orbitofrontal

3

-1

-87

1

-2.932

L_Hypothalamus_Medial

-5

-54

-5

1

-2.926

Positive indicated EA group > Model group, and negative indicated EA group < Model group

Table S11 Brain regions of significant metabolism changes on Days 112 after brachial plexus avulsion injury (BPAI) of electroacupuncture (EA) group compared with sham electroacupuncture (sham EA) group (p<0.005)

metabolism changes

EA group vs sham EA group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

L_Superior_Colliculus

-24

1

21

340

7.396

R_Thalamus_Midline_Dorsal

9

-3

-31

152

9.483

L_Thalamus_Dorsolateral

-30

-3

1

126

4.673

R_Thalamus_Dorsolateral

36

1

-17

82

4.689

L_Cortex_Motor

-15

34

-89

37

4.958

L_Cortex_Auditory

-73

-5

-13

18

4.569

L_Cortex_Visual

-40

36

11

12

4.357

L_Cortex_Somatosensory

-46

14

-57

12

3.517

R_Superior_Colliculus

9

1

13

8

4.721

R_Caudate_Putamen

34

5

-59

8

3.175

L_Thalamus_Midline_Dorsal

-3

-5

-29

7

3.219

L_Pons

-18

-57

29

6

4.196

R_Cortex_Visual

48

32

19

5

4.114

R_Cortex_Motor

24

30

-87

3

3.014

R_Cortex_Auditory

75

-1

-13

3

3.382

R_Mesencephalic_Region

7

-18

25

2

3.136

Negative

L_Globus_Pallidus

-36

-24

-39

258

-7.709

L_Cortex_Somatosensory

-61

7

-39

145

-5.509

L_Thalamus_Dorsolateral

-28

-19

5

122

-4.842

R_Mesencephalic_Region

19

-24

17

81

-4.103

R_Cortex_Somatosensory

63

15

-23

73

-5.052

L_Cortex_Piriform

-34

-38

-59

55

-4.128

R_ic

40

-17

-27

45

-3.542

L_Cortex_Visual

-28

42

1

31

-4.161

R_Caudate_Putamen

40

-24

-39

15

-3.293

L_Cortex_Auditory

-65

5

-11

7

-3.589

R_Cortex_Visual

61

21

21

6

-3.182

Pain-related regions

Positive

L_Zona_Incerta

-11

-30

-29

94

4.016

R_Cortex_Insular

50

-17

-73

2

3.095

L_Cortex_Insular

-67

-23

-41

1

3.026

Emotion and cognition related brain regions

Positive

L_Hippocampus_Subiculum

-52

-7

25

246

4.927

R_Cortex_Retrosplenial

15

34

29

47

3.547

R_Hippocampus_Postero_Dorsal

48

-5

13

39

4.168

R_Hippocampus_Ventral

50

-26

-1

38

4.199

R_Hippocampus_Subiculum

42

-26

19

33

4.411

L_Cortex_Entorhinal

-55

-36

23

22

3.933

R_Hypothalamus_Lateral

19

-36

-29

19

3.471

L_Hippocampus_Postero_Dorsal

-46

1

5

8

3.154

Negative

R_Cortex_Entorhinal

69

-15

-15

146

-4.826

R_Cortex_Temporal_Association

69

-16

17

141

-3.472

L_Hippocampus_Ventral

-26

-44

1

122

-4.059

L_Cortex_Orbitofrontal

-36

-1

-77

39

-3.485

L_Cortex_Entorhinal

-69

-26

-17

34

-4.443

L_Hypothalamus_Medial

-9

-40

-43

23

-4.148

R_AcbSh

17

-15

-73

17

-3.126

L_AcbSh

-11

-26

-55

13

-3.594

L_Cortex_Frontal_Association

-24

18

-97

12

-3.177

R_Cortex_Medial_Prefrontal

7

1

-85

4

-3.193

R_Amygdala

30

-50

-25

2

-3.595

Positive indicated EA group > sham EA group, and negative indicated EA group < sham EA group

Table S12 Brain regions of significant metabolism changes on Days 112 after brachial plexus avulsion injury (BPAI) of Model group compared with Normal group (p<0.005)

metabolism changes

Model-group vs Normal-group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

L_Mesencephalic_Region

-26

-22

17

38

3.625

L_Globus_Pallidus

-36

-28

-31

37

3.684

R_Superior_Colliculus

5

11

11

32

3.938

R_Thalamus_Ventromedial

3

-19

-19

15

3.365

L_Cortex_Piriform

-36

-21

-81

15

4.066

L_Cortex_Somatosensory

-56

26

-41

10

3.586

L_Cortex_Auditory

-69

16

-1

4

3.398

L_Cortex_Visual

-44

32

19

3

3.143

L_Cortex_Temporal_Association

-73

-17

13

3

3.104

R_Cortex_Piriform

54

-36

-49

1

3.041

Negative

R_Cortex_Motor

26

28

-63

481

-7.122

R_Cortex_Somatosensory

20

32

-19

462

-4.805

R_Cortex_Visual

57

17

21

388

-5.237

L_Cortex_Motor

-28

30

-87

318

-4.926

R_Cortex_Auditory

71

5

-1

300

-3.760

R_Caudate_Putamen

40

-19

-55

278

-4.765

L_Cortex_Somatosensory

-36

34

-37

256

-4.839

R_Cortex_Medial_Prefrontal

3

5

-79

178

-3.458

L_Caudate_Putamen

-15

-3

-53

136

-4.300

L_Cortex_Visual

-52

30

9

119

-5.602

R_Thalamus_Dorsolateral

20

-9

-13

87

-4.074

R_Cortex_Piriform

54

-50

-29

9

-3.878

L_Superior_Colliculus

-3

7

23

9

-3.596

L_Thalamus_Dorsolateral

-30

-5

-29

8

-3.130

R_Superior_Colliculus

1

5

23

1

-2.949

Pain-related regions

Negative

R_Cortex_Insular

71

-22

-21

91

-4.627

L_Cortex_Cingulate

-7

24

-69

40

-3.702

L_Cortex_Insular

-48

-7

-71

4

-3.292

R_Cortex_Cingulate

1

28

-63

2

-3.085

Emotion and cognition related brain regions

Positive

L_Amygdala

-50

-40

-1

203

5.175

L_Cortex_Entorhinal

-50

-19

29

70

5.363

L_Cortex_Frontal_Association

-5

24

-93

39

4.084

R_Cortex_Entorhinal

52

-18

29

26

3.587

L_Hypothalamus_Lateral

-13

-44

-33

19

3.739

R_VTA

3

-28

11

18

3.393

R_Hypothalamus_Medial

1

-54

-9

15

3.284

R_Hippocampus_Postero_Dorsal

40

7

13

6

3.134

R_Septum

7

3

-55

5

3.188

L_Septum

-3

7

-41

2

3.063

R_Amygdala

56

-40

-5

1

2.997

Negative

L_Cortex_Medial_Prefrontal

-7

9

-77

638

-4.457

L_Cortex_Orbitofrontal

-28

3

-89

319

-4.717

R_Hippocampus_Postero_Dorsal

40

19

-3

284

-4.056

R_Cortex_Orbitofrontal

30

5

-91

208

-4.705

R_Hippocampus_Ventral

61

-22

3

27

-3.892

Positive indicated sham Model group > Normal group, and negative indicated Model group < Normal group

Table S13 Brain regions of significant metabolism changes on Days 112 after brachial plexus avulsion injury (BPAI) of sham electroacupuncture (sham EA) group compared with Model group (p<0.005)

metabolism changes

sham EA group vs Model group

Brain regions

MNI coordinates

Extent

t-value

x

y

z

Sensorimotor related regions

Positive

R_Cortex_Somatosensory

61

15

-23

220

7.340

L_Cortex_Somatosensory

-32

28

-13

123

4.654

R_Mesencephalic_Region

15

-24

17

75

4.412

R_Cortex_Visual

61

21

21

41

4.332

R_Cortex_Motor

44

18

-87

24

3.679

L_Cortex_Piriform

-61

-48

-13

20

3.578

L_Cortex_Visual

-54

22

3

9

3.633

R_Thalamus_Midline_Dorsal

7

-28

1

6

3.550

R_Thalamus_Dorsolateral

20

-13

-15

3

3.153

R_Caudate_Putamen

30

11

-31

2

3.014

R_Substantia_Nigra

22

-40

17

1

3.178

Negative

L_Cortex_Piriform

-40

-48

-15

76

-4.177

R_Thalamus_Midline_Dorsal

1

-3

-31

66

-4.514

R_Superior_Colliculus

26

-3

21

47

-4.223

L_Thalamus_Midline_Dorsal

-3

-1

-31

44

-4.488

L_Thalamus_Dorsolateral

-30

5

-7

37

-3.333

L_Cortex_Auditory

-73

-5

-13

12

-4.402

L_Cortex_Somatosensory

-54

9

-39

11

-3.220

R_Cortex_Visual

22

36

29

8

-3.389

R_Cortex_Somatosensory

40

18

-69

7

-3.280

R_ic

44

-3

-17

6

-3.483

L_Cortex_Motor

-24

32

-65

5

-3.020

R_Pons

1

-57

23

4

-3.125

R_Cortex_Motor

11

42

-33

3

-3.176

R_Cortex_Auditory

69

15

7

1

-3.057

L_Pons

-18

-54

27

1

-3.011

Pain-related regions

Positive

L_Cortex_Insular

-34

-1

-75

12

3.404

R_Cortex_Insular

67

-15

-21

6

3.266

R_Zona_Incerta

19

-28

-5

5

3.118

Negative

R_Cortex_Cingulate

1

13

-43

7

-3.296

L_Cortex_Cingulate

-3

15

-43

6

-3.303

Emotion and cognition related brain regions

Positive

L_Cortex_Medial_Prefrontal

-9

7

-77

51

6.226

L_Cortex_Parietal_Association

-50

15

-1

14

3.365

L_VTA

-9

-38

3

3

3.029

R_Cortex_Orbitofrontal

32

-13

-71

1

2.963

Negative

L_Hippocampus_Ventral

-61

-15

11

191

-4.739

L_Hippocampus_Postero_Dorsal

-44

-1

7

191

-3.817

R_Hippocampus_Ventral

46

-20

-1

112

-3.371

R_Hippocampus_Postero_Dorsal

46

1

13

112

-4.694

R_Hypothalamus_Medial

9

-48

-17

26

-4.346

L_Amygdala

-48

-40

-5

22

-3.732

L_Hypothalamus_Medial

-3

-42

-35

21

-4.962

L_Hypothalamus_Lateral

-13

-42

-33

16

-3.582

L_Hippocampus_Antero_Dorsal

-5

7

-29

12

-3.746

R_Hippocampus_Antero_Dorsal

1

7

-27

8

-3.484

R_Hippocampus_Subiculum

44

-26

19

6

-3.340

Positive indicated sham EA group > Model group, and negative indicated sham EA group < Model group