Research Article: fMRI Beyond the Clinic: Will It Ever Be Ready for Prime Time?

Date Published: June 15, 2004

Publisher: Public Library of Science

Author(s): Richard Robinson

Abstract: Functional magnetic resonance imaging offers the promise of peeking into the human mind. What signals in the human brain can we really detect and how should the technology be used?

Partial Text: Functional magnetic resonance imaging—fMRI—opens a window onto the brain at work. By tracking changes in cerebral blood flow as a subject performs a mental task, fMRI shows which brain regions “light up” when making a movement, thinking of a loved one, or telling a lie. Its ability to reveal function, not merely structure, distinguishes fMRI from static neuroimaging techniques such as CT scanning, and its capacity to highlight the neural substrates of decisions, emotions, and deceptions has propelled fMRI into the popular consciousness. Discussions of the future of fMRI have conjured visions of mind-reading devices used everywhere from the front door at the airport terminal to the back room of the corporate personnel office. At least one “neuromarketing” research firm is already trying to use fMRI to probe what consumers “really” think about their clients’ products.

To understand the potential, and the limitations, of fMRI, it’s helpful to know how the technique works. The heart of the apparatus is a large donut-shaped magnet that senses changes in the electromagnetic field of any material placed in its center, in particular—when a head is scanned—the blood as it flows through the brain. When a region of the brain is activated, it receives an increased flow of oxygenated blood (the extremely rapid redirection of blood within the active brain is one of the underappreciated wonders supporting neural activity). This influx of oxygenated blood alters the strength of the local magnetic field in proportion to the increase in flow, which is detected and recorded by the imaging machinery.

But the hypotheses that can be tested and the conclusions that can be drawn are still largely about group averages, not about the functionings of individual brains, and therein lies a second major caveat about the use of fMRI beyond the clinic. John Gabrieli, Associate Professor of Psychology at Stanford University, has shown that distinct activation patterns in the brains of dyslexic children normalize as they improve their reading skills (Figure 2). It seems like a small leap from there to including an fMRI as part of the workup for a schoolchild struggling in the classroom. But, Gabrieli cautions, that small leap in fact traverses a huge chasm, on one side of which is the group data from which conclusions are drawn in studies, and on the other side, the application of these conclusions to the individual child. “At the moment, fMRI would be among the most useless things to do. We would love to get it to the point that it would be useful [on an individual basis],” he says, but it’s not there yet. “There is no single-subject reliability,” says Gabrieli. “Where we are now, I’m not aware of any applications for which it would be responsible to interpret an individual scan [based on group data].”

Even this kind of personalized approach with fMRI is fraught with problems when researchers attempt to apply it outside the clinic, because of limitations in the technology itself. One researcher with firsthand knowledge of these problems is Daniel Langleben, Assistant Professor of Psychiatry at the University of Pennsylvania School of Medicine. In 2002, Langleben showed that when subjects were hiding information in an attempt to deceive (so-called guilty knowledge), they had intense activity in five distinct brain areas not seen when they were telling the truth. In effect, Langleben used the fMRI as a lie detector. It is potentially even more powerful than a standard polygraph test, he says, because there are thousands of brain regions which can be scanned for deception-triggered variation, versus only three variables—skin conductance, respiration, and blood pressure—used in the standard polygraph. Not surprisingly, Langleben got a lot of press after he announced his results, and his experiment led directly to speculation that we might eventually see fMRIs installed at airports, scanning the brains of would-be terrorists trying to deceive security screeners, or in courtrooms, catching perjurers red-handed (or perhaps red–anterior-cingulate-gyrused?).



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