PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home »

Psychiatric Times. Vol. 26 No. 7
Pages: 1  2  3  
Next
MOLECULES OF THE MIND 

Functional Magnetic Resonance Imaging: Round 2

By John J. Medina, PhD | June 30, 2009
Dr Medina is a developmental molecular biologist and private consultant, with research interests in the genetics of psychiatric disorders.

This is the second installment in a 3-part series (read 1st column here) that discusses some of the mechanisms behind functional magnetic resonance imaging (fMRI) technology. As you may recall, the genesis for this series was reactive…I got mad while sitting on an airplane reading a magazine article about how fMRIs can predict everything from product preferences to political inclination. The article hinted at something I have been noticing with increasing alarm—the confusion about what fMRI can and cannot reveal about information processing in the brain. I decided to write this series hoping that knowledge of the basic science behind fMRI technology could contribute to making more nuanced conclusions about the data it reveals.

Last month, I discussed some of the basic physics behind MRI and described why magnets and radio waves were so important in getting an image. Here I explore how that physics reveals neural activity in the brain. Actually, fMRI does not detect neural activity at all. It only detects changes in blood flow, which may be a source of some of the confusion (more on that in a moment).

To talk about the controversies about what fMRI actually detects (and yes, there are controversies), I will briefly describe the relationship between neural activity and the brain’s hemodynamic properties. I will then move to data that appear to describe the molecular components behind this relationship. Along the way, I will review some basic biochemistry, from glycolysis (remember glycolysis?) to the prostaglandin biosynthetic pathway.

Detecting basics

The basic idea behind fMRI and brain activity is simple: when busy brain tissues are processing information, they naturally require more energy than when they are not processing information. At its most atomic level, the activity involves the translocation of ions across cell membranes. To generate the energy needed to pump ions out, neurons need a ready supply of blood-borne glucose and oxygen. Why blood-borne? As you know, neurons do not possess internal energy stores in the form of oxygen and glucose. Any increase in their activity requires dipping into extracellular energy resources. Increasing energy supply is supposed to mean increasing blood flow to the neural tissues that need it.

"Noninvasive imaging, such as fMRI, is a great and powerful technology, but it provides no easy answers in our quest to understand how the brain processes information."

This link between energy needs and blood flow is fundamental to our story: fMRI machines can only detect localized changes in blood flow. The phenomenon is known as a BOLD (blood-oxygen level–dependent) signal. How is a machine that traffics in magnetic fields and radio waves capable of detecting changes in blood flow in the first place? You’ve known the answer since grade school. Hemoglobin-bound iron atoms are found in blood, and because these atoms are metal they are magnetically sensitive. Localized oxygen release is of course greater for actively depolarizing neurons than for inactive neurons. And it is this difference that drives the BOLD signal. There is thus a conceptual link between neural activity and the hemodynamic properties of the brain.

At least we think so. The association with blood flow and neural activity is actually not as clear as is sometimes thought. Two examples come to mind. First, increased neural activity does not always result in an increased hemodynamic signal. There are studies that show that increased neural activity can sometimes result in localized vasoconstriction, not dilation, which creates a reduction in localized blood flow.

A second example comes from an issue that is often glaringly omitted from discussions about brain activity: the role of controlled neural in-hibition. Certain types of processing require a deliberate and sustained quelling of regional neural activity. Such deliberate inhibition requires an increase in energy supply, just as deliberate activation does. How does an fMRI signal, which can only detect increases in blood flow, discriminate between these 2 powerful processes? The short answer is that it sometimes cannot.

Questions can even arise from application. There certainly are data that support a positive correlation of blood flow with neural activity. However, what activity is being measured may depend on experimental design. In some cases, increased blood flow signals an anticipatory rather than a reactive response. In one experiment, participants started showing increases in anticipation of the onset of a specific task before the task had even begun. The experimenters concluded that getting a signal concordant with the task depends on the type and timing of the activity.

Does that mean we should just throw out the idea that neural activity and blood flow are positively correlated? Hardly. All it suggests is that we need a more nuanced understanding of the relationship between the two.

Pages: 1  2  3  
Next
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.





See "The Physics of fMRI - Part 1" from the April 2009 Issue of Psychiatric Times


 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
'What They Should Really Teach in Medical School'
Julie Schopps, MD , February 6, 2012
The North Carolina-based pediatrician weighs in on why she thinks the real learning doesn't take place until students are out of the classroom.
Improve EHR Systems by Rethinking Medical Billing
Daniel Essin, MA, MD, February 6, 2012
Separating billing-related data from other clinical documentation and transmitting it to a billing system is not difficult …no matter how the charting is done.
Keeping Your Medical Practice’s Accounts Receivable on Track
P.J. Cloud-Moulds, February 4, 2012
Here are the minimum reports you should be running to keep an eye on your practices A/R.
Healthcare Providers Play Crucial Role in Helping Victims of Abuse
Stephen Hanson, PA-C , February 3, 2012
I would urge each and every one of you to be familiar with the warning signs of abuse, and the resources available to you all as healthcare providers.
Protecting Your Medical Practice's Data
Marisa Torrieri, February 3, 2012
Here's the scoop on how to implement a good data-backup plan at your office.
 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Pathological Lying: Symptom or Disease?
  • Psychopathy and Antisocial Personality Disorder: A Case of Diagnostic Confusion
  • The Hidden Suffering of the Psychopath
  • Does Marijuana Withdrawal Syndrome Exist?
  • The Cannabis-Psychosis Link
  • Broken Sleep May Be Natural Sleep
  • Sleep Hygiene
  • The Cannabis-Psychosis Link
  • How Psychotherapy Changes the Brain
  • Grief, Mourning—and the Denial of Death
  • Psychoeducational Resources
  • An Evidence-Based Practice of Psychoeducation for Schizophrenia
  • Recovery-Based Services and Education Resources
  • Documentation That DSM-5 Publication Must Be Delayed
  • Peer Specialists as Educators for Recovery-Based Systems Transformation
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • What's Your Challenge?
  • APA Should Delay Publication of DSM-5
  • Borderline Personality Disorder and Bipolar Disorder—Distinguishing Features of Clinical Diagnosis and Treatment
  • Grief, Mourning—and the Denial of Death
  • Occupy Medicine: Reclaiming Our Lost Leadership
  • Hebephilia is a Crime, Not a Mental Disorder
  • Strategies to Avoid Burnout in Professional Practice: Some Practical Suggestions
  • John Henry: Railroading the Mentally Ill
  • Improving Suicide Risk Assessment
  • Pioneering FBI Profiler Answers Questions About Serial Killers
Click here to subscribe to our newsletter
 
CAREER CENTER

  • Featured Jobs
  • Resources
  • State Listings
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry
  • Arizona
  • California
  • Florida
  • Massachusetts
  • New Jersey
Virtual Career Expo: On Demand
 
SearchMedica SEARCH RESULT

Find peer-reviewed literature and websites for practicing medical professionals

CME on Display
Evidence on Display
Guidelines on Display
Patient Education on Display
Clinical Trials on Display
Practical Articles on Display
Research and Reviews on Display
All "Display" results

CancerNetwork | CME LLC | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2012 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy