False-positive analysis of functional MRI during simulated deep brain stimulation: a phantom study

Ho-Ling Liu1, Hsin-Mei Chen, Yu-Chien Wu

  • 1Department of Medical Imaging and Radiological Sciences, Chang Gung University, Taoyuan, Taiwan.

Abstract

Insights

This study used fMRI phantom experiments to assess false-positive activations during deep brain stimulation (DBS). Results show that a statistical threshold of P < 0.001 effectively controls false positives without increasing them with shorter interscan waiting times.

Area of Science:

  • Neuroimaging
  • Medical Physics

Background:

  • Functional MRI (fMRI) is crucial for evaluating deep brain stimulation (DBS) effects.
  • Understanding and controlling false-positive signals in fMRI is essential for accurate interpretation of DBS-related brain activity.

Purpose of the Study:

  • To investigate and quantify false-positive activations/deactivations in fMRI during simulated deep brain stimulation (DBS).
  • To evaluate the impact of interscan waiting time (ISWT) on fMRI false-positive rates.

Main Methods:

  • fMRI experiments were conducted on an agar-gel phantom with implanted DBS electrodes using a 1.5T scanner.
  • Gradient-echo echo-planar imaging (GE-EPI) sequences were employed with varying ISWT (3500 msec and 5160 msec).
  • Statistical Parametric Mapping (SPM2) software was used to analyze data and detect false-positive voxels across different P-value thresholds.

Main Results:

  • The number of false-positive voxels did not significantly differ between experimental and control conditions for both short and long ISWT.
  • False-positive counts increased with less stringent P-value thresholds (e.g., ~40 at P < 0.05 compared to zero at P < 0.0001).
  • The observed pattern of increasing false positives with P-value was consistent across all tested conditions.

Conclusions:

  • A statistical threshold of P < 0.001 or stricter is recommended to effectively control false-positive findings in fMRI studies with similar designs.
  • A shorter ISWT of 3500 msec did not lead to an increase in false-positive fMRI reactions compared to a longer ISWT of 5160 msec.

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