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Chapter 29

Beyond ERP and fMRI: Other


Imaging Techniques for
Studying Human Brain
Function
Gabriele Gratton and Monica Fabiani
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The past few decades have seen an explosion of psy- respect to the physical mechanisms involved, the
chological research using noninvasive (or low- types of data they can provide, and the subject pop-
invasivity) measures of human brain function. This ulations to and environments in which they can be
work is motivated by two main goals: Measures of applied. They also do not exhaust all possible physi-
brain function may (a) provide additional informa- ological techniques that can be used to study human
tion, beyond that obtained from overt response vari- brain function in a noninvasive manner, but they do
ables, about intermediate states of the information represent the most used complementary approaches
processing system and (b) illuminate some of the to ERPs and fMRI found in the literature in the past
physiological mechanisms that underlie the psycho- decade or 2.
logical phenomena of interest. The vast majority of
this work has employed two measures: event-related
Review of Methods
brain potentials (ERPs; see Fabiani, Gratton, &
Federmeier, 2007) and functional magnetic reso- Magnetoencephalography
nance imaging (fMRI; see Van Horn & Poldrack, MEG is a technique used to measure the tiny mag-
2009). Brain function, however, is a complex phe- netic fields linked to the electrical currents associ-
nomenon, and several other measures are currently ated with the depolarization and hyperpolarization
available that allow investigators to explore its vari- of neurons (for reviews see Hari, 1996; Hari,
ous facets. These measures complement ERPs and Levänen, & Raij, 2000; Stufflebeam, Tanaka, & Ahl-
fMRI, generating a more articulated view of this fors, 2009). To be measurable at the surface of the
enormously complex organ’s functions. In this chap- head, the magnetic fields generated by individual
ter, we review some of these methods, their ratio- neurons must summate, which requires that individ-
nale, the types of data they provide, and their ual fields be oriented in the same direction. This
advantages and limitations. Specifically, we review means that only certain structures and neuronal
the following techniques: magnetoencephalography populations possessing a specific geometric organi-
(MEG); single-photon emission computerized zation may generate surface-recordable MEG (e.g.,
tomography (SPECT) and its higher resolution the cortex). Even so, the magnetic fields generated
counterpart, positron emission tomography (PET); by the brain’s electrical currents are extremely small
fast (i.e., the event-related-optical signal [EROS]) (on the order of 101–103 fT), much smaller than the
and slow (i.e., near-infrared spectroscopy [NIRS]) magnetic fields from various environmental sources,
optical methods; and transcranial magnetic stimula- such as the Earth’s magnetic field (108 fT). There-
tion (TMS). These techniques vary widely with fore their recording requires special instruments

We acknowledge the support of National Institute of Mental Health Grant MH80182 to G. Gratton and of National Institute on Aging Grant
1RC1AG035927 to M. Fabiani.

DOI: 10.1037/13619-030
APA Handbook of Research Methods in Psychology: Vol. 1. Foundations, Planning, Measures, and Psychometrics, H. Cooper (Editor-in-Chief)
567
Copyright © 2012 by the American Psychological Association. All rights reserved.
Gratton and Fabiani

called superconducting quantum interference devices Thornton, & Crain, 2010) and even fetuses (e.g.,
(SQUIDs). In current MEG systems, up to 300 dif- Sheridan, Matuz, Draganova, Eswaran, & Preissl,
ferent SQUID detectors are used to generate maps of 2010). Specialized instruments, however, are
the magnetic fields over the head. These devices required for these populations. Furthermore,
need to be kept at extremely low temperatures (a because of its high sensitivity to electromagnetic
few degrees Kelvin), which permit superconducting noise, MEG cannot be easily combined with other
phenomena to occur. Thus, the recording instru- methods for studying brain function (such as mag-
ment needs to be supercooled, making it bulky and netic resonance [MR] methods).
costly (around $1.5–2 million). In addition, special
methods are used to reduce the influence of envi- Single-Photon Emission Computerized
ronmental magnetic sources on the measurements. Tomography and Positron Emission
These include (a) shielding, which is expensive and Tomography
adds significantly to the cost of the machine, and (b) SPECT and PET are two related techniques used in
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special circuit design, which makes MEG particu- radiology and nuclear medicine. Both techniques
larly sensitive to locally generated compared with introduce a radioactive substance (radiotracer or
distantly generated fields, measuring field gradients radioligand) into the body and obtain images of its
rather than absolute magnitudes. diffusion in the body by mapping the radioactivity it
Although effective, these circuit designs restrict generates. SPECT is based on gamma decay, a radio-
MEG measures to activity in fairly superficial areas active decay characterized by the production of a
of the brain. They also make MEG particularly sen- single gamma ray by a decaying isotope. The most
sitive to currents flowing in a direction tangential to common isotope used is 99mTc, which has a half-life
the surface of the head compared with currents of a couple of hours. PET instead is based on beta
flowing in a radial direction. As a consequence, decay, in which a radioactive isotope emits a
MEG measures are more sensitive to phenomena positron, which then reacts with electrons in the
occurring in sulci (which tend to be orthogonal to medium annihilating and producing a pair of
the surface of the head, resulting in currents ori- high-energy gamma rays oriented 180 degrees from
ented tangentially) than to those occurring in gyri each other. Several types of isotopes are used for
(which are parallel to the surface of the head, result- PET, depending on the application, including 11C
ing in currents oriented orthogonally). (half-life ≈ 20 min), 13N (half-life ≈10 min), 15O
Notwithstanding its high cost, MEG is progres- (half-life ≈ 2 min), and 18F (half-life ≈ 110 min).
sively gaining acceptance from researchers and clini- Because two gamma ray photons traveling in oppo-
cians. Its ability to describe rapid brain events (on site directions are produced, it is possible to deter-
the order of milliseconds) coupled with a spatial res- mine a line where the annihilation occurred by
olution on the order of a few centimeters make it determining whether they arrived almost simultane-
useful for a number of research areas. In particular, ously (within a few nanoseconds) to two among a
MEG has been used extensively in studies of lan- circular array of detectors located around the head.
guage processing (Frye, Rezaie, & Papanicolaou, As the annihilation occurs within 1 cm to 2 cm from
2009)1 and to some degree also in studies of atten- where the radioactive decay happened, this provides
tion and memory (e.g., Hopf, Boehler, Schoenfeld, a way of mapping the decay process in the body, or
Heinze, & Tsotsos, 2010; Stephane et al., 2010). A in its psychology applications, within the brain.
particularly attractive feature of MEG is the absence The great advantage of PET and SPECT is that
of invasivity, as no substance or energy is intro- they can be used for a wide variety of purposes.
duced into the body for its measurement. Thus, Radioligands can be incorporated in a number of
MEG can be used with many types of populations, different substances, each of which can provide
including children (e.g., Tesan, Johnson, Reid, interesting information about the physiology and
This includes the use of MEG to assess the lateralization of language in preparation for surgery, as an alternative to more invasive methods such as the
1

Wada test (e.g., Doss, Zhang, Risse, & Dickens, 2009).

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Beyond ERP and fMRI

metabolism of the body. Of specific interest for psy- for the measurement obtained on the stimulated
chologists are two classes of applications: (a) analy- side. Note that 15O PET decay is so fast that the
sis of blood flow and metabolism in different regions injection of the radioactive material and the psycho-
of the brain (e.g., Petersen, Fox, Posner, Mintun, & logical task of interest need to be conducted while
Raichle, 1989) and (b) mapping of neurotransmitter the subject is in the scanner. This is not necessary
receptors or other biochemicals of interest within with the 18F deoxyglucose technique, which is based
the brain (e.g., Tateno, Kobayashi, & Saito, 2009). on the accumulation of the radiotracer over an
Analysis of blood flow and metabolism is typi- extended period of time, allowing for the injection
cally carried out using PET. Two methods have been and the psychological task to be conducted before
most extensively used: 15O incorporated in water placing the subject in the scanner. This enables the
and 18F incorporated in fluorodeoxyglucose. The use of a greater variety of tasks, although only a
first compound is used to study blood flow. Impor- summary image of total deoxyglucose accumulation
tantly for cognitive studies, 15O has a very short half- during the experiment can be obtained.
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life, allowing for multiple measurements to be taken In the past decade or so, a number of new
within a session. This enables investigators to study radiotracer molecules have been developed, and
the difference in the amount of blood flowing more are currently being tested. These molecules
through a particular region during different task allow investigators to map a number of important
conditions, through digital subtraction of different chemicals in the brain. Specifically, radioisotopes
maps obtained under each condition. This method- are incorporated into selective agonists (or antago-
ology, developed by the Washington University nists) of various neurotransmitters and neuromodu-
group in the 1980s, has had a significant role in the lators (e.g., dopamine and acetylcholine), making it
history of cognitive neuroscience (see Raichle, possible to visualize in vivo the distribution and
1998). The spatial resolution of the images obtained quantity of the receptors for these substances.2 This
with this approach is about 1 cm to 2 cm. The tem- can be used to compare different subject groups,
poral resolution is of the order of minutes. Cur- such as those who differ along some important
rently, however, this approach has been largely physiological, psychological, or genetic dimension.
supplanted by fMRI, which provides images with a For example, a recently developed tracer (the Pitts-
greater spatial and, importantly, temporal resolu- burgh compound B, or PiB), allows for the measure-
tion. In addition, 15O PET is expensive, requiring a ment of beta amyloid deposition, which can be used
cyclotron on site and rapid incorporation and deliv- for in vivo diagnosis of Alzheimer’s disease (e.g.,
ery technology. Jagust, 2009; Nordberg, 2010). Also, by comparing
18F deoxyglucose PET is used to monitor glucose
images obtained at different times, it is possible to
consumption by tissue. Deoxyglucose is processed determine whether certain treatments (e.g., pharma-
only through the initial stages of oxidative metabo- cological or psychiatric therapies) lead to changes in
lism, and is then retained in the cells for an the quantity and distribution of receptors for spe-
extended period of time: Thus, the greater the glu- cific neurotransmitter within the brain.
cose consumption, the greater the accumulation of From a practical standpoint, several factors have
deoxyglucose. Because the half-life of 18F is much limited the diffusion of PET and SPECT. PET is very
longer than that of 15O, only one measurement can expensive, with costs of more than several million
be carried out within a session, limiting its use in dollars. These costs are due to the price of the
human studies (a similar technique, autoradiogra- scanner and to the necessity for both a cyclotron to
phy, has been used extensively in animal studies) generate the radioisotopes of interest and the
because a control condition is not easy to imple- machinery (and expertise) required to incorporate
ment. LaBerge and Buchsbaum (1990) used a the radioisotope into the molecule of interest in situ.
contralateral control approach to provide a reference Although costs are lower for SPECT, its inferior

By appropriately selecting the pharmachological agent, it is possible to distinguish among different types of neurotransmitter receptors.
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Gratton and Fabiani

spatial resolution makes it a less than ideal alterna-


tive to PET. Finally, because both techniques involve
ionizing radiation, there are limitations to their
extensive use for experimental purposes. To guaran-
tee the safety of subjects, the amount of radiation
absorbed during a PET or SPECT experiment is
strictly regulated, as is the number of times a subject
can participate in studies involving these measures.
In summary, PET and SPECT remain important
imaging tools for psychologists in the 21st century,
although the types of questions that are now
addressed with these techniques are different from
those that were addressed 15 to 20 years ago. They are
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no longer the methods of choice to generate images of


brain activity (measured as a change in blood flow)
during a task (as they have been supplanted by fMRI
for this particular application), but their great chemi-
cal flexibility provides an extremely useful approach
for studying brain biochemistry in vivo.

Diffusive Optical Imaging


Diffusive optical imaging is a relatively new imag-
ing modality, with the first human data obtained in
the early 1990s (for reviews see E. Gratton, Fan-
tini, Franceschini, G. Gratton, & Fabiani, 1997; G.
Gratton & Fabiani, 2009; Villringer & Chance, Figure 29.1. Typical setup for recording optical
1997). It studies how light is transmitted and dif- imaging data from a large set of sources and detectors.
fused through tissue (in this case the head) to
determine properties of the tissue itself. Light in Interestingly, the photons generated from the
the red to near-infrared (NIR) wavelength range source and arriving to a detector located on the
(650–900 nm) is used. At these wavelengths, there same surface will most likely have followed not a
is relatively little light absorption by most tissues straight trajectory (as would occur in a nonscatter-
in the human head, permitting photons to travel ing medium) but rather a curved trajectory reach-
several centimeters through the tissue. However, ing some depth in between the source and the
NIR light (unlike X-rays or gamma rays) is detector. This occurs because the head tissue (a
strongly scattered by head tissues, with mean free highly scattering medium) is surrounded by air (a
paths on the order of 5 mm or less. For this reason, nonscattering medium). Therefore, photons travel-
photons do not travel straight through the tissue ing close to the surface of the medium are likely, in
but tend to diffuse according to a random-walk their random motion, to reach the surface of the
process. Therefore, if a source of NIR light is medium before reaching the detector. If this
located on the surface of the head, it will generate occurs, they will move out of the medium and
a halo into the tissue itself, with a maximum pene- never reach the detector. Because of this principle,
tration of a few centimeters. If a detector is also diffusive optical imaging can provide data about
located on the surface of the tissue, at a distance of changes in optical properties that occur inside the
a few centimeters from the source, it will pick up head, at depths up to 2 cm to 3 cm. This permits
some of the photons produced by the source (see measurements from cortical areas relatively close
Figure 29.1 for an example of recording montage). to the surface of the head.

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Beyond ERP and fMRI

For this approach to be useful in functional brain oxy- and deoxy-hemoglobin in tissue. This is done
imaging, changes in optical properties of the brain by comparing changes in light absorption occur-
need to occur in association with neural activity. ring in different conditions at different wavelengths,
There are at least two phenomena causing changes exploiting the fact that oxy- and deoxy-hemoglobin
in optical properties of the tissue. The first are have different absorption spectra within the NIR
changes in the coloration of tissue caused by varia- range. This can be accomplished through a system
tions in the concentration of oxy- and deoxy- of linear equations on the basis of the modified
hemoglobin, which have distinctive absorption Beer-Lambert Law (see Villringer & Chance, 1997),
spectra in the NIR range (see Frostig, Lieke, Ts’o, & which states that the proportion of light absorbed
Grinvald, 1990; Villringer & Chance, 1997). These by tissue is related to the concentration of the
effects are related to blood flow changes studied with absorbers in the tissue (in this case oxy- and deoxy-
fMRI and 15O PET. The second are changes in the hemoglobin), their coefficients of extinction (i.e.,
scattering properties of tissue associated with neu- ability to absorb light of a particular wavelength),
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ronal activity (G. Gratton, Corballis, Cho, Fabiani, and the length of the photon path through the tis-
& Hood, 1995; Rector, Carter, Volegov & George, sue (which in most cases is estimated on the basis
2005). These changes are related to the movement of of the source-detector distance and a correction
ions across the neuronal membranes and are in some factor derived from the literature to account for
way related to ERP and MEG measures. scattering).3 For these computations, a minimum
Both signals have been investigated using optical of two light wavelengths with distinct extinction
imaging, generating two types of imaging modali- coefficients needs to be used; some instruments use
ties: NIRS (related to hemodynamic signals; Kato, three or more. Because a number of source-detector
Kamei, Takashima, & Ozaki, 1993; see Villringer & pairs can be used within a study, maps of oxy- and
Chance, 1997) and EROS (related to neuronal sig- deoxy-hemoglobin concentration changes can be
nals; G. Gratton, Corballis, et al., 1995; see G. Grat- obtained. Maps can be obtained very quickly, up to
ton & Fabiani, 2009). Two types of instruments 100 or more times per second. Thus NIRS yields
have been most commonly used: continuous-wave maps of brain activity with a spatial resolution of
(CW) instruments, in which light sources have a 1 cm to 2 cm and a temporal resolution limited only
fixed intensity over time (or are modulated at low by the time required for hemodynamic phenomena
frequencies, < 10 kHz); and frequency-domain (FD) to occur (a few seconds).
instruments, in which light sources are modulated In the past few years, the use of NIRS has
at high frequencies (typically > 100 MHz). Although increased. Compared with fMRI (the most compara-
CW instruments are simpler and less expensive, FD ble imaging method), it has some disadvantages but
instruments measure both the amount of light mov- also some advantages. Unlike MR technology, cur-
ing between sources and detectors and the time rent optical methods do not provide anatomical
taken by photon to cross this distance (on the order images. Optical data can, however, be coregistered
of nanoseconds). The time measurement can be use- with MR data with relatively good accuracy
ful in estimating the extent to which photons scatter (Whalen, Maclin, Fabiani, & Gratton, 2008). Opti-
through the tissue. Furthermore, it can be particu- cal methods have limited penetration through the
larly sensitive to deep phenomena, increasing the head and therefore, unlike fMRI, cannot be used to
penetration of the procedure and making it more image deep structures (i.e., located more than
specific for brain (vs. nonbrain) phenomena, thus 3–4 cm from the head surface). The spatial resolu-
providing higher spatial resolution. tion of NIRS data (1–2 cm) is more limited than that
of fMRI (which in some cases can be as low as a few
Near-infrared spectroscopy. NIRS uses spectros- millimeters but most typically is in the 5–10 mm
copy to estimate changes in the concentration of range). Optical data also have a number of advantages.
The influence of scattering can be calculated using FD instruments, allowing in principle for the measurement of absolute concentrations of oxy- and
3

deoxy-hemoglobin.

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Gratton and Fabiani

Their recording is flexible and does not require Borisov, Barbour, & VanMeter, 2008; Wolf et al.,
bulky or expensive equipment. This makes them 2002), most studies have used measures of photon
usable in a variety of different environments and time of flight (i.e., the time taken by photons to
populations, such as with children and other move between source and detector) obtained using
patients who may be difficult to image with fMRI. FD instruments (e.g., G. Gratton, 1997; G. Gratton
Optical technology is completely compatible with et al., 2006; G. Gratton, Corballis, et al., 1995; G.
MR (e.g., Toronov, Zhang, Fabiani, Gratton, & Gratton & Fabiani, 2003; G. Gratton, Fabiani, et
Webb, 2005; Zhang, Toronov, Fabiani, Gratton, & al., 1995; G. Gratton, Fabiani, Goodman-Wood,
Webb, 2005), electrophysiological methods (includ- & DeSoto, 1998; G. Gratton, Goodman-Wood, &
ing electroencephalogram [EEG], ERPs, and MEG), Fabiani, 2001; G. Gratton, Sarno, Maclin, Corballis,
and TMS, allowing for the simultaneous recording & Fabiani, 2000; Tse, Tien, & Penney, 2006; Wolf
of different modalities. It is also possible to obtain et al., 2002; also see G. Gratton & Fabiani, 2009,
NIRS and EROS data (see the next section) simulta- for a review), which have greater localization and
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neously with the same instrument, providing con- depth sensitivity. In addition, EROS measurement is
current neuronal and hemodynamic measures. NIRS facilitated by high-density recording systems (e.g.,
can provide separate measurements of oxy- and G. Gratton, Rykhlevskaia, Wee, Leaver, & Fabiani,
deoxy-hemoglobin concentrations, which is not nor- 2009; Low, Leaver, Kramer, Fabiani, & Gratton,
mally possible with fMRI. In fact, if FD technology 2009), appropriate frequency filtering (Maclin,
is used, absolute concentrations of these substances Gratton, & Fabiani, 2003), and extensive signal
can be obtained, again something not possible with averaging (e.g., G. Gratton & Fabiani, 2003; G.
fMRI. Finally, optical technology is less expensive Gratton et al., 2006). When all of these techniques
than MR technology, with costs between $200,000 are employed, data with spatial resolution of up to 5
and $400,000. mm and temporal resolution around 10 ms to 20 ms
In summary, NIRS is a useful developing tech- can be obtained (G. Gratton & Fabiani, 2003).
nique that has some specific practical advantages EROS has been used in a number of paradigms
(but also limitations) with respect to fMRI. Its use, and conditions, including visual (e.g., G. Gratton,
especially in the applied field, is likely to grow sig- Corballis, et al., 1995), auditory (e.g., Rinne et al.,
nificantly in the next few years. 1999), somatosensory (e.g., Maclin et al., 2004), and
motor modalities (e.g., DeSoto, Fabiani, Geary, &
Event-related optical signal. EROS is another Gratton, 2001). In each modality, simultaneous
application of diffusive optical imaging. The main electrophysiological recordings indicate that the
difference with respect to NIRS is the time scale: latency of the EROS activity is similar to the latency
instead of looking at phenomena occurring several of the main ERP components (e.g., DeSoto et al.,
seconds after a particular area of the brain is acti- 2001; E. Gratton et al., 1997; Maclin et al., 2004;
vated, it focuses on phenomena that occur at the Rinne et al., 1999). Furthermore, the locations of
same time as electrophysiological (postsynaptic) the responses correspond to those obtained with
events, on a millisecond time scale. These phe- fMRI (e.g., E. Gratton et al., 1997; G. Gratton et al.,
nomena are likely due to the swelling or shrinking 2000; Toronov et al., 2005).
of dendritic trees, which have been demonstrated In summary, the main advantages of EROS are
to occur with depolarization and hyperpolariza- good spatial (5–10 mm) and temporal (10–20 ms)
tion of neuronal membranes (Rector et al., 2005). resolution; the possibility of simultaneous recording
EROS signals are smaller than NIRS signals, requir- with ERP, fMRI, and TMS (in addition to NIRS); its
ing more advanced methods for their recording. relatively low cost (between $200,000 and $400,000);
Although EROS has been obtained with intensity and its adaptability to a number of experimental pop-
measures (e.g., Franceschini & Boas, 2004; G. ulations and paradigms. Its major disadvantages are
Gratton, Fabiani, et al., 1995; Maclin, Low, Sable, low penetration and relatively low signal-to-noise
Fabiani, & Gratton, 2004; Medvedev, Kainerstorfer, ratio (compared with ERPs, fMRI, and NIRS).

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Beyond ERP and fMRI
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Figure 29.2. Typical setup for a transcranial magnetic stimulation experiment.

Transcranial Magnetic Stimulation of their limited duration, can be compared within


TMS is a method for influencing the neural activity the same subject with conditions in which the tem-
in selected areas of the brain (for reviews, see porary lesion does not occur. This makes TMS a
Pascual-Leone, Walsh, & Rothwell, 2000; Wagner, unique technique, in that it allows scientists to
Valero-Cabre, & Pascual-Leone, 2007). TMS is manipulate directly the brain from the outside, and
based on the induction of weak electric currents in therefore to make causal statements about the role
cortical regions through strong magnetic fields (of that a particular brain structure may have in infor-
the order of 1 Tesla or more) produced by coils mation processing or in a psychological task.
located just outside the head (see Figure 29.2). It is Two different TMS approaches are possible. The
commonly thought that the weak electric currents first, called single- or double-pulse TMS (sTMS) is
induce brief depolarization of small cortical regions, based on the presentation of very short pulses of
whose extent depends on the type of coil and may current (a few milliseconds in duration), which gen-
vary between 5 mm and 10 mm or so, followed by erate relatively rapid effects in the cortex that
prolonged periods of excitability or more often by quickly wane when stimulation ceases. The advan-
inhibition, akin to long-term potentiation and long- tages of this method are the possibility of testing the
term depression phenomena, respectively. In role of activity occurring at a particular time within
essence, TMS can be used to produce temporary a specific brain region in the performance of a task
lesions in specified cortical regions, which, because and its limited invasivity.4 Its main limitations are

There are a few side effects, for the most part limited to people with a history of epilepsy, which is therefore considered an exclusionary criterion for
4

participation.

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Gratton and Fabiani

that the effects are weak, often only visible after brain imaging methods (but see Parks et al., in press,
averaging over a large number of trials. A possible for concurrent EROS and sTIMS recordings; Thut &
confounding factor is that the sTMS pulse may gen- Pascual-Leone, 2010, for a review of combined TMS-
erate stimulation not only through the induction of EEG recordings). This is less of a problem for rTMS.
currents in the brain but also through the induction Finally, the possible side effects associated with the
of muscle contractions in the scalp, and it may do so procedure (especially for rTMS) may discourage
through auditory stimulation related to deformation some investigators from its adoption.
of the TMS coil during the pulse. The latter con- In summary, TMS is an intriguing technique for
found can be controlled by running a control condi- manipulating brain function nearly noninvasively.
tion in which the magnetic field is redirected outside Its practical use is partly limited by safety and exper-
the head. The possible role of muscle artifacts is typ- imental issues. The possibility of making causal
ically controlled for by using sham stimulation of statements and the contained cost of the device
other regions of the scalp, corresponding to cortical (around $50,000), however, have made its popular-
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regions that are not considered relevant for the task. ity grow exponentially in the past few years.
The second method, called repetitive TMS
(rTMS), is based on the presentation of very long
Comparisons Among Measures of
(up to several minutes) low-frequency (up to 10 Hz)
Noninvasive Human Brain Function
pulse sequences. These sequences induce sustained
depression of the cortical regions involved, which To understand the relative utility of current measures
may last 30 min or longer. The paradigm typically of human brain function, it is important to consider
consists of comparing results obtained in two ses- that they vary along a number of dimensions and
sions: an experimental one in which rTMS is applied provide different types of information. We can distin-
and a control one in which a sham rTMS is applied. guish the following dimensions: (a) type of brain
Because of the long duration of the effects, rTMS can function measured; (b) spatial and temporal resolu-
provide spatial information about whether a particu- tion; (c) selectivity for specific regions, cell popula-
lar segment of the cortex is important for the perfor- tions, or brain systems; (d) extent to which the
mance of a task but does not provide specific procedure is a measurement method versus a manip-
information about the time at which this role is per- ulation tool; and (e) practical factors such as degree
formed. rTMS is more invasive than sTMS: In some of invasivity, flexibility, cost, availability, and
rare cases, seizures were reported even in subjects population(s) to whom it can be most readily
with no previous history of epilepsy (unlike sTMS), applied. Each of these dimensions plays a critical role
leading to the establishment of standards for its in determining the suitability of a specific technique
appropriate use (Rossi, Hallett, Rossini, Pascual- in investigating a particular psychological problem.
Leone, & the Safety of TMS Consensus Group, In this section we briefly discuss each dimension and
2009). In addition, short duration headaches are present a table (see Table 29.1) summarizing how
often reported as aftereffects of rTMS. different methods can be classified accordingly.
Notwithstanding these potential issues, TMS has
attracted the interest of many scientists because of its Type of Brain Function Measured
unique potential for allowing causal inferences about Although brain activity if often regarded as a well-
the role of different brain regions. That said, there defined concept, in reality it is composed of a com-
are a few important limitations of the technique. plex and multifaceted set of phenomena, which can
Only regions that are close to the surface of the head be summarized as follows:
can be subjected to the procedure. The extent of the
cortical region manipulated is not well established, 1. Membrane phenomena: Depolarization and
and it is also possible that other regions may be hyperpolarization of neurons, associated with
affected through the transmission of the signal by ion exchanges across the neuronal membranes
neural tracts. sTMS is difficult to combine with other (important for integrating information coming

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Beyond ERP and fMRI

Table 29.1

Dimensions of Human Brain Function

Spatial/
temporal
resolution Measurement vs.
Method Type of function (scales) Selectivity manipulation Population Other factors
EEG Membrane cm Postsynaptic activity Measurement Infants to older Least expensive and
ERPs ms Pyramidal neurons; adults; patient most portable
open fields populations technique; very
limited spatial
resolution
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fMRI Metabolic/ mm Postsynaptic activity Measurement Older children to Expensive; requires


hemodynamic s Glutamergic cells? adults; some large footprint
restrictions equipment
and special
environments
PET Metabolic/ cm Very selective Measurement Adults Moderately invasive;
SPECT hemodynamic; min depending on tracer very expensive
synaptic and method used
EROS Membrane sub-cm Postsynaptic Measurement Infants to older Limited penetration
ms activity; superficial adults; patient and low signal-to-
structures populations noise ratio
NIRS Metabolic/ cm Superficial structures Measurement Infants to older Limited penetration
hemodynamic s Glutamergic cells? adults; patient
populations
MEG Membrane sub-cm Postsynaptic activity Measurement Older children to Expensive; requires
ms Pyramidal neurons; adults large footprint
open fields; equipment
tangential and insulated
orientation (i.e., environment
sulci)
TMS Membrane? cm Largely unknown; Manipulation Adults Moderately invasive
sub-s superficial
structures

Note. The methods with gray background (EEG/ERPs and fMRI) represent the gold standards with which other methods are
compared. EEG = electroencephalogram; ERPs = event-related brain potentials; fMRI = functional magnetic resonance imag-
ing; PET = positron emission tomography; SPECT = single-photon emission computerized tomography; EROS = event-related-
optical signal; NIRS = near-infrared spectroscopy; MEG = magnetoencephalography; TMS = transcranial magnetic stimulation.

from different neurons and transmitting this vasodilation, increased blood flow, and so on,
information over long distances). which often involve other cells (such as glial
2. Synaptic phenomena: Various biochemical events cells) in addition to neurons but intrinsically
that occur at the synapses between neurons relate to neuronal function.
(critical for interchanging information between
neurons and for modulating neuronal function). Each of these phenomena results in biophysical
3. Metabolic and hemodynamic phenomena: A variety and biochemical changes, which can be monitored
of corollary homeostatic and trophic phenomena, with different brain imaging techniques. EEG,
such as oxygen and glucose consumption, ERPs, MEG, TMS, and EROS are sensitive to

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Gratton and Fabiani

membrane phenomena; NIRS and fMRI are sensitive likely to be the result of (dendritic) postsynaptic
to hemodynamic effects; and PET and SPECT can activity (which extends over tenths to hundredths
be rendered sensitive to a number of different phe- of milliseconds) than to presynaptic (axonal) action
nomena, both synaptic and metabolic or hemody- potentials (which only last for a few milliseconds)
namic, depending on the type of tracer used. All of because the probability of temporal summation of
these phenomena are intrinsically related to each the activity of different neurons is higher in the for-
other, albeit in a complex and typically nonlinear mer than in the latter case. In addition, the larger
fashion. Therefore results obtained with different size (diameter and number of arborizations) of den-
techniques are likely associated with each other dritic trees compared with axons makes the import
according to complex and sometimes not well- of the physical and chemical events associated with
understood rules. postsynaptic activity overwhelmingly greater (and
therefore more likely to be detected at some dis-
Temporal and Spatial Resolution tance) than that of the axons. Finally, different
Copyright American Psychological Association. Not for further distribution.

The different methods vary significantly in terms of techniques employ methodologies that may further
the temporal and spatial resolution of the informa- limit the spatial or temporal resolution of the
tion they provide. In some cases, the temporal or results. For instance, the temporal resolution of
spatial specificity of the information is limited by methods relying on radioactive tracers, such as PET
properties of the physiological phenomenon they and SPECT, may partly depend on the time-decay
probe. For example, changes in the receptors for par- function of the particular isotope used. Similarly,
ticular neurotransmitters, which can be in some the spatial resolution of measures based on electri-
cases measured with PET and SPECT, may occur rel- cal potentials may be limited by the conductivity of
atively slowly, over the course of hours, days, or the tissue, which spreads electrical signals over a
even longer. The vasodilation response that follows large area.
neuronal activation (also called blood-oxygen-level-
dependent [BOLD] response), measured by tech- Selectivity. Various techniques are more sensitive
niques such as fMRI, 15O-PET, and NIRS, requires to certain forms of brain activities than to others.
the relaxation of smooth muscle fibers surrounding In some cases, this is intentional: SPECT and PET
the arterioles, which takes place over several methods that are used to investigate the location and
seconds. numerosity of specific receptors are intentionally
Other limitations come from properties of the selective for them. In other cases, however, the bias,
measurement system. A basic limit for all noninva- or selectivity, is not necessarily intentional and may
sive imaging methods is that the size, number, and provide important limitations to the types of data
extracranial location of the detectors used makes it that a technology can provide. For example, several
impossible to target individual neurons (or individ- techniques (such as ERPs, MEG, optical methods,
ual synapses). Rather, all noninvasive human brain- and TMS) are more sensitive to superficial than to
imaging methods refer to the summation of signals deep events. Finally, biases may depend on other
from a large number (on the order of at least thou- factors, such as dependence on particular biochemi-
sands) of cells and neurons. In this sense, these cal (as may be the case for hemodynamic-based
measures are logically different from the single- or measures) or geometric (as is the case for ERPs and
multiple-unit electrophysiological recordings MEG) factors.
obtained intracranially in animals. The statistical
properties of the imaging signals have further con- Measurement versus manipulation. Most brain-
sequences: They bias the measurements toward imaging methods passively observe changes in brain
those systems that are most likely to generate sig- activity; only TMS allows for its manipulation. Thus
nals that summate over space or time. This is true most techniques only provide correlational data,
even for procedures with relatively good spatial and whereas TMS can be used in support of causal infer-
or temporal resolution. For instance, ERPs are more ences, indicating the extent to which activity in a

576
Beyond ERP and fMRI

particular region is critical for the performance of a involved in this process, concurrent recording
given task. (although preferable in principle) is often limited to
cases in which it is absolutely necessary. In many
Practical considerations. Several practical reasons
cases, superimposition of data collected at different
often lead to the selection of which procedures to
times at the moment of data analysis is sufficient.
use to investigate a particular psychological phe-
Some imaging modalities (such as optical) generate
nomenon. Some techniques may be less acceptable
a small amount of mutual interference with others
than others because they may be more intrusive or
modalities (such as EEG or ERPs, fMRI, and TMS)
even invasive. Similarly, some techniques may be
and therefore appear particularly suited for concur-
unfeasible for some subject populations (e.g., infants
rent recording and for providing a bridge across
and young children). Some, such as fMRI, involve
techniques.
large equipment and require participants to refrain
In fusing data from different imaging methods, it
from moving. This may be incompatible with certain
is critical that the differences among the modalities
Copyright American Psychological Association. Not for further distribution.

environments (e.g., field- or bedside applications)


be taken into account. As such, the relative roles of
or certain behavioral tasks (e.g., those requiring
the various measures need to be conceptualized in a
extensive motion). Finally, other practical factors
theoretical model describing their mutual relation-
may include cost and availability of a particular
ship. The best understood integration issues relate
technique.5
to the spatial and temporal superimposition between
measures. Spatial superimposition requires two
Combining Different Imaging steps: (a) three-dimensional reconstruction of the
Modalities data in each modality and (b) coregistration of the
two data sets. Similarly, temporal superimposition
Because different modalities offer data varying along requires (a) modeling the temporal relation between
a number of dimensions, many researchers have the two measures and (b) their relative time-locking.
combined them with the intent of providing a more In other words, the two sets of measures need to be
complete view of brain function (Barinaga, 1997). placed in the same space-time reference frame. Data
The approaches used can be classified into two fusion also requires understanding how differences
major classes: (a) a combination based on the com- in the underlying biophysical phenomena (as well as
parison of completely analyzed data from each possible biases) affect fused data. For example, if
modality (e.g., Logothetis, Pauls, Augath, Trinath, one technique is particularly sensitive to cells placed
& Oeltermann, 2001) and (b) a combination of in open-field configurations (such as EEG/ERPs or
relatively unanalyzed data from each modality that MEG) whereas the other is not (such as fMRI or
is fused based on physical or statistical principles optical measures), we need to consider whether the
(e.g., Dale, 2000). Both of these approaches can be structures involved have open or closed configura-
based on data that are recorded separately (e.g., tions in evaluating the relationships between the two
Huettel et al., 2004; Logothetis et al., 2001) or measures. Similarly, differential biases toward super-
simultaneously (e.g., Mackert et al., 2008; Toronov ficial versus deep structures need to be taken into
et al., 2005). In practice, the simultaneous record- account when comparing NIRS data with MRI data.
ing of different modalities often creates compatibil- In summary, data fusion requires careful consid-
ity issues. When this occurs, such as for the eration of the various characteristics of the imaging
simultaneous recording of EEG or ERP and fMRI modalities involved. This may require a series
data, special methods need to be used to minimize of studies comparing the measures. In the past
artifacts that originate in each modality from their 15 years, a number of studies of this type have been
concurrent recordings. Because of the complexities conducted (e.g., G. Gratton et al., 2001; Huettel

This issue has lead to the adoption of a shared-instrumentation model (which involves access fees) for equipment that is too costly or difficult to
5

maintain or operate to reside in a single lab. This is almost always the case for PET, SPECT, and fMRI, but it is more rarely the case for the other
methods reviewed in this chapter.

577
Gratton and Fabiani

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several more will be conducted in the future. Hope- G., & Fabiani, M. (1997). Measurements of scat-
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Gratton, G., Brumback, C. R., Gordon, B. A., Pearson,
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