Professor Irene Tracey
Contact information
Research groups
Biography
Professor Irene Tracey is currently Vice-Chancellor of the University of Oxford, her alma mater. She is also Professor of Anaesthetic Neuroscience in the Nuffield Department of Clinical Neurosciences.
Professor Tracey undertook her undergraduate and graduate studies at the University of Oxford in Biochemistry where her research focused on the early use of magnetic resonance imaging methods to study disease mechanisms in humans under the supervision of Professor Sir George Radda.
She then held a postdoctoral position at Harvard Medical School working at the MGH-NMR (now Martinos) imaging centre. In 1997, Professor Tracey returned to Oxford and was a founding member of the now world-leading Oxford Centre for Functional Magnetic Resonance Imaging of the Brain (FMRIB – now the Wellcome Centre for Integrative Neuroimaging); she was its Director from 2005 until 2015.
Professor Tracey was tenured in 2001 to the Department of Physiology, Anatomy and Genetics with Fellowship at Christ Church. She was then appointed as Nuffield Chair in Anaesthetic Sciences moving to the Department of Anaesthetics from 2007 to 2019 with Fellowship at Pembroke College. Until recently she was also Head of the Nuffield Department of Clinical Neurosciences – a 550-person merged department of scientists and clinicians drawn from the former departments of neurology, ophthalmology and anaesthetics.
Over the past 25 years her multidisciplinary research team has contributed to a better understanding of pain perception, pain relief and nociceptive processing within the injured and non-injured human central nervous system using advanced neuroimaging techniques and novel paradigm designs. They have also been investigating the neural basis of altered states of consciousness induced by anaesthetic agents. Her work has both discovery and translational elements and has contributed to a fundamental change in how we view pain as an emergent experience not simply related to nociceptive inputs.
Alongside senior leadership roles within the University, Irene has served and continues to serve on many national and international committees, such as the International Association for the Study of Pain (IASP), British Neuroscience Association and Lundbeck Brain Prize Committee. She is currently appointed by the Government to the Council of the Medical Research Council and is President-elect of the Federation of European Societies (FENS). She is a passionate advocate for women in science and is involved in several mentorship schemes. In 2008 she was awarded the triennial Patrick Wall Medal from the Royal College of Anaesthetists and in 2009 was made an FRCA for her contributions to the discipline. In 2015 she was elected a Fellow of the Academy of Medical Sciences and in 2017 won the Feldberg Foundation Prize followed in 2018 by the British Neuroscience Association’s Outstanding Contribution to Neuroscience award and in 2020 she was elected a Member of the Academia Europaea. In the New Year’s Honours list 2022, she was appointed a Commander of the Order of the British Empire (CBE) by Her Majesty The Queen for services to Medical Research. Professor Tracey is married to Professor Myles Allen CBE, a climate physicist, and they have three children, Colette, John and Jim.
Irene Tracey
MA (Oxon), DPhil., FRCA, FMedSci, MAE, CBE
Professor Anaesthetic Neuroscience
Research Summary
The ability to experience pain is old and shared across species. It is our warning 'harm alarm' system and, as such, feeling pain confers an evolutionary advantage. However, when it becomes chronic, as it does in approximately 20% of the adult population, it causes significant suffering and major cost implications for society (e.g. https://www.ncbi.nlm.nih.gov/pubmed/22553896). As such, pain is no longer advantageous and ruins lives. The definition of pain is: “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” – International Association for the Study of Pain (IASP Taxonomy). The FMRIB Pain Analgesia-Anaesthesia Imaging Neuroscience (P.A.I.N) Group, which I head, aims to understand pain perception, analgesia and altered states of consciousness through advanced neuroimaging. For further information, see my group page.
The Wellcome Centre for Integrative Neuroimaging is recognised as one of the world’s leading neuroimaging laboratories that integrates research into key neurological and neuroscientific problems with cutting-edge developments in MR physics and data analysis. The Centre has approximately 110 scientists and clinicians from a range of backgrounds and I was their Director for ten years until May 2015.
Sources of Funding
- The Medical Research Council
- The Wellcome Trust
- The Innovative Medicines Initiative (Europain and PainCare)
- NIHR Oxford Biomedical Research Centre
- Former financial support from many other organisations is recognized in the acknowledgment section of our published papers.
Key publications
Central Sensitization in Knee Osteoarthritis: Relating Presurgical Brainstem Neuroimaging and PainDETECT-Based Patient Stratification to Arthroplasty Outcome.
Journal article
Soni A. et al, (2019), Arthritis Rheumatol, 71, 550 - 560
Composite Pain Biomarker Signatures for Objective Assessment and Effective Treatment.
Journal article
Tracey I. et al, (2019), Neuron, 101, 783 - 800
Defining the Functional Role of NaV1.7 in Human Nociception.
Journal article
McDermott LA. et al, (2019), Neuron, 101, 905 - 919.e8
Neural basis of induced phantom limb pain relief.
Journal article
Kikkert S. et al, (2019), Ann Neurol, 85, 59 - 73
A brain-based pain facilitation mechanism contributes to painful diabetic polyneuropathy.
Journal article
Segerdahl AR. et al, (2018), Brain, 141, 357 - 364
Investigation of Slow-wave Activity Saturation during Surgical Anesthesia Reveals a Signature of Neural Inertia in Humans.
Journal article
Warnaby CE. et al, (2017), Anesthesiology, 127, 645 - 657
Brain imaging tests for chronic pain: medical, legal and ethical issues and recommendations.
Journal article
Davis KD. et al, (2017), Nat Rev Neurol, 13, 624 - 638
Investigating resting-state functional connectivity in the cervical spinal cord at 3T.
Journal article
Eippert F. et al, (2017), Neuroimage, 147, 589 - 601
fMRI reveals neural activity overlap between adult and infant pain.
Journal article
Goksan S. et al, (2015), Elife, 4
The dorsal posterior insula subserves a fundamental role in human pain.
Journal article
Segerdahl AR. et al, (2015), Nat Neurosci, 18, 499 - 500
Learning to identify CNS drug action and efficacy using multistudy fMRI data.
Journal article
Duff EP. et al, (2015), Sci Transl Med, 7
Intrinsically organized resting state networks in the human spinal cord.
Journal article
Kong Y. et al, (2014), Proc Natl Acad Sci U S A, 111, 18067 - 18072
Influence of prior information on pain involves biased perceptual decision-making.
Journal article
Wiech K. et al, (2014), Curr Biol, 24, R679 - R681
Pain vulnerability: a neurobiological perspective.
Journal article
Denk F. et al, (2014), Nat Neurosci, 17, 192 - 200
Slow-wave activity saturation and thalamocortical isolation during propofol anesthesia in humans.
Journal article
Ní Mhuircheartaigh R. et al, (2013), Sci Transl Med, 5
Neural correlates of an injury-free model of central sensitization induced by opioid withdrawal in humans.
Journal article
Wanigasekera V. et al, (2011), J Neurosci, 31, 2835 - 2842
Getting the pain you expect: mechanisms of placebo, nocebo and reappraisal effects in humans.
Journal article
Tracey I., (2010), Nat Med, 16, 1277 - 1283
Induction of depressed mood disrupts emotion regulation neurocircuitry and enhances pain unpleasantness.
Journal article
Berna C. et al, (2010), Biol Psychiatry, 67, 1083 - 1090
Prestimulus functional connectivity determines pain perception in humans.
Journal article
Ploner M. et al, (2010), Proc Natl Acad Sci U S A, 107, 355 - 360
Identifying brain activity specifically related to the maintenance and perceptual consequence of central sensitization in humans.
Journal article
Lee MC. et al, (2008), J Neurosci, 28, 11642 - 11649
Imaging attentional modulation of pain in the periaqueductal gray in humans.
Journal article
Tracey I. et al, (2002), J Neurosci, 22, 2748 - 2752
Imaging how attention modulates pain in humans using functional MRI.
Journal article
Bantick SJ. et al, (2002), Brain, 125, 310 - 319
Exacerbation of pain by anxiety is associated with activity in a hippocampal network.
Journal article
Ploghaus A. et al, (2001), J Neurosci, 21, 9896 - 9903
Learning about pain: the neural substrate of the prediction error for aversive events.
Journal article
Ploghaus A. et al, (2000), Proc Natl Acad Sci U S A, 97, 9281 - 9286
Dissociating pain from its anticipation in the human brain.
Journal article
Ploghaus A. et al, (1999), Science, 284, 1979 - 1981
Recent publications
Effects of Lacosamide, Pregabalin, and Tapentadol on Peripheral Nerve Excitability: A Randomized, Double-blind, Placebo-controlled, Crossover, Multicenter Trial in Healthy Subjects.
Journal article
Nochi Z. et al, (2025), Anesthesiology, 143, 1279 - 1295
Gabapentin for chronic pelvic pain in women (GaPP2): a multicentre, randomised, double-blind, placebo-controlled trial.
Journal article
Horne AW. et al, (2020), Lancet, 396, 909 - 917
Ultra-high-field imaging reveals increased whole brain connectivity underpins cognitive strategies that attenuate pain.
Journal article
Schulz E. et al, (2020), Elife, 9
Multidisciplinary research priorities for the COVID-19 pandemic - Authors' reply.
Journal article
O'Connor RC. et al, (2020), Lancet Psychiatry, 7, e44 - e45
Discovery and validation of biomarkers to aid the development of safe and effective pain therapeutics: challenges and opportunities.
Journal article
Davis KD. et al, (2020), Nat Rev Neurol, 16, 381 - 400
Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science.
Journal article
Holmes EA. et al, (2020), Lancet Psychiatry, 7, 547 - 560
INDIRECT MEASUREMENT OF CENTRAL SENSITISATION AS A PREDICTOR OF RESPONSE TO DIFFERENT DRUG TREATMENTS IN PATIENTS WITH INFLAMMATORY ARTHRITIS IN A UK CLINICAL COHORT
Conference paper
Santos-Paulo S. et al, (2020), RHEUMATOLOGY, 59, 97 - 97
Role of brain imaging in disorders of brain-gut interaction: a Rome Working Team Report.
Journal article
Mayer EA. et al, (2019), Gut, 68, 1701 - 1715
Response to "Treating patients rather than their functional neuroimages" (Br J Anaesth 2018; 121: 969-71).
Journal article
Wanigasekera V. et al, (2019), Br J Anaesth, 123, e166 - e171
method for correcting breathing-induced field fluctuations in T2*-weighted spinal cord imaging using a respiratory trace.
Journal article
Vannesjo SJ. et al, (2019), Magn Reson Med, 81, 3745 - 3753
Structural and Functional Abnormalities of the Primary Somatosensory Cortex in Diabetic Peripheral Neuropathy: A Multimodal MRI Study.
Journal article
Selvarajah D. et al, (2019), Diabetes, 68, 796 - 806
Strategy-dependent modulation of cortical pain circuits for the attenuation of pain.
Journal article
Schulz E. et al, (2019), Cortex, 113, 255 - 266
Central Sensitization in Knee Osteoarthritis: Relating Presurgical Brainstem Neuroimaging and PainDETECT-Based Patient Stratification to Arthroplasty Outcome.
Journal article
Soni A. et al, (2019), Arthritis Rheumatol, 71, 550 - 560
Composite Pain Biomarker Signatures for Objective Assessment and Effective Treatment.
Journal article
Tracey I. et al, (2019), Neuron, 101, 783 - 800
Defining the Functional Role of NaV1.7 in Human Nociception.
Journal article
McDermott LA. et al, (2019), Neuron, 101, 905 - 919.e8
The QuinteT Recruitment Intervention supported five randomized trials to recruit to target: a mixed-methods evaluation.
Journal article
Rooshenas L. et al, (2019), J Clin Epidemiol, 106, 108 - 120
Neural basis of induced phantom limb pain relief.
Journal article
Kikkert S. et al, (2019), Ann Neurol, 85, 59 - 73
ditory and pain processing is severely disrupted at slow wave activity saturation under general anaesthesia
Conference paper
Holmgren J. et al, (2019), BRITISH JOURNAL OF ANAESTHESIA, 123, E514 - E514
High field structural MRI in the management of degenerative cervical myelopathy.
Journal article
Wright D. et al, (2018), Br J Neurosurg, 32, 595 - 598
Feasibility of Diffusion Tensor and Morphologic Imaging of Peripheral Nerves at Ultra-High Field Strength.
Journal article
Schmid AB. et al, (2018), Invest Radiol, 53, 705 - 713
Opioid-Independent and Opioid-Mediated Modes of Pain Modulation.
Journal article
Berna C. et al, (2018), J Neurosci, 38, 9047 - 9058
new look at painful diabetic neuropathy.
Journal article
Sloan G. et al, (2018), Diabetes Res Clin Pract, 144, 177 - 191
The influence of the descending pain modulatory system on infant pain-related brain activity.
Journal article
Goksan S. et al, (2018), Elife, 7
Reaffirming the link between chronic phantom limb pain and maintained missing hand representation.
Journal article
Kikkert S. et al, (2018), Cortex, 106, 174 - 184
An observational study showed that explaining randomization using gambling-related metaphors and computer-agency descriptions impeded randomized clinical trial recruitment.
Journal article
Jepson M. et al, (2018), J Clin Epidemiol, 99, 75 - 83
General anaesthesia as fragmentation of selfhood: insights from electroencephalography and neuroimaging.
Journal article
Sleigh J. et al, (2018), Br J Anaesth, 121, 233 - 240
Spatiotemporal characterization of breathing-induced B0 field fluctuations in the cervical spinal cord at 7T.
Journal article
Vannesjo SJ. et al, (2018), Neuroimage, 167, 191 - 202
A brain-based pain facilitation mechanism contributes to painful diabetic polyneuropathy.
Journal article
Segerdahl AR. et al, (2018), Brain, 141, 357 - 364
Disambiguating pharmacological mechanisms from placebo in neuropathic pain using functional neuroimaging.
Journal article
Wanigasekera V. et al, (2018), Br J Anaesth, 120, 299 - 307
GaPP2, a multicentre randomised controlled trial of the efficacy of gabapentin for the management of chronic pelvic pain in women: study protocol.
Journal article
Vincent K. et al, (2018), BMJ Open, 8
Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial.
Journal article
Beard DJ. et al, (2018), Lancet, 391, 329 - 338
"Luteal Analgesia": Progesterone Dissociates Pain Intensity and Unpleasantness by Influencing Emotion Regulation Networks.
Journal article
Vincent K. et al, (2018), Front Endocrinol (Lausanne), 9
Determining the Neural Substrate for Encoding a Memory of Human Pain and the Influence of Anxiety.
Journal article
Tseng M-T. et al, (2017), J Neurosci, 37, 11806 - 11817
Low-threshold mechanoreceptors play a frequency-dependent dual role in subjective ratings of mechanical allodynia.
Journal article
Löken LS. et al, (2017), J Neurophysiol, 118, 3360 - 3369
systematic study of the sensitivity of partial volume correction methods for the quantification of perfusion from pseudo-continuous arterial spin labeling MRI.
Journal article
Zhao MY. et al, (2017), Neuroimage, 162, 384 - 397
Investigation of Slow-wave Activity Saturation during Surgical Anesthesia Reveals a Signature of Neural Inertia in Humans.
Journal article
Warnaby CE. et al, (2017), Anesthesiology, 127, 645 - 657
Brain imaging tests for chronic pain: medical, legal and ethical issues and recommendations.
Journal article
Davis KD. et al, (2017), Nat Rev Neurol, 13, 624 - 638
Motor correlates of phantom limb pain.
Journal article
Kikkert S. et al, (2017), Cortex, 95, 29 - 36
Denoising spinal cord fMRI data: Approaches to acquisition and analysis.
Journal article
Eippert F. et al, (2017), Neuroimage, 154, 255 - 266
The Potential Role of Sensory Testing, Skin Biopsy, and Functional Brain Imaging as Biomarkers in Chronic Pain Clinical Trials: IMMPACT Considerations.
Journal article
Smith SM. et al, (2017), J Pain, 18, 757 - 777
Opioid neurotransmission modulates defensive behavior and fear-induced antinociception in dangerous environments.
Journal article
Coimbra NC. et al, (2017), Neuroscience, 354, 178 - 195
Neuroimaging mechanisms in pain: from discovery to translation.
Journal article
Tracey I., (2017), Pain, 158 Suppl 1, S115 - S122
Investigating resting-state functional connectivity in the cervical spinal cord at 3T.
Journal article
Eippert F. et al, (2017), Neuroimage, 147, 589 - 601
Structural Connectivity Variances Underlie Functional and Behavioral Changes During Pain Relief Induced by Neuromodulation.
Journal article
Lin RL. et al, (2017), Sci Rep, 7
Chronic neuropathic pain severity is determined by lesion level in aquaporin 4-antibody-positive myelitis.
Journal article
Tackley G. et al, (2017), J Neurol Neurosurg Psychiatry, 88, 165 - 169
Somatosensory cortical plasticity determines clinical presentation in diabetic neuropathy
Conference paper
Selvarajah D. et al, (2017), DIABETOLOGIA, 60, S71 - S71
Pain in patients with transverse myelitis and its relationship to aquaporin 4 antibody status.
Journal article
Kong Y. et al, (2016), J Neurol Sci, 368, 84 - 88
Revealing the neural fingerprints of a missing hand.
Journal article
Kikkert S. et al, (2016), Elife, 5
Chronic pain disrupts the reward circuitry in multiple sclerosis.
Journal article
Seixas D. et al, (2016), Eur J Neurosci, 44, 1928 - 1934
vulnerability to chronic pain and its interrelationship with resistance to analgesia.
Journal article
Tracey I., (2016), Brain, 139, 1869 - 1872
nesthesia-induced Suppression of Human Dorsal Anterior Insula Responsivity at Loss of Volitional Behavioral Response.
Journal article
Warnaby CE. et al, (2016), Anesthesiology, 124, 766 - 778
Non-parametric combination and related permutation tests for neuroimaging.
Journal article
Winkler AM. et al, (2016), Hum Brain Mapp, 37, 1486 - 1511
Disambiguating Pharmacodynamic Efficacy from Behavior with Neuroimaging: Implications for Analgesic Drug Development.
Journal article
Wanigasekera V. et al, (2016), Anesthesiology, 124, 159 - 168
ssociation of neuropathic limb pain in multiple sclerosis with cognition, behaviour, and measures of brain structure: a case-control MRI neuroimaging study
Conference paper
Foley P. et al, (2016), LANCET, 387, 45 - 45
