Snow Leopard said:
What are the common biases?
In case anyone still interested in going back to Snow's initial set of questions....
Okay, the first issue is task design and (for patient studies) choice of control group. This is really important, because fMRI is fairly mainginless unless you choose the right comparisons.
One approach, especially in the health area, is to use
resting state fMRI (measure brain activity at rest), often applying functional connectivity analysis. The aim is to show that certain regions/networks are over- or underactivated at rest compared to controls. But this is fairly difficult to interpret, for two reasons.
* First, it rests on a
difference between groups, so requires very careful choice of control group (if you're studing a "pscyhosomatic" illness group, you need people experiencing similar symptoms not believed to be psychosomatic - although this is almost never done).
* Second, if you want to use the results to make statements at a psychological level, you have to make a "
reverse inference". That is, if region or network X was more activated in patients than in controls, and this region/network has been associated with emotion/perception of pain etc., then
ipso facto, there must be enhanced pain perception, etc. The problem is that any one region/network can be involved in many different processes, so we cannot infer backwards which one is being engaged in this instance. A lot of fudging goes on, as researchers try to emphasise differences that fit their ideas (e.g, psychosomatic views), while ignoring differences that are trickier to handle within their framework.
And you thought this stuff only went on with PACE...
A more common approach in the cognitive neuroscience literature is to compare brain activation
across two or more different tasks. If you choose your tasks carefully, you can hopefully isolate just the mental operation you're interested in. So for example, if you wanted to study the regions engaged during face recognition, you might pick a face recognition task and an object recognition task, because the second one involves many of the same activities (e.g. complex visual analysis) but not the one of interest. There are other designs too, but this one - called a
subtraction design - is the most common. This is harder than it looks because it assumes that the process of interest is merely an extra source of activity "added in" in to the usual activity measured in the comparison task (called the
"pure insertion" assumption). It might not work that way at all - including faces may influence activation in regions other than the specialised face recognition areas too. Even more primary visual areas. We just can't say.
The second, even bigger problem is that you have to have a
really sophisticated cognitive model of your various tasks, to be sure you've isolated the correct processes. A lot of early fMRI studies got it wrong, because they weren't based on a good model of the processes they were trying to localise. So for example, we tried to localise the "mental lexicon" by comparing the activations generated during word reading with those generated when people viewed nonsense "words" that presumably, wouldn't already be in their lexicons (e.g., melve). But then we realised that even reading nonsense words most likely requires us to refer to our "lexicon" of accumulated knowledge of words we
do know. So that comparison was wrong to start with.
Notice that the reverse inference problem also often comes up with the active task designs, if people try to interpret activations as "indicating" certain types of mental or psychological processes.
Even with an active task, if you want to use fMRI to study differences between a patient population and healthy controls,
everything hinges on the choice of control groups. An ill population could behave differently to a healthy one for all sorts of reasons - purely physiological ones (remember, heart rate variability and other cardivascular factors can influence fMRI activations), discomfort/malaise during the scan, and psychological state at the time of scanning (probably not equivalent to healthy controls for any group with a serious illness). These differences can lead to overactivation of certain brain regions in the patients. But it can even go the opposite way sometimes, with patient populations revealing a reduced response in some regions to certain noxious stimuli presented under the scanner, perhaps as a result of how accustomed they are to pain/discomfort/being prodded by doctors.
You need a group that is equivalent on as many of the things you're not interested in as possible.
That's enough for now, can continue if useful (will also integrate this into the earlier post when I get a chance).