ABSTRACT

Magnetic resonance (MR) has become a ubiquitous tool for noninvasive investi-

gation of brain changes in individuals suffering from psychiatric disease. How-

ever, it was only a short time ago that such studies became possible. The crucial

discovery of how to make images from MR occurred in early 1970s (1,2), with the

first human head scanned in 1978, requiring several hours to make a single image

(3). By the middle of the 1980s, technical advances in computing, scanner hard-

ware, and acquisition methodologies, made rapid imaging of the whole brain

feasible. By the late 1980s, the use of magnetic resonance imaging (MRI) as a

clinical and research tool had become widespread for measuring structure vol-

umes, tissue relaxation (described below), and brain chemistry. In the 1990s, blood

oxygenation level-dependent (BOLD) imaging was developed to measure brain

activation (4), a phenomenon known to occur since the turn of the century [for

review see (5)]. Though oxygenation changes could previously be measured by

single photon emission computed tomography (SPECT) or positron emission

tomography (PET) using radioactive tracers (6), the noninvasive nature of

BOLD MRI greatly facilitated the ability to make noninvasive examination

about the “thinking” brain, leading to widespread studies of cognition in health

and disease. In parallel with these improved data acquisition methods, analytic

methods have also made dramatic improvements. Whereas early structural

imaging studies were largely limited to tracing slice-by-slice areas using a

digitizer, multidimensional assessment of many sophisticated image parameters

can be rapidly obtained with modern computing and methods (e.g., regional

cortical volumes, metrics of shape, cortical thickness, activation locations to a

performed task, etc.).