| _______ __ _______ | |
| | | |.---.-..----.| |--..-----..----. | | |.-----..--.--.--..-----. | |
| | || _ || __|| < | -__|| _| | || -__|| | | ||__ --| | |
| |___|___||___._||____||__|__||_____||__| |__|____||_____||________||_____| | |
| on Gopher (inofficial) | |
| Visit Hacker News on the Web | |
| COMMENT PAGE FOR: | |
| 40 percent of fMRI signals do not correspond to actual brain activity | |
| bookofjoe wrote 12 hours 53 min ago: | |
| >BOLD signal changes can oppose oxygen metabolism across the human | |
| cortex (no paywall) | |
| [1]: https://www.nature.com/articles/s41593-025-02132-9 | |
| physPop wrote 16 hours 7 min ago: | |
| Unfortunately, for experts in the field, this is a "we know" article | |
| that probably shouldn't have been published, and belongs more in a | |
| textbook... | |
| D-Machine wrote 14 hours 26 min ago: | |
| Yes this is ancient news for experts, but, IMO, most fMRI research | |
| outside of methodological research is quite practically useless at | |
| the moment because of deep measurement issues like these. | |
| So if awareness of this increases the skepticism of papers claiming | |
| to have learned things about the brain/mind from fMRI, then I'd say | |
| it is a net plus. | |
| sharts wrote 17 hours 43 min ago: | |
| So all the studies citing fmri data are now wrong probably? yikes | |
| stainablesteel wrote 17 hours 57 min ago: | |
| > Many fMRI studies on psychiatric or neurological diseases â from | |
| depression to Alzheimerâs â interpret changes in blood flow as a | |
| reliable signal of neuronal under- or over-activation. Given the | |
| limited validity of such measurements, this must now be reassessed | |
| idk about that, the brain is complicated, blood flow itself may as well | |
| be a factor to interpret | |
| quasarj wrote 1 day ago: | |
| Uh-oh | |
| instagraham wrote 1 day ago: | |
| I might be oversimplifying, but isn't a lot of our neurological | |
| understanding about ADHD based on "fMRI shows decreased activity in the | |
| frontal cortex"? Or for that matter, our neurological understanding of | |
| a lot of mental health conditions. | |
| I know the actual diagnosis is several times more layered than this | |
| attempt at an explanation, but I always felt that trying to explain the | |
| brain by peering at it from outwards is like trying to debug code by | |
| looking at a motherboard through a bad microscope. | |
| D-Machine wrote 1 day ago: | |
| I do not think there is much neurological understanding about ADHD at | |
| all from current fMRI research, there are far too many quality and | |
| reliability issues here, not just on the fMRI end or limited amount | |
| of data overall, but in the measurement and diagnosis of ADHD itself | |
| (i.e. ADHD subtypes, and of course ADHD is a complicated diagnosis | |
| with many components manifesting to different degrees in different | |
| individuals, which makes it very hard to cleanly link to messy fMRI | |
| signals). | |
| Or, as I have commented elsewhere here, the idea that statements like | |
| "fMRI shows decreased activity" are ever valid is just fundamentally | |
| suspect (lower BOLD response could mean less inhibition or less | |
| excitation, and this is a rather crucial difference that fMRI simply | |
| can't distinguish). EDIT: Or to be more precise: it may well be that | |
| fMRI research suggests less metabolic activity in certain regions, | |
| but this could mean the region is actually firing more than normal, | |
| less than normal, is more efficient than normal, etc., and | |
| interpreting anything about what is functioning differently in ADHD, | |
| given this uncertainty, is what is going to be suspect. | |
| Your analogy is largely correct IMO. | |
| instagraham wrote 22 hours 33 min ago: | |
| Thanks for the excellent explanation, I didn't know it couldn't | |
| distinguish inhibition and excitation. | |
| It seems then that while oxygenation itself may be a good proxy for | |
| brain health, the way we measure it is unreliable | |
| supersour wrote 1 day ago: | |
| Yes this is true, but we actually have a lot more data to back this | |
| on than exclusively fMRI analysis - for example the ADHD medication | |
| guanfacine works only because the alpha 2 receptors happen to be | |
| wired differently in the prefrontal cortex than it is in other areas | |
| of the brain (a2 is inhibitory for most brain regions, but in the PFC | |
| they're positioned to amplify connections between neurons) , so by | |
| stimulating alpha 2 we allow for a more âtop downâ control from | |
| the prefrontal cortex than we do without, which improves executive | |
| function. | |
| So that is one extremely robust way to understand neurological | |
| conditions like ADHD or Parkinsonâs | |
| instagraham wrote 22 hours 34 min ago: | |
| With such medications, besides behavioural changes, how are they | |
| able to measure outcomes without fMRIs? Like knowing whether neuron | |
| connections are amplified or not? | |
| D-Machine wrote 10 hours 0 min ago: | |
| They don't, this is speculative (i.e. a theory) and almost | |
| certainly untrue (or a gross over-simplification), much like the | |
| early and now disproven serotonin theories of depression. | |
| subroutine wrote 1 day ago: | |
| I was a grad student at UCSD when Ed Vul published Voodoo Correlations | |
| in Social Neuroscience [1], which stoked a severe backlash from the | |
| fMRI syndicate resulting in a title change to Puzzlingly High | |
| Correlations in fMRI Studies of Emotion, Personality, and Social | |
| Cognition [2]. There is a lot of interesting commentary around this | |
| article (e.g., âVoodooâ Science in Neuroimaging: How a Controversy | |
| Transformed into a Crisis [3]). To me it was fascinating to watch Vul | |
| (an incredibly rare talent, perhaps a genius), take on an entire field | |
| during his 1st year as assistant professor. | |
| 1. [1] 2. [2] 3. | |
| [1]: http://prefrontal.org/blog/2009/01/voodoo-correlations-in-soci... | |
| [2]: https://journals.sagepub.com/doi/10.1111/j.1745-6924.2009.0112... | |
| [3]: https://www.mdpi.com/2076-0760/12/1/15 | |
| voxleone wrote 1 day ago: | |
| It is the microbiome, stupid. | |
| [just kidding] | |
| j45 wrote 1 day ago: | |
| What's surprising is the desire to have a silver bullet, or not | |
| solution. | |
| What's still amazing is fMRI can provide more visual context of what's | |
| happening in the brain, in what region, and activities that can help | |
| that improve. | |
| There are other complementary technologies like QEEG and SPECT that can | |
| also shed a light as well. | |
| It does seem the case that fMRI cann be more of a snapshot photo, and | |
| technologies like SPECT can provide more of a regional time lapse of | |
| activity. | |
| Olshansky wrote 1 day ago: | |
| I didn't get my name on this, but contributed to it as an undergrad: | |
| [1] We sped up fMRI analysis using distributed computing (MapReduce) | |
| and GPUs back in 2014. | |
| Funny how nothing has changes. | |
| [1]: https://ieeexplore.ieee.org/abstract/document/6903679 | |
| eykanal wrote 1 day ago: | |
| Now seems like a good time to remind folks of the Stanford dead fish | |
| fMRI study: [1] fMRI has always had folks highlighting how shaky the | |
| science is. It's not the strongest of experimental techniques. | |
| [1]: https://law.stanford.edu/2009/09/18/what-a-dead-salmon-reminds... | |
| salynchnew wrote 1 day ago: | |
| Why are you calling Bennett et al "the Stanford... study" ? Not one | |
| person on that team went to Stanford. | |
| Direct link to the poster presentation: | |
| [1]: http://prefrontal.org/files/posters/Bennett-Salmon-2009.pdf | |
| KalMann wrote 17 hours 59 min ago: | |
| Why are you phrasing your correction in the form of a question? I | |
| think it's pretty reasonable to infer that he mistakenly thought it | |
| was a Stanford study because the link was from Stanford. | |
| cafebeen wrote 1 day ago: | |
| This study was really highlighting a statistical issue which would | |
| occur with any imaging technique with noise (which is unavoidable). | |
| If you measure enough things, you'll inevitably find some false | |
| positives. The solution is to use procedures such as Bonferroni and | |
| FDR to correct for the multiple tests, now a standard part of such | |
| imaging experiments. It's a valid critique, but it's worth | |
| highlighting that it's not specific to fMRI or evidence of shaky | |
| science unless you skip those steps (other separate factors may | |
| indicate shakiness though). | |
| Terr_ wrote 1 day ago: | |
| > a statistical issue which would occur with any imaging technique | |
| I sounds like it goes beyond that: If a certain mistake ruins | |
| outcomes, and a lot of people are ruining outcomes and not | |
| noticing, then there's some much bigger systematic problem going | |
| on. | |
| prefrontal wrote 1 day ago: | |
| When we published the salmon paper, approximately 25-35% of | |
| published fMRI results used uncorrected statistics. For myself and | |
| my co-authors, this was evidence of shaky science. The reader of a | |
| research paper could not say with certainty which results were | |
| legitimate and which might be false positives. | |
| cafebeen wrote 1 day ago: | |
| Thank you for publishing that paper, which I think greatly helped | |
| address this problem at the time, which you accurately describe. | |
| I guess things have to be taken in their historical context, and | |
| science is a community project which may not uniformly follow | |
| best practices, but work like this can help get everyone in line! | |
| It's unfortunate, and no fault of the authors, that the general | |
| public has run wild with referencing this work to reject fMRI as | |
| a experimental technique. There's plenty of different ways to | |
| criticize it today, for sure. | |
| Balgair wrote 1 day ago: | |
| Hey, I know you got a lot of flack for the article. So, I just | |
| wanted to thank you for having the courage to publish it anyways | |
| and go through all of that for all of us. | |
| I go back to the study frequently when looking at MRI studies, | |
| and it always holds up. It always reminds me to be careful with | |
| these things and to try to have other be careful with their | |
| results too. Though to me it's a bit of a lampooning, | |
| surprisingly it has been the best reminder for me to be more | |
| careful with my work. | |
| So thank you for putting yourself through all that. To me, it was | |
| worth it. | |
| prefrontal wrote 1 day ago: | |
| Many thanks - appreciate the kind words. Thanks also for always | |
| working to work with care in your science. It makes all the | |
| difference. | |
| Among other challenges, when we first submitted the poster to | |
| the Human Brain Mapping conference we got kicked out of | |
| consideration because the committee thought we were trolling. | |
| One person on the review committee said we actually had a good | |
| point and brought our poster back in for consideration. The | |
| salmon poster ended up being on a highlight slide at the | |
| closing session of the conference! | |
| dang wrote 1 day ago: | |
| Discussed here. others? | |
| Risk of false positives in fMRI of post-mortem Atlantic salmon (2010) | |
| [pdf] - [1] - Nov 2017 (41 comments) | |
| Scanning dead salmon in fMRI machine (2009) - [2] - Sept 2009 (1 | |
| comment) | |
| [1]: https://news.ycombinator.com/item?id=15598429 | |
| [2]: https://news.ycombinator.com/item?id=831454 | |
| levocardia wrote 1 day ago: | |
| fMRI methods and statistics have advanced quite a lot since the dead | |
| fish days, that critique does not really hold up today. | |
| prefrontal wrote 1 day ago: | |
| While I would agree that the prevalence of the problem has been | |
| minimized in fMRI during the last 15 years, I disagree that our | |
| critique does not hold up. The root of our concern was that proper | |
| statistical correction(s) need to be completed in order for | |
| research results to be interpretable. I am totally biased, but I | |
| think that remains worthwhile. | |
| zahlman wrote 1 day ago: | |
| I immediately thought of it too. Didn't realize it was that long ago. | |
| Trickery5837 wrote 1 day ago: | |
| let me write the correct title for you: "new evidence that fMRI data | |
| should be processed and interpreted only in the presence of an adult" | |
| isacdaavid wrote 1 day ago: | |
| If you actually read their paper, you will find that it's only the sign | |
| of the correlation that is being questioned. The field has generally | |
| been aware of this interpretational gap, and that's why two-sided | |
| hypothesis tests are important. Cellular neuroscience and | |
| electrophysiology are only starting to face the challenges that fMRI | |
| faced 2 decades ago. | |
| To me this is like shitting on cars in 1925 because they kill people | |
| every now and then. Cars didn't go away, and nor will fMRI, until | |
| someone finds a better way to measure living people's brains. | |
| TUM's press is being sloppy, from conflating fMRI with MRI to presuming | |
| this is revolutionary, and ignoring earlier empirical work against this | |
| narrative (Windkessel's, Logothetis beta/gamma coupling, etc.) | |
| rcv wrote 1 day ago: | |
| I remember reading a paper back in grad school where the researchers | |
| put a dead salmon in the magnet and got statistically significant brain | |
| activity readings using whatever the analysis method à la mode was. It | |
| felt like a great candidate for the Ig Nobel awards. | |
| prefrontal wrote 1 day ago: | |
| That was our paper! We showed that you can get false positives | |
| (significant brain activity in this case) if fMRI if you don't use | |
| the proper statistical corrections. We did win an Ig Nobel for that | |
| work in 2012 - it was a ton of fun. | |
| dang wrote 1 day ago: | |
| This is one for [1] ! | |
| (I mention this so more people can know the list exists, and | |
| hopefully email us more nominations when they see an unusually | |
| great and interesting comment.) | |
| p.s. more on the salmon paper in this thread: [2] [3] | |
| [1]: https://news.ycombinator.com/highlights | |
| [2]: https://news.ycombinator.com/item?id=46291600 | |
| [3]: https://news.ycombinator.com/item?id=46288560 | |
| [4]: https://news.ycombinator.com/item?id=46288557 | |
| jldugger wrote 1 day ago: | |
| Interesting -- I just use [1] for a weekly roundup, but that only | |
| tracks posts. Might need to supplement it with highlights or | |
| similar. | |
| Reviewing the HN docs, [2] might also be a good summary link. | |
| [1]: https://news.ycombinator.com/best?h=168 | |
| [2]: https://news.ycombinator.com/bestcomments?h=168 | |
| riazrizvi wrote 1 day ago: | |
| The researchers found that â40% of increased fMRI signal correspond | |
| to a decrease in neuronal activityâ, so itâs even worse than the | |
| headline. | |
| SubiculumCode wrote 1 day ago: | |
| I'll get raked for this, but as someone in the field, I can say with | |
| high confidence that the majority of comments in this thread are not | |
| from imaging experts, and mostly (mis)informed by popular science | |
| articles. I do not have the time to properly respond to each issue I | |
| see. The literature is out there in any case. | |
| physPop wrote 16 hours 8 min ago: | |
| agree. especially the comments saying "just address it". Its a lot of | |
| technically complicated interactions between the physics, imaging | |
| parameters, and processing techniques. | |
| Unfortunately the end users (typically neuroscience/psych grad | |
| students in labs with minimal oversight) usually run studies that | |
| just "throw everything at the wall and see what sticks" not realizing | |
| that is the antithesis of the scientific method. No one goes in to a | |
| resting state study saying "we're going to test if the resting state | |
| signal in the is becuase of ". | |
| They instead measure a bunch of stuff find some regions that pass | |
| threshold in a group difference and publish it as "neural correlates | |
| of X". Its not science, and its why its not reproducible. People | |
| have build whole research programs on noise. | |
| D-Machine wrote 14 hours 23 min ago: | |
| The meaningless NHST ritual is so harmful here. Imagine what we | |
| might know by now if all those pointless studies had used their | |
| resources to do proper science... | |
| Der_Einzige wrote 1 day ago: | |
| This is also true when HN talks about AI/ML :) | |
| nerdface wrote 1 day ago: | |
| I'm not a specialist by any means, although I am a patient of an | |
| fMRI. One thing I will note is that in the eventual, resultant | |
| paperwork from the broad array of tests I had, the fMRI was not noted | |
| whatsoever, neither was it discussed with me by any of the numerous | |
| neurologists or surgeons involved in my case. I was quite curious as | |
| to why it was performed at all, but presumably it was some formality | |
| to check a box. | |
| D-Machine wrote 1 day ago: | |
| It makes sense they wouldn't look at it, there are very few, if | |
| any, well-validated clinical uses for it. However, they might have | |
| taken it as a baseline for later comparison, and it is definitely | |
| plausible when surgery is involved that visible abnormalities could | |
| be seen in fMRI that might not show up in MRI, either now or later. | |
| I don't think there would be much clear guidance for them on how to | |
| interpret any such fMRI abnormality on its own, but it might still | |
| be something useful for further investigations, and this might | |
| especially be the case for surgery. It might also have been done as | |
| part of research, if you consented to anything like that? | |
| I am NOT an expert on fMRI in medical contexts, but you can surely | |
| get a rough idea of the potential value of fMRI with a quick | |
| search: | |
| [1]: https://scholar.google.ca/scholar?q=fMRI+surgery+brain&hl=... | |
| xandrius wrote 1 day ago: | |
| There are literally less than 20 top level comments and this one is | |
| (at least for me) the 2nd or 3rd. | |
| Instead of a nothingburger, you could have used your academic prowess | |
| to break down the top 1/2 misconceptions with expertise. | |
| You might not have time to respond to all the comments but a couple | |
| of clarifications could have helped anyone else who doesn't comment | |
| without experience. | |
| Just saying that next time you can be the change you want to see in | |
| HN instead of wasting text telling us how ignorant we are. | |
| Aurornis wrote 1 day ago: | |
| > I do not have the time to properly respond to each issue I see. The | |
| literature is out there in any case. | |
| I think your expertise would be very welcome, but this comment is | |
| entirely unhelpful as-is. Saying there are bad comments in this | |
| thread and also that there is good literature out there without | |
| providing any specifics at all is just noise. | |
| You don't have to respond to every comment you see to contribute to | |
| the discussion. At minimum, could you provide a hint for some | |
| literature you suggest reading? | |
| mattkrause wrote 1 day ago: | |
| I'll co-sign SubiculumCode's comment -- there's a lot of yelling | |
| about how bad fMRI is generally, which is not particularly fair to | |
| the fMRI research (or at least the better parts of it) or related | |
| to the argument. | |
| The BOLD signal, the thing measured by fMRI, is a proxy for actual | |
| brain activity. The logic is that neural firing requires a lot of | |
| energy and so active neurons will being using more oxygen for their | |
| metabolism, and this oxygen comes from the blood. Thus, if you | |
| measure local changes in the oxygenation of blood, you'll know | |
| something about how active nearby neurons are. However, it's an | |
| indirect and complicated relationship. The blood flow to an area | |
| can itself change, or cells could extract more or less oxygen from | |
| the blood--the system itself is usually not running at its limits. | |
| Direct measurements from animals, where you can measure (and | |
| manipulate) brain activity while measuring BOLD, have shown how | |
| complicated this is. Nikos Logathetis and Ralph Freeman's groups, | |
| among many others did a lot of work on this, especially c. | |
| 2000-2010. If you're interested, you could check out this news and | |
| views on Logathetis's group's 2001 Nature paper [1]. One of the | |
| conclusions of their work is that BOLD is influenced by a lot of | |
| things but largely measure the inputs to an area and the synchrony | |
| within it, rather than just the average firing rate. | |
| In this paper, the researchers adjust the MRI sequences to compare | |
| blood oxygenation, oxygen usage, and blood flow and find that these | |
| are not perfectly related. This is a nice demonstration, but not a | |
| totally unexpected finding either. The argument in the paper is | |
| also not "abandon fMRI" but rather that you need to measure and | |
| interpret these things carefully. | |
| In short, the whole area of neurovascular coupling is hard--it | |
| includes complicated physics (to make measurements), tricky | |
| chemistry, and messy biology, all in a system full of complicated | |
| dynamics and feedback. | |
| [1]: https://www.nature.com/articles/35084300 | |
| D-Machine wrote 1 day ago: | |
| I have also published and worked for some years in this field, if | |
| that helps. | |
| The literature is huge, and my bias is that I believe most of the | |
| only really good fMRI research is methodological research (i.e. | |
| about what fMRI actually means, and how to reliably analyze it). | |
| Many of the links I've provided here speak to this. | |
| I don't think there is much reliable fMRI research that tells us | |
| anything about people, emotions, or cognition, beyond confirming | |
| some likely localization of function to the sensory and motor | |
| cortices, and some stuff about the Default Mode Network(s) that is | |
| of unclear importance. | |
| A lot of the more reliable stuff involves the Human Connectome | |
| Project (HCP) fMRI data, since this was done very carefully with a | |
| lot of participants, if you want a place to start for actual | |
| human-relevant findings. But the field is still really young. | |
| ahtihn wrote 1 day ago: | |
| > Saying there are bad comments in this thread and also that there | |
| is good literature out there without providing any specifics at all | |
| is just noise. | |
| Nah, it's not noise. It's a useful reminder not to take any | |
| comments too seriously and that this topic is far outside the | |
| average commenter's expertise. | |
| throw10920 wrote 7 hours 50 min ago: | |
| > Nah, it's not noise | |
| Yes, it factually is, because... | |
| > It's a useful reminder not to take any comments too seriously | |
| ...this is factually incorrect, because GP comment is literally | |
| not saying that - it's a specific dunk on a specific subset of | |
| critical comments with zero useful information about which | |
| comments or bad or why they're bad or any evidence to back up the | |
| assertion that they're bad or anything else useful. | |
| (GP did go back and respond to some other comments with specific | |
| technical criticisms - after they made this initial comment. The | |
| initial comment itself is still highly problematic, as are | |
| fallacious praise of it, like this one.) | |
| pessimizer wrote 1 day ago: | |
| It's definitely noise. Not recognizing it as noise is why phone | |
| and email scams work. | |
| I say this as a psychologist who is advising you to ignore all | |
| claims to the contrary, because they are misinformed. It is clear | |
| from the literature. | |
| strongpigeon wrote 1 day ago: | |
| Iâm sure youâre right, but given the spectrum of answers here, | |
| itâd be much more useful to point out which ones you think are | |
| wrong. | |
| DANmode wrote 1 day ago: | |
| Seeing HN take on your speciality or topic can be brutal. | |
| Condolences. | |
| Der_Einzige wrote 1 day ago: | |
| [1] Or worse, your whole field can be insitutionally blind to its | |
| own failings and randoms outside of it actually DO know more than | |
| you!. Chiropractors are literally worthless and being told "oh you | |
| don't get it bro" by them is their cope for being scammers, not an | |
| example of "their Gell Mann amnesia" | |
| [1]: https://en.wikipedia.org/wiki/Gell-Mann_amnesia_effect | |
| Loughla wrote 1 day ago: | |
| I hide any thread that deals with education, education funding, or | |
| teaching in general for that specific reason. It really saddens me | |
| to see that this place is full of so much misinformation and | |
| anecdotes made into data (and usually with much more | |
| self-confidence than other forums, which is interesting to me). | |
| It's why I generally only ask questions, or ask for clarification | |
| instead of directly challenging something I think might be wrong | |
| now in threads that aren't related to something I have deeeeep | |
| personal knowledge of. I know when I'm out of my area, and don't | |
| want to add to the ignorance. | |
| DANmode wrote 1 day ago: | |
| A great habit - especially when your question is an irresistible, | |
| easily-addressed homerun to a domain expert wandering through the | |
| thread looking for an entry-point. | |
| NemoNobody wrote 1 day ago: | |
| Challenging something with a question about it, is not adding to | |
| ignorance - if a statement/study/fact/belief can't hold to up to | |
| questions, from actual opposing critics, what's the point of that | |
| position existing? | |
| Being all "PC" and "nice" about stuff that is what it is, or | |
| isn't -- THAT adds to ignorance. | |
| Loughla wrote 1 day ago: | |
| I guess maybe I didn't phrase that correctly - I ask | |
| challenging questions, but don't state the things I "know" | |
| without clarification first. I meant that I don't just pop off | |
| with "yeah, but in reality it's x, y, z" because I know that | |
| I'm probably ignorant of facts. I'll ask about x, y, or z | |
| first. | |
| yboris wrote 1 day ago: | |
| In related news: ironically, Psychedelics disrupt normal link between | |
| brainâs neuronal activity and blood flow - thus casting some doubt on | |
| findings that under psychedelics more of the brain is connected (since | |
| fMRI showed elevated blood flow, suggesting higher brain activity). | |
| [1]: https://source.washu.edu/2025/12/psychedelics-disrupt-normal-l... | |
| HocusLocus wrote 1 day ago: | |
| As a caveman pondering "Stoned Ape Theory" during the rise of MRI in | |
| the 80s, having done light reading of Huxley, McKenna et. al, the | |
| claim that vascular variations were so tied to thought patterns in a | |
| purely calm and cognitive activity was fascinating. To see the brain | |
| of someone as they went through a deck of cards and paused to look at | |
| each... astounding! But frustrating also. My first question always | |
| was, was the person's hands busy going through the deck and holding | |
| up the cards, focusing on them... or were they merely shown the cards | |
| sitting still? It seemed the popsci articles often glossed over that | |
| information, and any simple "control for coordinated body movement" | |
| played second fiddle to the novelty of it all. Then I worked in a | |
| club where I was often surrounded by tripping people. I'd fetch them | |
| glasses of water and they would always drink. Do you know you can | |
| smell them, they smell like fear? The experience has every sweat | |
| gland working overtime. When I learned that I greeted this "tripping | |
| people MRIs light up indicating enhanced brain connectivity" with a | |
| grain of salt. I would not be the least bit surprised if the sweat | |
| gland thing also has the brain's vascular system in overdrive. | |
| yboris wrote 6 hours 35 min ago: | |
| My favorite explanation for why LSD and similar psychedelics | |
| generate the visual patterns they do: mathematics of wrapping polar | |
| coordinates of the retina to the rectangular coordinates of the | |
| visual processing system: | |
| [1]: https://www.quantamagazine.org/a-math-theory-for-why-peopl... | |
| antipaul wrote 1 day ago: | |
| Biotech industrial complex | |
| fMRI is a cool, expensive tech, like so many others in genetics and | |
| other diagnostics. These technologies create good jobs ("doing well by | |
| doing good"). | |
| But as other comments point out, and practitioners know, their | |
| usefulness for patients is more dubious. | |
| zerof1l wrote 1 day ago: | |
| I wonder how much variation there is between a person who does certain | |
| mental activity regularly vs a person who rarely does it. | |
| If they were to measure a person who performs mental arithmetic on a | |
| daily basis, I'd expect his brain activity and oxygen consumption to be | |
| lower than those of a person who never does it. How much difference | |
| would that make? | |
| subroutine wrote 1 day ago: | |
| I worked in an fMRI lab briefly as a grad student. I suspect you'd be | |
| correct but perhaps not exactly why you'd expect. Studies using fMRI | |
| measure a blood-oxygenation-level-dependent (BOLD) signal in the | |
| brain. This is thought to be an indirect measure of neural activity | |
| because a local increase in neural firing rate produces a local | |
| increase in the need for, and delivery of, oxygenated blood. | |
| The question then is, do you expect a person who is really good at | |
| mental arithmetic to have less neural firing on arithmetic tasks | |
| (e.g., what is 147 x 38) than the average joe. I would hypothesize | |
| yes overall to solve each question; however, I'd also hypothesize the | |
| momentary max intensity of the expert to peak higher. Think of a | |
| bodybuilder vs. a SWE bench-pressing 100 lbs for 50 reps. The | |
| bodybuilder has way more muscle to devote to a single rep, and will | |
| likely finish the set in 20 seconds, while the SWE is going to take | |
| like 30 minutes ;) | |
| cj wrote 1 day ago: | |
| I did a fMRI study as a volunteer in college. | |
| It involved going to the lab and practicing the thing (a puzzle / | |
| maze) I would be shown during the actual MRI. I think I went in to | |
| âpracticeâ a couple times before showing up and doing it in the | |
| machine. | |
| IIRC the purpose of practicing was exactly that, to avoid me trying | |
| ti learn something during the scan (since that wasnât the intention | |
| of the study). | |
| In other words, I think you can control for that variable. | |
| (Side note: I absolutely fell asleep during half the scan. Oops! I | |
| felt bad, but I guess thatâs a risk when you recruit sleep deprived | |
| college kids!) | |
| D-Machine wrote 1 day ago: | |
| It's so much worse than this. | |
| For task fMRI, the test-retest reliability is so poor it should | |
| probably be considered useless or bordering on pseudoscience, except | |
| for in some very limited cases like activation of the visual and/or | |
| auditory and/or motor cortex with certain kinds of clear stimuli. For | |
| resting-state fMRI (rs-fMRI), the reliabilities are a bit better, but | |
| also still generally extremely poor [1-3]. | |
| There are also two IMO major and devastating theoretical concerns re | |
| fMRI that IMO make the whole thing border on nonsense. One is the | |
| assumed relation between the BOLD signal and "activation", and two is | |
| the extremely horrible temporal resolution of fMRI. | |
| It is typically assumed that the BOLD response (increased oxygen | |
| uptake) (1) corresponds to greater metabolic activity, and (2) | |
| increased metabolic activity corresponds to "activation" of those | |
| tissues. This trades dubiously on the meaning of "activation", often | |
| assuming "activation = excitatory", when we know in fact much metabolic | |
| activity is inhibitory. fMRI cannot distinguish between these things. | |
| There are other deeper issues, in that it is not even clear to what | |
| extent the BOLD signal is from neurons at all (could be glia), and it | |
| is possible the BOLD signal must be interpreted differently in | |
| different brain regions, and that the usual analyses looking for a | |
| "spike" in BOLD activity are basically nonsense, since BOLD activity | |
| isn't even related to this at all, but rather the local field | |
| potential, instead. All this is reviewed in [4]. | |
| Re: temporal resolution, essentially, if you pay attention to what is | |
| going on in your mind, you know that a LOT of thought can happen in | |
| just 0.5 seconds (think of when you have a flash of insight that | |
| unifies a bunch of ideas). Or think of how quickly processing must be | |
| happening in order for us to process a movie or animation sequence | |
| where there are up to e.g. 10 cuts / shots within a single second. | |
| There is also just biological evidence that neurons take only | |
| milliseconds to spike, and that a sequence of spikes (well under 100ms) | |
| can convey meaningful information. | |
| However, the lowest temporal resolutions (repetition times) in fMRI are | |
| only around 0.7 seconds. IMO this means that the ONLY way to analyze | |
| fMRI that makes sense is to see it as an emergent phenomenon that may | |
| be correlated with certain kinds of long-term activity reflecting | |
| cyclical BOLD patterns / low-frequency patterns of the BOLD response. | |
| I.e. rs-fMRI is the only fMRI that has ever made much sense a priori. | |
| The solution to this is maybe to combine EEG (extremely high temporal | |
| resolution, clear use in monitoring realtime brain changes like | |
| meditative states and in biofeedback training) with fMRI, as in e.g. | |
| [5]. But, it may still well be just the case fMRI remains mostly | |
| useless. [1] Elliott, M. L., Knodt, A. R., Ireland, D., Morris, M. L., | |
| Poulton, R., Ramrakha, S., Sison, M. L., Moffitt, T. E., Caspi, A., & | |
| Hariri, A. R. (2020). What Is the Test-Retest Reliability of Common | |
| Task-Functional MRI Measures? New Empirical Evidence and a | |
| Meta-Analysis. Psychological Science, 31(7), 792â806. [1] [2] | |
| Herting, M. M., Gautam, P., Chen, Z., Mezher, A., & Vetter, N. C. | |
| (2018). Test-retest reliability of longitudinal task-based fMRI: | |
| Implications for developmental studies. Developmental Cognitive | |
| Neuroscience, 33, 17â26. [2] [3] Termenon, M., Jaillard, A., | |
| Delon-Martin, C., & Achard, S. (2016). Reliability of graph analysis of | |
| resting state fMRI using test-retest dataset from the Human Connectome | |
| Project. NeuroImage, 142, 172â187. [3] [4] Ekstrom, A. (2010). How | |
| and when the fMRI BOLD signal relates to underlying neural activity: | |
| The danger in dissociation. Brain Research Reviews, 62(2), 233â244. | |
| [4] , [5] [5] Ahmad, R. F., Malik, A. S., Kamel, N., Reza, F., & | |
| Abdullah, J. M. (2016). Simultaneous EEG-fMRI for working memory of the | |
| human brain. Australasian Physical & Engineering Sciences in Medicine, | |
| 39(2), 363â378. | |
| [1]: https://doi.org/10.1177/0956797620916786 | |
| [2]: https://doi.org/10.1016/j.dcn.2017.07.001 | |
| [3]: https://doi.org/10.1016/j.neuroimage.2016.05.062 | |
| [4]: https://doi.org/10.1016/j.brainresrev.2009.12.004 | |
| [5]: https://scholar.google.ca/scholar?cluster=6420450573860538418&... | |
| [6]: https://doi.org/10.1007/s13246-016-0438-x | |
| physPop wrote 15 hours 59 min ago: | |
| re: your last point that is not true. we can measure arbitrarially | |
| quickly (Nottingham group does some 3d EVI at ~100ms TRs). You can | |
| also reduce volumes and just look at single slices etc, a lot of the | |
| fundamental research did this (wash U / Minnesota / etc in the 90s). | |
| Its just not all that useful because the SNR tanks and the underlying | |
| neurovascular response is inherently low-pass. There is a much faster | |
| 'initial-dip' where the bold signal swings the other way and crosses | |
| zero (from localized accumulation of DeoxyHg before the inrush of | |
| OxyHg from the vascular response). Its a lot better correlated with | |
| LFP / spiking measures but just very hard to measure on non-research | |
| scanners... | |
| D-Machine wrote 14 hours 45 min ago: | |
| Yes, I didn't mention this because you sacrifice so much spatial | |
| resolution and/or info doing this that it hardly matters, unless | |
| you believe in some very extreme and implausible forms of | |
| localization of function. (EDIT: I mean looking at a single slice | |
| seems to imply some commitment to localization assumptions; this | |
| isn't relevant for reducing spatial resolution.) | |
| For readers who don't know, we can measure at a higher temporal | |
| resolution better if we use some tricks, and also massively | |
| sacrifice spatial resolution ("reduce volumes") and/or how much of | |
| the brain is scanned (look at single slices), but the spatial | |
| resolution in most fMRI given e.g. a 0.5 TR (2 images per second) | |
| is usually already quite poor (generally already getting difficult | |
| to clearly even make out gyri and basic brain anatomy: see for | |
| example Figures 7 and on here, noting the TRs in the captions: [1] | |
| ). | |
| Still, it's a good point, and you're right of course newer and | |
| better scanners and techniques might improve things here on both | |
| fronts, but my understanding is that the magnetic field strengths | |
| needed to actually get the right combo of spatial and temporal | |
| resolution are, unfortunately, fatal, so we are really up against a | |
| physical/biological limit here. | |
| And as you said, it isn't that useful anyway, because the BOLD | |
| response is already so slow, and obviously something just emerging | |
| from the sum of a massive amount of far more rapid electrochemical | |
| signaling that the fMRI just can't measure anyway. | |
| [1]: https://www.frontiersin.org/journals/neuroscience/articles... | |
| freehorse wrote 1 day ago: | |
| Re: temporal resolution | |
| Even if neuronal activity is (obviously) faster, the (assumed) | |
| neuro-vascular coupling is slower. Typically there are several | |
| seconds till you get a BOLD response after a stimulus or task, and | |
| this has nothing to do with fMRI sampling rate (fNIRS can have much | |
| faster sampling rate, but the BOLD response it measures is equally | |
| slow, too). Think of it as that neuronal spiking happens in a range | |
| of up to some hundred milliseconds and the body changing the blood | |
| flow happens much slower than that. | |
| The issue is that measuring the BOLD response, even in best case | |
| scenario, is a very very indirect measure of neuronal activity. This | |
| is typically lost when people referring to fMRI studies as | |
| discovering "mental representations" in the brain and other | |
| non-sense, but here we are. Criticising the validity of the BOLD | |
| response itself, though, is certainly interesting. | |
| D-Machine wrote 1 day ago: | |
| Right, my point is sort of that both the BOLD response and fMRI | |
| sampling rates are far too "slow" (not nearly approaching the | |
| Nyquist frequency, I guess) a priori to deeply investigate | |
| something as fast as cognition. | |
| freehorse wrote 16 hours 32 min ago: | |
| Yeah I agree mostly. Cognition happens in multiple timescales, as | |
| such I don't think that fmri's sampling rate is a problem if we | |
| understand which cognitive phenomena it can actually address and | |
| which not. But there is definitely a tendency to not understand | |
| such limits of our tools. | |
| D-Machine wrote 14 hours 38 min ago: | |
| Precisely, if we restrict fMRI to investigating phenomena and | |
| theories of cognition and the mind that are plausibly | |
| measurable at the appropriate temporal resolution, it will | |
| potentially start yielding some fruit. | |
| It will also require fMRI researchers to think more carefully | |
| about their theories as well (e.g. noting the speed of the mind | |
| / amount and kinds of thinking involved in certain tasks, and | |
| being realistic about whether or not fMRI could actually | |
| capture something meaningful there). Too often there is no | |
| theory, and too many studies are just correlating patterns with | |
| some task without actually carefully thinking about the task | |
| and deconstructing the components, testing activations in those | |
| (e.g. ablation studies in AI research) and etc. | |
| ryandv wrote 1 day ago: | |
| > BOLD response and fMRI sampling rates | |
| Funny, because these exact measures [0] were brought up in | |
| response to a similar claim I made over a year ago [1] about the | |
| resolution of our instrumentation. | |
| There would appear to be a worrying trend of faith in scientism, | |
| or the belief that we already have all the answers squirreled | |
| away in a journal somewhere. | |
| [0] [1] | |
| [1]: https://news.ycombinator.com/item?id=41834346 | |
| [2]: https://news.ycombinator.com/item?id=41807867 | |
| D-Machine wrote 1 day ago: | |
| It's a bit funny, the qualia thing and sampling rates. | |
| Obviously we hope what we learn from e.g. psychology and fMRI | |
| will help us explain more things about the mind, and surely | |
| most researchers in psychology hope their research will help us | |
| get some answers on things related to qualia as well. And | |
| almost certainly most good / consistent reductionist | |
| researchers must believe that qualia arise from the brain, at | |
| least in significant part. | |
| However, precisely by this reductionist logic, and since it is | |
| immediately and phenomenally clear that the rate of change of | |
| qualia in the mind (or the "amount" of different qualia, i.e. | |
| images or sounds that one can process or generate in the mind | |
| in under a second) is incredibly fast, it follows immediately | |
| and logically without any need for an experiment that fMRI | |
| cannot have the temporal resolution needed for a rich | |
| understanding of the mind, simply based on knowing the TR | |
| (temporal sampling resolution) is so poor. And yet, I also find | |
| a lot of people in scientific brain research go oddly silent or | |
| seem to refuse to accept this argument unless some strange sort | |
| of published, quantificationist operationalization can be | |
| pointed to (hence my pre-emptive mentioning information | |
| transmission in neurons in under 100ms). | |
| I'm not sure I'd call this scientism, exactly, I tend to see it | |
| as "selective quantificationism", i.e. that certain truths can | |
| only be proven as true if you introduce some kind of numerical | |
| measurement procedure and metrical abstraction. Like, no one | |
| demands a study with Scoville units to prove that e.g. a ghost | |
| pepper is at least an order of magnitude hotter than candied | |
| ginger, even though this is as blazingly obvious as the fact | |
| that the mind moves too fast for something that can barely | |
| capture images of the brain at a rate of two per second. | |
| throw4847285 wrote 1 day ago: | |
| I'm not a scientist, and I don't even have a very good | |
| statistical background, so correct me if I'm wrong; would it | |
| be far to say that the lack of skepticism about fMRI studies | |
| in the broader public is due to scientism? Because of naive | |
| reductionism and a gut understanding of what is "scientific", | |
| people are far more skeptical of a study that says, "we | |
| surveyed 100,000 people" vs. "we scanned the brains of 10 | |
| people." I've noticed a similar phenomenon with psych vs. | |
| evolutionary psych. People have an image in their head of | |
| what is scientific that has nothing to do with statistical | |
| significance and everything to do with vibes. | |
| D-Machine wrote 1 day ago: | |
| It is tempting to speculate on what might cause the | |
| credulousness of the broader public re: fMRI, but I think | |
| there is enough / too much going on here for me to really | |
| be able to say anything with much confidence. Scientism | |
| especially is hard to define. | |
| I think I broadly agree with you though that credulousness | |
| to (statistically and methodologically weak) scientific / | |
| technological claims mostly comes down to vibes and desires | |
| / needs, and not statistical significance, logical rigor, | |
| evidence, or etc. | |
| Where needs / desires are high, vibes will (often) win over | |
| rationality, and vice-versa. It is easier for people to be | |
| objective about science that doesn't really clearly matter | |
| in any obvious direction, or at all. fMRI is "the mind", | |
| and thus consciousness, and so unfortunately reduces | |
| rational evaluation in much the same way speculation about | |
| AI and "consciousness" and etc does. *Shrug* | |
| kspacewalk2 wrote 1 day ago: | |
| Depends on what you mean by cognition, but as you yourself said, | |
| BOLD may be correlated with certain kinds of long(er)-term | |
| activity, and that in itself is very useful if interpreted | |
| carefully. No one claims to detect single "thoughts" or anything | |
| of the sort, at least I haven't seen anything so shameless. | |
| D-Machine wrote 1 day ago: | |
| Well, a lot of task fMRI designs are pretty shameless and | |
| clearly haven't taken the temporal resolution issues seriously, | |
| at least when it comes to interpreting their findings in | |
| discussions (i.e. claiming that certain regions being involved | |
| must mean certain kind of cognition, e.g. "thoughts" must be | |
| involved too). And there have definitely been a few papers | |
| trying to show they can e.g. reconstruct the image ("thought") | |
| in a person's mind from the fMRI signal. | |
| But I don't think we are really disagreeing on anything major | |
| here. I do think there is likely some useful potential locked | |
| away in carefully designed resting-state fMRI studies, probably | |
| especially for certain chronic and/or persistent systemic | |
| cognitive things like e.g. ADHD, autism, or, perhaps more | |
| fruitfully, it might just help with more basic understanding of | |
| things like sleep. But, I also won't be holding my breath for | |
| anything major coming out of fMRI anytime soon. | |
| pdevr wrote 1 day ago: | |
| >which are known to produce predictable fMRI signal changes in | |
| distributed brain regions. | |
| Wondering how they created that baseline. Was it with fMRI data (which | |
| has deviance from actual data, as pointed out)? Or was it through other | |
| means? | |
| NalNezumi wrote 1 day ago: | |
| My previous job was at a startup doing BMI, for research. For the first | |
| time I had the chance to work with expensive neural signal measurement | |
| tools (mainly EEG for us, but some teams used fMRI). and quickly did I | |
| learn how absolute horrible the signal to noise ratio (SNR) was in this | |
| field. | |
| And how it was almost impossible to reproduce many published and well | |
| cited result. It was both exciting and jarring to talk with the | |
| neuroscientist, because they ofc knew about this and knew how to read | |
| the papers but the one doing more funding/business side ofc didn't | |
| really spend much time putting emphasis on that. | |
| One of the team presented a accepted paper that basically used Deep | |
| Learning (Attention) to predict images that a person was thinking of, | |
| from the fMRI signals. When I asked "but DL is proven to be able to | |
| find pattern even in random noise, so how can you be sure this is not | |
| just overfitting to artefact?" and there wasn't really any answer to | |
| that (or rather the publication didn't take that in to account, | |
| although that can be experimentally determined). Still, a month later I | |
| saw tech explore or some tech news writing an article about it, | |
| something like "AI can now read your brain" and the 1984 implications | |
| yada yada. | |
| So this is indeed something probably most practitioners, masters and | |
| PhD, realize relatively early. | |
| So now that someone says "you know mindfulness is proven to change your | |
| brainwaves?" I always add my story "yes, but the study was done with | |
| EEG, so I don't trust the scientific backing of it" (but anecdotally, | |
| it helps me) | |
| pedalpete wrote 13 hours 33 min ago: | |
| I think you're throwing the baby out with the bathwater, while also | |
| pointing to the missing pieces in our understanding of the brain and | |
| consciousness. | |
| I also work in the field, specifically with sleep slow-wave | |
| enhancement. | |
| Blood flow as a proxy for brain activity I always felt was a weak | |
| measure, as the brain activity involved across all manner of | |
| operating our biological systems, so is the increased blood flow | |
| measured in fMRI a response to cognition, or autonomic activity? What | |
| does that oxydation mean. | |
| EEG is similarly flawed when we try to equate "brainwaves" to | |
| emotions and consciousness. I think we're almost better off measuring | |
| HRV, a much simpler measure, and more reliable. | |
| I'm fascinated that so many people who discuss brainwaves think of | |
| them as actual "waves", when it is just how we plot electrical | |
| activity which creates a visual wave like pattern. | |
| However, and this is specifically related to our work in sleep, we | |
| can detect slow-waves (I dislike that term, it's the synchronous | |
| firing of neurons) and we are able to stimulate this restorative | |
| brain function through sensory perception during sleep, and even | |
| create slow-waves in a lab using TMS. | |
| Research linked on our website [1] I agree the industry needs to stop | |
| projecting what we hope we're seeing with what is actually being | |
| measured, and we don't understand enough about how the brain works, | |
| but I think completely throwing away any brain related measures we | |
| have is going too far. | |
| 1 - | |
| [1]: https://affectablesleep.com/how-it-works#research | |
| aardvark92 wrote 1 day ago: | |
| Saw the same thing first hand with Pathology data. Image analysis is | |
| far more straightforward problem than fMRI, but sorry, I do not trust | |
| your AI model that matches our pathologistâs scoring with 98.5% | |
| accuracy. Our pathologists are literally guesstimating these numbers | |
| and can vary by like 10-20% just based on the phase of the moon, | |
| whether the pathologist ate lunch yet, what slides he looked at | |
| earlier that dayâ¦thatâs not even accounting for inter-pathologist | |
| variation⦠| |
| Also saw this irl with a particular NGS diagnostic. This model was | |
| initially 99% accurate, P.I. smelled BS, had the grad student crunch | |
| the numbers again, 96% accurate, published it, built a company around | |
| this product â-> boom, 2 years later it was retracted because the | |
| data was a lot of amplified noise, spurious hits, overfitting. | |
| I donât know jack compared to the average HN contributor, but even | |
| I can smell the BS from a mile away in some of these biomedical AI | |
| models. Peer review is broken for highly-interdisciplinary research | |
| like this. | |
| canjobear wrote 1 day ago: | |
| > but DL is proven to be able to find pattern even in random noise, | |
| so how can you be sure this is not just overfitting to artefact? | |
| You test your DL decoder on held-out data. This is the common | |
| practice. | |
| j-krieger wrote 1 day ago: | |
| 90% of papers I read in computer science / computer security speak of | |
| software written or AI models they trained that are nowhere to be | |
| found. Not on git nor via email to the authors. | |
| Plutoberth wrote 1 day ago: | |
| I'm not sure I understand. Wouldn't any prediction result above | |
| statistical random (in the image mind reading study) be significant? | |
| If the study was performed correctly I don't really need to know much | |
| about fMRI to tell whether it's an interesting result or not. | |
| ladberg wrote 1 day ago: | |
| The study misleading claimed to produce images from brainwaves. In | |
| reality, they effectively built a combination of classifier from | |
| brainwaves to one of a few predetermined classifications of images | |
| shown (still cool, but less impressive) and a neural net to | |
| reproduce images it was trained on given a classification (boring). | |
| ErroneousBosh wrote 1 day ago: | |
| > When I asked "but DL is proven to be able to find pattern even in | |
| random noise, so how can you be sure this is not just overfitting to | |
| artefact?" | |
| So here you say quite a mouthful. If you train it on a pattern it'll | |
| see that pattern everywhere - think about the early "Deep Dream" | |
| trippy-dogs-pictures nonsense that was pervasive about eight or nine | |
| years ago. | |
| I repaired a couple of cameras for someone who was working with a | |
| large university hospital about 15 years ago, where they were using | |
| admittedly 2010s-era "Deep Learning" to analyse biopsy scans for | |
| signs of cancer. It worked brilliantly, at least with the training | |
| materials, incredible hit rate, not too terrible false positive rate | |
| (no biggie, you're just trying to decide if you want to investigate | |
| further), really low false negative rate (if there was cancer it | |
| would spot it, for sure, and you don't want to miss that). | |
| But in real-world patient data it went completely mental. The sample | |
| data was real-world patient data, too, but on "uncontrolled" | |
| patients, it was detecting cancer all over the place. It also | |
| detected cancer in pictures of the Oncology department lino floor, it | |
| detected cancer in a picture of a guy's ID badge, it detected cancer | |
| in a closeup of my car tyre, and it detected cancer in a photo of a | |
| grey overcast sky. | |
| Aw no. Now what? | |
| Well, that's why I looked at the camera for them. They'd photographed | |
| the biopsies with one camera on site, from "real patients", but a lot | |
| of the "clear" biopsies were from other sites. | |
| You're ahead of me now, aren't you? | |
| The "Deep Learning" system had in fact trained itself on a speck of | |
| shit on the sensor of one of the cameras, the one used for most of | |
| the "has cancer" biopsies and most of the "real patient under test" | |
| biopsies. If that little blob of about a dozen slightly darker pixels | |
| was present, then it must be cancer because that's what the grown-ups | |
| told it. The actual picture content was largely irrelevant because | |
| the blob was consistent across all of them. | |
| I'm not too keen on AI in healthcare, not as a definitive "go/no-go" | |
| test thing. | |
| caycep wrote 1 day ago: | |
| There's fancier ML studies on EEG signal but probably not consistent | |
| enough for clinical work. For now, the one thing EEG can reliably | |
| tell is if you're having a seizure or not, if you're delirious (or in | |
| a coma) or not, or if you're asleep. | |
| SubiculumCode wrote 1 day ago: | |
| There are lots of reliable science done using EEG and fMRI; I believe | |
| you learned the wrong lesson here. The important thing is to treat | |
| motion and physiological sources of noise as a first-order problem | |
| that must be taken very seriously and requires strict data quality | |
| inclusion criterion. As far as deep learning in fMRI/EEG, your | |
| response about overfitting is too sweepingly broad to apply to the | |
| entire field. | |
| To put it succinctly, I think you have overfit your conclusions on | |
| the amount of data you have seen | |
| j45 wrote 1 day ago: | |
| I have heard and seen good things about QEEG and fMRI as well. | |
| D-Machine wrote 1 day ago: | |
| I would argue in fact almost all fMRI research is unreliable, and | |
| formally so (test-retest reliabilities are in fact quite miserable: | |
| see my post below). [1] EDIT: The reason being, with reliabilities | |
| as bad as these, it is obvious almost all fMRI studies are | |
| massively underpowered, and you really need to have hundreds or | |
| even up to a thousand participants to detect effects with any | |
| statistical reliability. Very few fMRI studies ever have even close | |
| to these numbers ( [2] ). | |
| [1]: https://news.ycombinator.com/item?id=46289133 | |
| [2]: https://www.nature.com/articles/s42003-018-0073-z | |
| mattkrause wrote 1 day ago: | |
| That depends immensely on the type of effect you're looking for. | |
| Within-subject effects (this happens when one does A, but not | |
| when doing B) can be fine with small sample sizes, especially if | |
| you can repeat variations on A and B many times. This is pretty | |
| common in task-based fMRI. Indeed, I'm not sure why you need >2 | |
| participants expect to show that the principle is relatively | |
| generalizable. | |
| Between-subject comparisons (type A people have this feature, | |
| type B people don't) are the problem because people differ in | |
| lots of ways and each contributes one measurement, so you have no | |
| real way to control for all that extra variation. | |
| D-Machine wrote 1 day ago: | |
| Precisely, and agreed 100%. We need far more within-subject | |
| designs. | |
| You would still in general need many subjects to show the same | |
| basic within-subject patterns if you want to claim the pattern | |
| is "generalizable", in the sense of "may generalize to most | |
| people", but, precisely depending on what you are looking at | |
| here, and the strength of the effect, of course you may not | |
| need nearly as much participants as in strictly between-subject | |
| designs. | |
| With the low test-retest reliability of task fMRI, in general, | |
| even in adults, this also means that strictly one-off | |
| within-subject designs are also not enough, for certain claims. | |
| One sort of has to demonstrate that even the within-subject | |
| effect is stable too. This may or may not be plausible for | |
| certain things, but it really needs to be considered more | |
| regularly and explicitly. | |
| SubiculumCode wrote 1 day ago: | |
| Between-subject heterogeneity is a major challenge in | |
| neuroimaging. As a developmental researcher, I've found that | |
| in structural volumetrics, even after controlling for total | |
| brain size, individual variance remains so large that | |
| age-brain associations are often difficult to detect and | |
| frequently differ between moderately sized cohorts | |
| (n=150-300). However, with longitudinal data where each | |
| subject serves as their own control, the power to detect | |
| change increases substantiallyâall that between-subject | |
| variance disappears with random intercept/slope mixed models. | |
| It's striking. | |
| Task-based fMRI has similar individual variability, but with | |
| an added complication: adaptive cognition. Once you've | |
| performed a task, your brain responds differently the second | |
| time. This happens when studies reuse test questionsâwhich | |
| is why psychological research develops parallel forms. But | |
| adaptation occurs even with parallel forms (commonly used in | |
| fMRI for counterbalancing and repeated assessment) because | |
| people learn the task type itself. Adaptation even happens | |
| within a single scanning session, where BOLD signal amplitude | |
| for the same condition typically decreases over time. | |
| These adaptation effects contaminate ICC test-retest | |
| reliability estimates when applied naively, as if the brain | |
| weren't an organ designed to dynamically respond to its | |
| environment. Therefore, some apparent "unreliability" may not | |
| reflect the measurement instrument (fMRI) at all, but rather | |
| highlights the failures in how we analyze and conceptualize | |
| task responses over time. | |
| D-Machine wrote 1 day ago: | |
| Yeah, when you start getting into this stuff and see your | |
| first dataset with over a hundred MRIs, and actually start | |
| manually inspecting things like skull-stripping and stuff, | |
| it is shocking how dramatically and obviously different | |
| people's brains are from each other. The nice clean little | |
| textbook drawings and other things you see in a lot of | |
| education materials really hide just how crazy the | |
| variation is. | |
| And yeah, part of why we need more within-subject and | |
| longitudinal designs is to get at precisely the things you | |
| mention. There is no way to know if the low ICCs we see now | |
| are in fact adaptation to the task or task generalities, if | |
| they reflect learning that isn't necessarily task-relevant | |
| adaptation (e.g. the subject is in a different mood on a | |
| later test, and this just leads to a different strategy), | |
| if the brain just changes far more than we might expect, or | |
| all sorts of other possibilities. I suspect if we ever want | |
| fMRI to yield practical or even just really useful | |
| theoretical insights, we definitely need to suss out | |
| within-subject effects that have high test-retest | |
| reliability, regardless of all these possible confounds. | |
| Likely finding such effects will involve more than just | |
| changes to analysis, but also far more rigorous | |
| experimental designs (both in terms of multi-modal data and | |
| tighter protocols, etc). | |
| FWIW, we've also noticed a lot of magic can happen too when | |
| you suddenly have proper longitudinal data that lets you | |
| control things at the individual level. | |
| caycep wrote 1 day ago: | |
| which is why the good labs follow up fMRI results and then go in | |
| with direct neurophysiological recording... | |
| SubiculumCode wrote 1 day ago: | |
| You got downvoted, but I think you are right in a way. Direct | |
| neurophysiological recording is not a panacea because either 1) | |
| you can't implant electrodes in your participants ethically, 2) | |
| Recordings usually are limited in number or brain areas. That | |
| said, I think the key is "convergent evidence" that spans | |
| multiple levels and tools of analysis. That is how most | |
| progress has been made in various areas, like autism research | |
| (my current work) or memory function (dissertation). We try to | |
| bridge evidence spanning human behavior, EEG, fMRI, structural | |
| MRI, post-mortem, electrode, eye-tracking, with primate and | |
| rodent models, along with neuron cultures in a dish type of | |
| research. We integrate it and cross-pollinate. | |
| caycep wrote 14 hours 28 min ago: | |
| There is actually a field where subjects do have electrodes | |
| implanted (see [1] ). - this is done when they are doing | |
| pre-operative recordings in preparation for brain surgery for | |
| the treatment of epilepsy, and the electrodes are already | |
| there for clinical diagnostic purposes and they volunteer a | |
| few hours of their time while they are sitting around in the | |
| hospital, to participate in various cognitive | |
| tasks/paradigms. The areas you can go are limited for sure, | |
| but some areas are near regions of interest depicting in fMRI | |
| scans. | |
| Then there are also papers w/ recordings done in primates... | |
| But overall yes - you integrate many modalities of research | |
| for a more robust theory of cognition | |
| [1]: https://www.humansingleneuron.org/ | |
| SubiculumCode wrote 1 day ago: | |
| Yes on many of those fronts, although not all those papers | |
| support your conclusion. The field did/does too often use tasks | |
| with to few trials, with to few participants. That always | |
| frustrated me as my advisor rightly insisted we collect hundreds | |
| of participants for each study, while others would collect 20 and | |
| publish 10x faster than us. | |
| parpfish wrote 1 day ago: | |
| The small sample sizes is rational response from scientists in | |
| the face of a) funding levels and b) unreasonable expectations | |
| from hiring/promotion committees. | |
| cog neuro labs need to start organizing their research programs | |
| more like giant physics projects. Lots of PIs pooling funding | |
| and resources together into one big experiment rather than lots | |
| of little underpowered independent labs. But itâs difficult | |
| to set up a more institutional structure like this unless | |
| thereâs a big shift in how we measure career | |
| advancement/success. | |
| D-Machine wrote 1 day ago: | |
| +1 to pooling funding and resources. This is desperately | |
| needed in fMRI (although site and other demographic / | |
| cultural effects make this much harder than in physics, I | |
| suspect). | |
| leoc wrote 1 day ago: | |
| I'm not an expert, but my hunch would be that a similar | |
| Big(ger) Science approach is also needed in areas like | |
| nutrition and (non-neurological) experimental psychology | |
| where (apparently) often group sizes are just too small. | |
| There are obvious drawbacks to having the choice of | |
| experiments controlled by consensus and bureaucracy, but if | |
| the experiments are otherwise not worthwhile what else is | |
| there to do? | |
| D-Machine wrote 1 day ago: | |
| I think the problems in nutrition are far, far deeper (we | |
| cannot properly control diet in most cases, and certainly | |
| not over long timeframes; we cannot track enough people | |
| long enough to measure most effects; we cannot trust the | |
| measurement i.e. self-report of what is consumed; | |
| industry biases are extremely strong; most nutrition | |
| effects are likely small and weak and/or interact | |
| strongly with genetics, making the sample size | |
| requirements larger still). | |
| I'm not sure what you mean by "experimental psychology" | |
| though. There are areas like psychophysics that are | |
| arguably experimental and have robust findings, and there | |
| are some decent-ish studies in clinical psychology too. | |
| Here the group sizes are probably actually mostly not too | |
| bad. | |
| Areas like social psychology have serious sample size | |
| problems, so might benefit, but this field also has | |
| serious measurement and reproducibility problems, weak | |
| experimental designs, and particularly strong ideological | |
| bias among the researchers. I'm not sure larger sample | |
| sizes would fix much of the research here. | |
| leoc wrote 1 day ago: | |
| > Areas like social psychology have serious sample size | |
| problems, so might benefit, but this field also has | |
| serious measurement and reproducibility problems, weak | |
| experimental designs, and particularly strong | |
| ideological bias among the researchers. I'm not sure | |
| larger sample sizes would fix much of the research | |
| here. | |
| I can believe it; but a change doesn't have to be | |
| sufficient to be ncessary. | |
| D-Machine wrote 1 day ago: | |
| Agreed, it is needed regardless. | |
| D-Machine wrote 1 day ago: | |
| Yes, well "almost all" is vague and needs to be qualified. | |
| Sample sizes have improved over the past decade for sure. I'm | |
| not sure if they have grown on median meaningfully, because | |
| there are still way too many low-N studies, but you do see | |
| studies now that are at least plausibly "large enough" more | |
| frequently. More open data has also helped here. | |
| EDIT: And kudos to you and your advisor here. | |
| EDIT2: I will also say that a lot of the research on fMRI | |
| methods is very solid and often quite reproducible. I.e. papers | |
| that pioneer new analytic methods and/or investigate pipelines | |
| and such. There is definitely a lot of fMRI research telling us | |
| a lot of interesting and likely reliable things about fMRI, but | |
| there is very little fMRI research that is telling us anything | |
| reliably generalizable about people or cognition. | |
| SubiculumCode wrote 1 day ago: | |
| I remember when resting-state had its oh shit moment when | |
| Power et al (e.g. [1] ) showed that major findings in the | |
| literature, many of which JD Power himself helped build, was | |
| based off residual motion artifacts. Kudos to JD Power and | |
| others like him. | |
| [1]: https://pubmed.ncbi.nlm.nih.gov/22019881/ | |
| D-Machine wrote 1 day ago: | |
| Yes, and a great example of how so much research in fMRI | |
| methodology is just really good science working as it | |
| should. | |
| jtbayly wrote 1 day ago: | |
| But none of this (signal/noise ratio, etc) is related to the topic of | |
| the article, which claims that even with good signal, blood flow is | |
| not useful to determine brain activity. | |
| D-Machine wrote 1 day ago: | |
| The difference is that EEG can be used usefully in e.g. biofeedback | |
| training and the study of sleep phases, so there is in fact enough | |
| signal here for it to be broadly useful in some simple cases. It is | |
| not clear fMRI has enough signal for anything even as simple as these | |
| things though. | |
| j45 wrote 1 day ago: | |
| I have been told QEEG can offer an additional perspective in | |
| neurofeedback, etc as well. | |
| fMRI's are being used in TBI/Concussion recovery that are study | |
| backed and seem to be delivering results. | |
| hirvi74 wrote 1 day ago: | |
| > fMRI's are being used in TBI/Concussion recovery | |
| Interesting. Do you happen to have any more information on this | |
| topic? I ask because I was under the impression that concussions | |
| are a functional/metabolic injury and not a structural injury, | |
| therefore, concussions are not visible on any type of fMRI, CT | |
| Scan, etc.. Though, I haven't looked into this topic for almost | |
| half a decade, so I imagine things have likely progressed. | |
| j45 wrote 1 day ago: | |
| Concussions seem to be pretty physiological - first they're a | |
| brain bleed, and blood doesn't seem to pump the same as it did | |
| before the concussion... resulting in different symptoms. | |
| That might be what you're referring to as functional? | |
| Metabolically, or otherwise, if the brain can't operate, other | |
| things in the body such as metabolism would be impacted for | |
| sure when it can't oversee and run as it normally can? | |
| While I'm not sure if a concussion directly is visible or not | |
| (some have sizeable enough brain bleeds that can be visible), | |
| concussions to the extent that they are a change in blood | |
| circulation changes and issues, can be visualized on fMRI, etc, | |
| where it's not regular, those areas suffer in a brain. | |
| Things luckily have progressed and quite exciting. | |
| Out of convenience, I'll share one I know about (no | |
| affiliation) that lay out their therapies and the science | |
| behind it as well. | |
| Effectively (I hope I'm getting this accurately) it seems the | |
| blood vessels in the brain also have signalling from the blood | |
| and oxygen that gets affected which affects things downstream | |
| from there. | |
| These guys do an fMRI baseline, have you jump on a bike, fMRI | |
| again, see what's not getting blood, and then give you | |
| exercises and activites for those regions of the brain. It's | |
| pretty interesting. [1] Some reported patient outcomes: [2] | |
| Blog links to research: [3] Independently of this I've heard | |
| QEEGs can do a similar thing of seeing where brain activity | |
| is/isn't baseline. | |
| [1]: https://www.cognitivefxusa.com/treatment | |
| [2]: https://www.cognitivefxusa.com/our-patients | |
| [3]: https://www.cognitivefxusa.com/blog | |
| D-Machine wrote 1 day ago: | |
| Well fMRI (as opposed to MRI) is used precisely because it | |
| measures things directly related to metabolism and function. | |
| Not hard to find info on this stuff: | |
| [1]: https://scholar.google.ca/scholar?hl=en&as_sdt=0%2C5&q... | |
| D-Machine wrote 1 day ago: | |
| Yes, there are a few medical cases where fMRI makes good simple | |
| basic sense, and TBI/Concussion sounds immediately like one of | |
| those to me. I seem also to recall them being useful in some | |
| cases prior to brain surgeries and the like. | |
| This all makes sense because fMRI tracks metabolic activity via | |
| oxygenation changes, which is much more clearly and plausibly | |
| related to tissue health and recovery. In these cases, it is also | |
| most likely being used within-subject (i.e. longitudinally) to | |
| make comparisons to baselines, rather than in an attempt to make | |
| speculative inferences about the mind using groups of people, and | |
| likely is a simple comparison to baseline rather than bespoke | |
| statistical analyses relying on questionable assumptions about | |
| the BOLD response being related to overly-specific kinds of | |
| neural activity. | |
| j45 wrote 1 day ago: | |
| fMRI can track oxygenation changes, and indirectly where the | |
| blood flow is, or isn't, and perhaps some ideas on where to get | |
| it. | |
| All to say, this application might not fall in the 40%. | |
| I just find articles like these can't help but feel like they | |
| have an agenda to undermine something instead of simply | |
| acknowledge the kinds of things it is and isn't working for. | |
| There's no doubt these researchers have found something, but | |
| the need for sensationalistic headlines is well known in | |
| academia as well. | |
| Sometimes it's noticeable where the research is specific in | |
| scope, but the findings are more general and broad. | |
| kspacewalk2 wrote 1 day ago: | |
| This study is validating a commonplace fMRI measure (change in | |
| blood-oxygenation-level-dependent or BOLD signal) by comparing it with | |
| a different MRI technique, one that uses a multiparametric quantitative | |
| BOLD model, a different model for BOLD derived from two separate MRI | |
| scans which measure two different kinds of signal (transverse | |
| relaxation rates), and then multiply/divide by a bunch of constants to | |
| get at a value. | |
| I'm a software engineer in this field, and this is my | |
| layman-learns-a-bit-of-shop-talk understanding of it. Both of these | |
| techniques involve multiple layers of statistical assumptions, and | |
| multiple steps of "analysing" data, which in itself involves implicit | |
| assumptions, rules of thumb and other steps that have never sat well | |
| with me. A very basic example of this kind of multi-step data massaging | |
| is "does this signal look a bit rough? No worries, let's | |
| Gaussian-filter it". | |
| A lot of my skepticism is due to ignorance, no doubt, and I'd probably | |
| be braver in making general claims from the image I get in the end if I | |
| was more educated in the actual biophysics of it. But my main point is | |
| that it is not at all obvious that you can simply claim "signal B shows | |
| that signal A doesn't correspond to actual brain activity", when it is | |
| quite arguable whether signal B really does measure the ground truth, | |
| or whether it is simply prone to different modelling errors. | |
| In the paper itself, the authors say that it is limited by methodology, | |
| but because they don't have the device to get an independent measure of | |
| brain activation, they use quantitative MRI. They also say it's because | |
| of radiation exposure and blah blah, but the real reason is their uni | |
| can't afford a PET scanner for them to use. | |
| "The gold standard for CBF and CMRO2 measurements is 15O PET; but this | |
| technique requires an on-site cyclotron, a sophisticated imaging setup | |
| and substantial experience in handling three different radiotracers | |
| (CBF, 15O-water; CBV, 15O-CO; OEF, 15O-gas) of short half-lives8,35. | |
| Furthermore, this invasive method poses certain risks to participants | |
| owing to the exposure to radioactivity and arterial sampling." | |
| themulticaster wrote 1 day ago: | |
| > [...] but the real reason is their uni can't afford a PET scanner | |
| for them to use. | |
| This is incorrect, TUM has a PET scanner (site in German): [1] Can't | |
| comment regarding the other observations. | |
| [1]: https://nuklearmedizin.mri.tum.de/de/Patienten-Zuweiser/Pet-... | |
| kortex wrote 1 day ago: | |
| This is why I love this site. You get input from so many specialized | |
| folks! I appreciate you contributing your expertise and I also | |
| appreciate you calling out the limits to that knowledge. | |
| Two points I'm hoping you can help clarify: | |
| > Researchers ... found that an increased fMRI signal is associated | |
| with reduced brain activity in around 40 percent of cases. | |
| So it's not just that they found it was uncorrelated, they found it | |
| was anticorrelated in 40% of cases? | |
| And you are suggesting that conclusion suffers from the same | |
| potential issues as these fMRI studies in general? | |
| Like you mention, it seems to me if we wanted to really validate the | |
| model, we'd have to run the same experiment with two, three, or maybe | |
| even more different modalities (fMRI, PET with different tracers, | |
| etc). | |
| freehorse wrote 1 day ago: | |
| Most studies in non-clinical populations afaik do not use 150 PET | |
| though? Afaik this is mostly used for clinical purposes. Could be | |
| wrong though. | |
| kspacewalk2 wrote 1 day ago: | |
| If you have a PET/MR system [0], you can probably do this "gold | |
| standard" comparison, and I know that one is used for research | |
| studies. I think you can piggy-back off a different study's healthy | |
| controls to write a paper like this, if that study already uses | |
| PET/MR and if adding an oxygen metabolite scan isn't a big problem. | |
| But that's speaking as someone who does not design experiments. | |
| [0] | |
| [1]: https://www.siemens-healthineers.com/en-us/magnetic-resona... | |
| physPop wrote 16 hours 17 min ago: | |
| no. you generally can't irradiate healthy volunteers for studies | |
| Aurornis wrote 1 day ago: | |
| This isnât entirely news to people in the field doing research, but | |
| itâs important information to keep in mind when anyone starts pushing | |
| fMRI (or SPECT) scans into popular media discussions about neurology or | |
| psychiatry. | |
| There have been some high profile influencer doctors pushing brain | |
| imaging scans as diagnostic tools for years. Dr. Amen is one of the | |
| worst offenders with his clinics that charge thousands of dollars for | |
| SPECT scans (not the same as the fMRI in this paper but with similar | |
| interpretation issues) on patients. Insurance wonât cover them | |
| because thereâs no scientific basis for using them in diagnosing or | |
| treating ADHD or chronic pain, but his clinics will push them on | |
| patients. Seeing an image of their brain with some colors overlayed and | |
| having someone confidently read it like tea leaves is highly convincing | |
| to people who want answers. Dr. Amen has made the rounds on Dr. Phil | |
| and other outlets, as well as amassing millions of followers on social | |
| media. | |
| mNovak wrote 1 day ago: | |
| >> Seeing an image of their brain with some colors overlayed ... is | |
| highly convincing | |
| Indeed, there's been quite a few studies [1] that find just including | |
| any old image of a brain with stuff highlighted will cause a paper to | |
| be perceived as more scientifically credible. | |
| [1]: https://pubmed.ncbi.nlm.nih.gov/17803985/ | |
| saidnooneever wrote 1 day ago: | |
| thanks for this comment. it was really insightful thank you. | |
| caycep wrote 1 day ago: | |
| I saw a clinical report of his on a patient, he puts a graphic in | |
| their report of their "brain scan" but it's basically a vector | |
| graphic of the brain w/ a multicolor MS Paint gradient... | |
| api wrote 1 day ago: | |
| Pop science guru-ing is a giant flashing red sign for me. I am never | |
| even a little surprised when the latest âsense makerâ or pop | |
| science guru comes out as a complete loon or is consumed by some kind | |
| of scandal. | |
| Influencers in general are always suspect. The things that get you an | |
| audience fast are trolling or tabloid-ish tactics like conspiracism. | |
| There are good ones but you have to be discerning. | |
| ashleyn wrote 1 day ago: | |
| Back in 2009 I remember reading about how dead salmon apparently | |
| turns up brain activity in fMRI without proper statistical methods. | |
| fMRI studies are something frequently invoked unscientifically and | |
| out of context. | |
| [1]: https://www.wired.com/2009/09/fmrisalmon/ | |
| caycep wrote 1 day ago: | |
| I think technically there's some statistical correction you apply | |
| to the voxels to avoid this. But yea...most hypotheses from fMRI | |
| are considered hypotheses until there's some other modality, i.e. | |
| electrical recordings, etc that confirm it. | |
| i.e. the well regarded studies, i.e. Kanwisher and the visual | |
| processing areas, have follow up studies on primates and surgical | |
| volunteers w/ actual electrical activity correlating w/ visual | |
| stimuli etc | |
| suyash wrote 1 day ago: | |
| Dr. Amen is more of a marketing/sales guy than a medical expert. | |
| badlibrarian wrote 1 day ago: | |
| I thought I was being clever by coining the term "non-invasive | |
| phrenology" but it appears people are already using it | |
| non-ironically. | |
| caycep wrote 1 day ago: | |
| I saw Parvizi say this in a talk back in 2019! | |
| fluidcruft wrote 1 day ago: | |
| ("wallet biopsy" is another fun term if you haven't encountered it) | |
| kridsdale3 wrote 1 day ago: | |
| Cashectomy. | |
| telotortium wrote 1 day ago: | |
| In many ways old-school bump measurement is actually less invasive | |
| kspacewalk2 wrote 1 day ago: | |
| Dr. Mike, a rare YouTube doctor who is not peddling supplements and | |
| wares, and thus seems to be at the forefront of medical critical | |
| thinking on the platform, interviewed Dr. Amen recently[0]. I haven't | |
| finished the interview yet, but having watched some others, generally | |
| the approach is to let the interviewee make their grandiose claims, | |
| agree with whatever vague generalities and truisms they use in their | |
| rhetoric (yes it's true, doctors don't spend enough time explaining | |
| things to patients!), and then lay into them on the actual science | |
| and evidence. | |
| [0] | |
| [1]: https://www.youtube.com/watch?v=J-SHgZ1XPXs | |
| patmorgan23 wrote 1 day ago: | |
| Dr. Mike did an incredible job in that interview. He gave Dr. Amen | |
| all the rope to hang himself with his own words. When you're | |
| hawking a diagnosis method and you're not interested in building up | |
| the foundation of evidence for it by doing a double blinded, | |
| randomized controlled study. And that the results of said study | |
| would change how your treating patients it's pretty clear who the | |
| snake oil salesman is | |
| rkagerer wrote 1 day ago: | |
| I'm no expert in medicine, but I watched that entire video and | |
| your analogy about performance and rope doesn't fit well with how | |
| it came across to me. | |
| I actually thought the interviewer was a little disingenuous. He | |
| said things like "We're on the same team" and "I'm not trying to | |
| trap you", then proceeded to lob his guest with criticisms from | |
| the other team and questions aimed to maneuver him into a | |
| contradiction. There's nothing inherently wrong with that, but | |
| if you're going to do it, be forthright you're engaging in a | |
| debate. | |
| Earlier in the interview he could have put his cards on the table | |
| and plainly stated "Myself and others in the medical community | |
| are skeptical of the efficacy of imaging on outcomes, and a | |
| rigorous, double-blind study would lend dramatic support for us | |
| to adopt what you're touting." | |
| Then they could have had the conversation he was clearly after, | |
| focused on that issue. | |
| Instead it felt like I was watching for ages as he took a winding | |
| route to get there, then the interview cut off abruptly when they | |
| finally really did. | |
| The overlays applied in editing while helpful and fair in some | |
| cases, at other times came across as one-sided. It's a shame we | |
| can't see a follow-up where the interviewee has an opportunity to | |
| respond (or squirm) in light of them. | |
| For the record I would very much love to see additional research | |
| and gold-standard, double-blind studies. In the meantime I'll | |
| treat this as "Hey, we've got this interesting thing we can | |
| measure, we're seeing some good results in our practice" without | |
| over-emphasizing the confidence in this one diagnostic. | |
| I did find the bit interesting about how having a gauge you can | |
| viscerally see impacted patients' engagement in care. Both | |
| agreed on the potential usefulness of that aspect, and conceded | |
| the difference in profiles between patients coming to Dr. Amen | |
| vs. ordinary front-line family physicians. | |
| westmeal wrote 16 hours 0 min ago: | |
| In my opinion it's pretty clear dr. Amen was really only there | |
| to push a book. He was never really interested in having a real | |
| discussion anyway, hes just shilling. If you're going to be | |
| pushing a diagnostic method and supplements to solve issues | |
| without any proof whatsoever that's a problem. No one should be | |
| making statements about the efficacy of a technique without | |
| evidence. The fact that he got defensive about it speaks | |
| volumes about his character and what he hopes to get away with. | |
| jama211 wrote 1 day ago: | |
| Unfortunately I worry about the rebound effect, where even though | |
| the entire interview was debunking his claims this could still on | |
| average increase amenâs popularity. | |
| Aurornis wrote 15 hours 55 min ago: | |
| I worry about the same effect. Debunking style conversations | |
| produce the opposite effect in viewers who instinctively take | |
| the side of anyone who appears to be trying to help and | |
| reactively take the opposite position of anyone who appears to | |
| be attacking. | |
| So many will watch this video and come away siding with Dr. | |
| Amen, feeling like they're doing the right thing to disregard | |
| the mean man on the other side who is questioning everything. | |
| The alternative medicine and pseudoscience communities thrive | |
| on "but what if it works" or "they're just trying to help" | |
| attitudes, which snake oil sellers capitalize on. | |
| flatline wrote 1 day ago: | |
| I also thought the rest of the interview was really worthwhile - | |
| they talked a lot about real problems in the medical industry | |
| from different perspectives. What a great and critical discussion | |
| from Dr. Mike. If Amen had conceded the point they could have | |
| moved on. There could be real findings to be had there, and some | |
| may even match his conclusions, but many likely will not, and the | |
| whole thing could also be pure fiction. We should want better | |
| answers to these questions. It's unfortunate to watch someone as | |
| seemingly intelligent and well-informed as Amen come across as | |
| shilling snake oil, and/or just being hung up on his ego, at the | |
| end of it all. Scientific literacy is so critical, because it's | |
| easy to cloak pseudoscience behind high-tech smokescreens. | |
| georgeecollins wrote 1 day ago: | |
| As someone who used to work at the Cognitive Neurophysiology Lab in the | |
| Scripts Institute-- doing some work on functional brain image-- I can | |
| confirm this was not news even thirty years ago. I guess this is | |
| trying to make some point to lay people? | |
| tlb wrote 1 day ago: | |
| Are there proposed reasons for increased blood flow to brain regions | |
| other than neural activity? Are neurons flushing waste products or | |
| something when less active? | |
| D-Machine wrote 1 day ago: | |
| Many reasons, and yes, basically, that is one of them. | |
| Ekstrom, A. (2010). How and when the fMRI BOLD signal relates to | |
| underlying neural activity: The danger in dissociation. Brain | |
| Research Reviews, 62(2), 233â244. [1] , | |
| [1]: https://doi.org/10.1016/j.brainresrev.2009.12.004 | |
| [2]: https://scholar.google.ca/scholar?cluster=6420450573860538... | |
| DANmode wrote 1 day ago: | |
| The glymphatic system, sure. | |
| freehorse wrote 1 day ago: | |
| The BOLD response (oxygen-neuronal activity coupling) has been pretty | |
| much accepted in neuroscience. There have been criticisms about it | |
| (non-neuronal contributions, mysteries of negative | |
| responses/correlations) but in general it is pretty much accepted. | |
| D-Machine wrote 1 day ago: | |
| The measurement of the BOLD response is well-accepted, but the | |
| interpretation of it with respect to cognition is still basically | |
| mostly unclear. Most papers assuming BOLD response uniformly can be | |
| interpreted as "activation" are quite dubious. | |
| georgeecollins wrote 1 day ago: | |
| Yes, I stupidly read the headline and said "no duh" but they are | |
| making a point about our understanding of brain activity. I was | |
| thinking about the part of the signal that is reliably filtered | |
| out, they are talking about something else. Sorry, I was wrong. | |
| sgt101 wrote 1 day ago: | |
| Good for you George E Collins. | |
| jtbayly wrote 1 day ago: | |
| Really? This was known: "there is no generally valid coupling between | |
| the oxygen content measured by MRI and neuronal activity"? | |
| mattkrause wrote 1 day ago: | |
| "generally valid" is a bit of a loaded phrase. | |
| They are indeed coupled, but the coupling is complicated and may be | |
| situationally dependent. | |
| Honestly, it's hard to imagine many aggregate measurements that | |
| aren't. For example, suppose you learn that the average worker's | |
| pay increased. Is it because a) the economy is booming or b) the | |
| economy crashed and lower-paid workers have all been laid off (and | |
| are no longer counted). | |
| georgeecollins wrote 1 day ago: | |
| The coupling was always debated, but you are right, that wasn't | |
| known or at least decided. I made a mistake and you are right. | |
| Hasty post. I apologize. | |
| Aurornis wrote 1 day ago: | |
| fMRI has been abused by a lot of researchers, doctors, and authors | |
| over the years even though experts in the field knew the reality. | |
| Itâs worth repeating the challenges of interpreting fMRI data to a | |
| wider audience. | |
| sigmoid10 wrote 1 day ago: | |
| The way I understood it is that while individual fMRI studies can | |
| be amazing, it is borderline impossible to compare them when made | |
| using different people or even different MRI machines. So | |
| reproducibility is a big issue, even though the tech itself is | |
| extremely promising. | |
| tsimionescu wrote 1 day ago: | |
| The article is pointing out that one of the base assumptions | |
| behind fMRI, that increased blood flow (which is what the machine | |
| can image) is strongly correlated to increased brain activity | |
| (which is what you want to measure) is not true in many | |
| situations. This means that the whole approach is suspect if you | |
| can't tell which situation you're in. | |
| mattkrause wrote 1 day ago: | |
| fMRI ususally measures BOLD, changes in blood oxygenation | |
| (well, deoxygenation). The point of the paper is that you can | |
| get relative changes like that in lots of ways: you could have | |
| more or less blood, or take out more/less oxygen from the same | |
| blood. | |
| These can be measured themselves separately (that's exactly | |
| what they did here!) and if there's a spatial component, which | |
| the figures sort of suggest, you can also look at what a | |
| particular spot tends to do. It may also be | |
| interesting/important to understand why different parts of the | |
| brain seem to use different strategies to meet that demand. | |
| D-Machine wrote 1 day ago: | |
| It is in fact even difficult to compare the same person on the | |
| same fMRI machine (and especially in developmental contexts). | |
| Herting, M. M., Gautam, P., Chen, Z., Mezher, A., & Vetter, N. C. | |
| (2018). Test-retest reliability of longitudinal task-based fMRI: | |
| Implications for developmental studies. Developmental Cognitive | |
| Neuroscience, 33, 17â26. | |
| [1]: https://doi.org/10.1016/j.dcn.2017.07.001 | |
| mattkrause wrote 1 day ago: | |
| I read that paper as suggesting that development, behavior, and | |
| fMRI are all hard. | |
| It's not at all clear to me that teenagers' brains OR | |
| behaviours should be stable across years, especially when it | |
| involves decision-making or emotions. Their Figure 3 shows that | |
| sensory experiments are a lot more consistent, which seems | |
| reasonable. | |
| The technical challenges (registration, motion, etc) like | |
| things that will improve and there are some practical | |
| suggestions as well (counterbalancing items, etc). | |
| D-Machine wrote 1 day ago: | |
| While I agree I wouldn't expect too much stability in | |
| developing brains, unfortunately there are pretty serious | |
| stability issues even in non-developing adult brains (quote | |
| below from the paper, for anyone who doesn't want to click | |
| through). | |
| I agree it makes a lot of sense though the sensory | |
| experiments are more consistent, somatosensory and | |
| sensorimotor localization results generally seem to the be | |
| most consistent fMRI findings. I am not sure registration or | |
| motion correction is really going to help much here, I | |
| suspect the reality is just that the BOLD response is a lot | |
| less longitudinally stable than we thought (brain is changing | |
| more often and more quickly than we expected). | |
| Or if we do get better at this, it will be more sophisticated | |
| "correction" methods (e.g. deep-learners that can predict | |
| typical longitudinal BOLD changes, and those better allow | |
| such changes to be "subtracted out", or something like that). | |
| But I am skeptical about progress here given the amount of | |
| data needed to develop any kind of corrective improvements in | |
| cases where there are such low longitudinal reliabilities. | |
| === | |
| > Using ICCs [intraclass correlation coefficients], recent | |
| efforts have examined test-retest reliability of task-based | |
| fMRI BOLD signal in adults. Bennett and Miller performed a | |
| meta-analysis of 13 fMRI studies between 2001 and 2009 that | |
| reported ICCs. ICC values ranged from 0.16 to 0.88, with the | |
| average reliability being 0.50 across all studies. Others | |
| have also suggested a minimal acceptable threshold of | |
| task-based fMRI ICC values of 0.4â0.5 to be considered | |
| reliable [...] Moreover, Bennett and Miller, as well as a | |
| more recent review, highlight that reliability can change on | |
| a study-by-study basis depending on several methodical | |
| considerations. | |
| SubiculumCode wrote 1 day ago: | |
| This isn't really true. The issue is that when you combine data | |
| across multiple MRI scanners (sites), you need to account for | |
| random effects (e.g. site specific means and variances)...see | |
| solutions like COMBAT. Also if they have different equipment | |
| versions/manufacturers those scanners can have different SNR | |
| profiles. The other issue is that there are many processing with | |
| many ways to perform those steps. In general, researchers don't | |
| process in multiple ways and choose the way that gives them the | |
| result they want or anything nefarious like that, but it does | |
| make comparisons difficult since the effects of different | |
| preprocessing variations can be significant. To defend against | |
| this, many peer reviewers, like myself, request researchers | |
| perform the preprocessing multiple ways to assess how robust the | |
| results are to those choices. Another way the field has combatted | |
| this issue has been software like fMRIprep. | |
| Aurornis wrote 1 day ago: | |
| Individual fMRI is not a useful diagnostic tool for general | |
| conditions. There have been some clinics trying to push it (or | |
| SPECT) as a tool for diagnosing things like ADHD or chronic pain, | |
| but there is no scientific basis for this. The operator can | |
| basically crank up the noise and get some activity to show up, | |
| then tell the patient itâs a sign they have âring of fire | |
| type ADHDâ because they set the color pattern to reds and a | |
| circular pattern showed up at some point. | |
| darfo wrote 1 day ago: | |
| Can the OP change the HN item title so scrollers don't think there is a | |
| problem with MRI? Isn't fMRI being questioned? | |
| dang wrote 1 day ago: | |
| Looks like a mod got to it! | |
| belter wrote 1 day ago: | |
| Why did TUM let this misleading headline front the news release? Dont | |
| we have enough issues with Academia? The result just mean BOLD is an | |
| imperfect proxy. | |
| kspacewalk2 wrote 1 day ago: | |
| It is especially unforgiveable that the title of on the news release | |
| itself is about "40 percent of MRI signals". What, as in all MRI, not | |
| just fMRI? Hopefully an honest typo and not just resulting from | |
| ignorance. | |
| mrcrm9494 wrote 1 day ago: | |
| this headline is a bit misleading on the first read, since it only | |
| affects functional (f)MRI, which is controversial since a longer time. | |
| a prominent example is the activity that has been detected in a dead | |
| salmon | |
| ErroneousBosh wrote 1 day ago: | |
| If you apply enough gain and filtering to an unknown signal, | |
| eventually you'll pull something out of it that you can convince | |
| yourself is what you're looking for. | |
| SubiculumCode wrote 1 day ago: | |
| The dead salmon was just a lesson in failing to correct for multiple | |
| comparisons. | |
| prefrontal wrote 1 day ago: | |
| As the first author of the salmon paper, yes, this was exactly our | |
| point. fMRI can be an amazing tool, but if you are going to trust | |
| the results you need to have proper statistical corrections along | |
| the way. | |
| SubiculumCode wrote 1 day ago: | |
| Cheers! | |
| giancarlostoro wrote 1 day ago: | |
| So, is fMRI like "fast" MRI? Can someone fill the rest of us mortals | |
| in on this? :) | |
| ErroneousBosh wrote 1 day ago: | |
| I'm going to follow on a bit from what jawilson said. The idea is | |
| this - you can measure blood oxygenation by sticking your head in a | |
| big magnet that makes atoms spin really fast and measuring the | |
| radio waves that come off. This is imprecise, but reasonably | |
| repeatable. | |
| So if I show you a picture of a cat, and you like cats, then a bit | |
| of your brain might start using more oxygen because you're thinking | |
| about cute furry things, and if I show you a picture of a car, and | |
| you like cars, a different bit of your brain lights up showing more | |
| oxygen use because you're thinking about fast shiny things. | |
| But really we've only got the barest idea of what bits of the brain | |
| do what, and maybe it's a bit of brain that goes "hey I'm happy" | |
| that lights up in both cases because you like both cats and cars. | |
| We can kind of see bits we think are associated with muscle | |
| movement coming to life if I show you a picture of a bike, and you | |
| like cycling, and if I show you a really cool mountain track you | |
| imagine belting down it flat out. That lights up differently if I | |
| show you something else. | |
| However, we do not really know except in very broad terms what bits | |
| of the brain actually do what. We can't "see thoughts", we just | |
| know that some bits of brain seem to use more oxygen than others, | |
| and from that we guess "this bit of brain is for thinking about | |
| sitting in a nice cafe with a cup of coffee and a newspaper" versus | |
| "this bit of brain is for being frightened of lions". | |
| At least when phrenology was a thing, the ceramic heads with lines | |
| painted on were inexpensive and didn't require three-phase power | |
| and huge barrels of liquid helium. | |
| jawilson2 wrote 1 day ago: | |
| f is functional. | |
| MRIs are basically huge magnets used for imaging. When you apply a | |
| strong magnetic field, different tissue types and densities will | |
| react differently, and the MRI is basically measuring how those | |
| tissues react to the magnet. It is very good for imaging soft | |
| tissues, but not so much bone. Someone figured out that you can | |
| measure blood flow using the MRI, because blood cells react in a | |
| magnetic field, then "relax" at a known rate. Since we can measure | |
| blood flow, that is correlated with increased brain activity, i.e. | |
| since more neurons are firing, they require more energy, and | |
| therefore more blood. So, fMRI is using blood flow as a proxy for | |
| brain activity. | |
| parpfish wrote 1 day ago: | |
| Fmri doesnât measure blood flow, it measures the oxygen level | |
| in the blood. Hemoglobin molecules change shape when they carry | |
| oxygen and the different shapes react differently to magnets, | |
| which is a real stroke of luck | |
| physPop wrote 16 hours 12 min ago: | |
| it doesn't measure the oxygen level directly either. the bold | |
| signal is correlated to dephasing induced by the oxy/deoxy hg | |
| ratio that isn't even necessarially localized to the voxel | |
| (flow or long range magnetic susceptibility perturbations from | |
| nearby accumulated deoxyhg (veins)). | |
| jawilson2 wrote 1 day ago: | |
| Yep, this is why it's also called BOLD imaging, for | |
| blood-oxygenation-level-dependent fMRI. I did my PhD is BME and | |
| brain-computer interfaces, but it has been a while since I | |
| worked in the field. | |
| freehorse wrote 1 day ago: | |
| Structural MRI does not record brain activity, because it is, like, | |
| structural, not functional. | |
| Structural MRI is even more abused, where people find "differences" | |
| between 2 groups with ridiculously small sample sizes. | |
| kgarten wrote 1 day ago: | |
| wondering why you are downvoted. You are right, though it's kind of | |
| inferred that the author means fMRI as the title focuses on brain | |
| activity only. | |
| kspacewalk2 wrote 1 day ago: | |
| It's not that fMRI itself is controversial, it's that it is prone to | |
| statistical abuse unless you're careful in how you analyse the data. | |
| That's what the dead salmon study showed - some voxels will appear | |
| "active" purely by statistical chance, so without correction you will | |
| get spurious activations. | |
| tsimionescu wrote 1 day ago: | |
| This study questions the fMRI method itself, not the statistical | |
| analysis (you're right that the dead salmon study was challenging | |
| the way statistical analysis is done). Basically, this study claims | |
| that the association between the BOLD signal measured by fMRI and | |
| actual brain activity is quite weak, and they are even | |
| anti-correlated in 40% of cases. | |
| There is no statistical analysis that can save you if your | |
| interpretation of a signal is wrong (for example, you can't get | |
| information about personality from phrenology, regardless of what | |
| statistical analysis you try to apply to the data). That's not to | |
| say that we need to just trust this study implicitly - I'm just | |
| trying to describe how serious of a problem to the field their | |
| claim is. | |
| bschne wrote 1 day ago: | |
| you're telling me the results of this paper were likely bs? --- | |
| [1]: https://www.sciencedirect.com/science/article/abs/pii/S1053811... | |
| kspacewalk2 wrote 1 day ago: | |
| Curious what you find to be "bs" about the results of this paper? | |
| That statistical corrections are necessary when analysing fMRI scans | |
| to prevent spurious "activations" that are only there by chance? | |
| koolala wrote 1 day ago: | |
| They were being sarcastic. | |
| parpfish wrote 1 day ago: | |
| The point of the salmon paper is to demonstrate to people âif you | |
| do your stats wrong, youâre going to think noise is realâ and not | |
| âfmri is bsâ | |
| prefrontal wrote 1 day ago: | |
| As the first author on the salmon paper, yes, that was exactly our | |
| point. Researchers were capitalizing on chance in many cases as | |
| they failed to do effective corrections to the multiple comparisons | |
| problem. We argued with the dead fish that they should. | |
| chuckadams wrote 1 day ago: | |
| > We argued with the dead fish that they should. | |
| Arguing with a dead fish may be a sign you're working too hard :) | |
| prefrontal wrote 1 day ago: | |
| Yeah, it did prove to be a rather one-sided conversation... ;) | |
| chuckadams wrote 1 day ago: | |
| Did you try tuning it? | |
| [1]: https://youtu.be/F2y92obnsc0 | |
| rdgthree wrote 1 day ago: | |
| Nothing to add to this conversation in particular, but just | |
| wanted to say - truly amazing paper. Well done! | |
| prefrontal wrote 1 day ago: | |
| Many thanks! It was a ton of fun. Hard to beleive that we are | |
| coming up on 20 years since the data for the salmon was first | |
| collected... | |
| fishnchips wrote 1 day ago: | |
| Oh man you stole my thunder. I hoped to be the first to bring up the | |
| dead salmon. | |
| <- back to front page |