Canadian Psychiatric Association

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Editorial
In This Issue
Quentin Rae-Grant
(PDF)


Original Research
Quality of Life in OCD: Differential Impact of Obsessions, Compulsions, and Depression Comorbidity

Mario Masellis, Neil A Rector, Margaret A Richter

(PDF)

A Pilot Study of a Parent-Education Group for Families Affected by Depression
Mark Sanford, Carolyn Byrne, Susan Williams, Sandy Atley, Ted Ridley, Jennifer Miller, Heather Allin

(PDF)

Differentiating Symptoms of Complicated Grief and Depression Among Psychiatric Outpatients
John S Ogrodniczuk, William E Piper, Anthony S Joyce, Rene Weideman, Mary McCallum, Hassan F Azim, John S Rosie

(PDF)

Filicidal Women: Jail or Psychiatric Ward?
Line Laporte, Bernard Poulin, Jacques Marleau, Renée Roy, Thierry Webanck

(PDF)

Phenomenology and Comorbidity of Dysthymic Disorder in 100 Consecutively Referred Children and Adolescents: Beyond DSM-IV
Gabriele Masi, Stefania Millepiedi, Maria Mucci, Rosa Rita Pascale, Giulio Perugi, Hagop S Akiskal

(PDF)

A Multicentre Prospective Controlled Study to Determine the Safety of Trazodone and Nefazodone Use During Pregnancy
Adrienne Einarson, Lori Bonari, Sharon Voyer-Lavigne, Antonio Addis, Doreen Matsui, Yvette Johnson, Gideon Koren

(PDF)


Brief Communication
Clozapine Treatment in Patients With Prior Substance Abuse

Deanna L Kelly, Elizabeth A Gale, Robert R Conley

(PDF)

The Effect of Peer Support on Postpartum Depression: A Pilot Randomized Controlled Trial
Cindy-Lee Dennis

(PDF)


Book Reviews
(PDF)

Psychological Aspects of Women’s Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology. 2nd Edition.
Reviewed by
Vera Lantos, MD, FRCPC

Introduction to Functional Magnetic Resonance Imaging: Principles and Techniques.
Reviewed by
Jimmy Jensen, PhD,
Shitij Kapur, MD, FRCPC, PhD

Planification et évaluation des besoins en santé mentale.
Revue par
Raymond Tempier, MD

Clinical Interaction and the Analysis of Meaning: A New Psychoanalytic Theory.
Reviewed by
Paul Ian Steinberg, MD, FRCPC

Evidence and Experience in Psychiatry. Volume 2: Schizophrenia.
Reviewed by
Mary V Seeman, MD

Schizophrenia Revealed: From Neurons to Social Interactions.
Reviewed by
Emmanuel Stip, MD

How’s Your Marriage? A Book for Men and Women.
Reviewed by
Karl M Tomm, MD FRCPC,
Cynthia A Beck, MD MASc FRCPC

L’extermination des malades mentaux dans l’allemagne nazie.
Revue par
Frédéric Grunberg, MD

Physicalism and Its Discontents.
Reviewed by
Dorian Deshauer, MD FRCP


Letters to the Editor
(PDF)

Zenker’s Diverticulum and Psychosis in the Elderly

Anorgasmia and Withdrawal Syndrome in a Woman Taking Gabapentin

Stage-Oriented Trauma Treatment Using Dialectical Behaviour Therapy

Sexual Sadism With Lust-Murder Proclivities in a Female?

Topiramate-Induced Suicidality

Bright-Light Therapy in Somatization Disorder

Venlafaxine-Induced Delirium

New Dosage-Reduction Regime to Avoid Paroxetine Discontinuation Syndrome

Risperidone-Induced Galactorrhoea: A Case Series

Gamma Hydroxybutyrate Withdrawal in an Orthopedic Trauma Patient

Version française de la Wender Utah Rating Scale (WURS)

Book Review


Brain Imaging

Introduction to Functional Magnetic Resonance Imaging: Principles and Techniques. Richard B Buxton. Cambridge: Cambridge University Press; 2002. 523 p. US$140.00.


Reviewer rating*: Very Good

Review by: Jimmy Jensen, PhD,
Shitij Kapur, MD, FRCPC, PhD
Toronto, Ontario

Functional Magnetic Resonance Imaging (fMRI) has received much attention and interest in the past decade. The increasing number of scanners around the world has made it possible for many groups to use this technique. Until now, however, it has been difficult to find a single, comprehensive source from which to gain the understand of its different aspects that is necessary before conducting experiments (for example, physics, physiological underpinnings of the MRI signal, experimental design, and analysis).

Richard B Buxton’s book attempts to resolve this need for educational material. The author is not only a professor in radiology with a background in physics but a leading authority in the MRI field. In this book, he introduces how fMRI works, describing basic principles and the underlying physics and physiology as well as more recent techniques. His aim is that the book should be accessible to new investigators or clinicians and that it should contain sufficient depth for active investigators to find it useful.

The book is divided into 3 major sections. Section 1, a general introduction to imaging—especially fMRI—begins with a discussion about the brain metabolism and how it relates to activation. Buxton provides a comprehensive explanation of the physiology behind the most common signal measured with fMRI, the blood oxygenation level dependent (BOLD). The section continues with a review of basic MRI physics and principles, such as how localization of brain activations is performed. It ends with a discussion about different fMRI techniques. The section is clearly written, covers most basics, and can be quite easily understood.

The remainder of the book describes, in more detail, some issues that were discussed in the first section. The second section primarily covers the MRI signal and how it is imaged. Although the physics is more advanced and more difficult to grasp, we also learn more about fMRI core features; specifically, pulse sequences, k-space, and noise. This section provides benefits in that Buxton explains how features interconnect (for example, the relation between field-of-view, resolution, pixel, and voxel) and how the RF-pulse and band and magnetic field gradients relate to slice selection. Several areas in this section are advanced, making them less accessible for beginners in the field.

In the first part of the last section, Buxton is a bit ahead of current mainstream fMRI imaging. Along with BOLD, he discusses other more recent fMRI techniques, such as arterial spin labelling and contrast agent techniques. According to Buxton, these techniques will become more important in the near future. This section ends with 2 chapters that provide an overview of statistical analysis and experimental design for BOLD experiments. However, these last 2 chapters are less thorough: in other words, they do not contain the depth of previous chapters and, as a result, leave us wanting more information about conducting a good experiment and about how different preprocessing stages affect data. Design and analysis, however, are large areas to cover, and the author promises only fMRI principles and techniques in the book’s title.

This book aims to reach both beginners and active scientists and clinicians in the fMRI field, and Buxton has succeeded. The book relies on text and figures with explanations, rather than on colour pictures, which makes it a valuable reference source. Although he does not always succeed in explaining the difficult areas simply, readers will most likely find the answers to their questions. The book also offers a few boxes with highlighted areas to broaden the topic under discussion, and for the more advanced reader, mathematical explanations are included. Frequently, some topics are repeated over and over again (for example, the physiological foundation of the BOLD). However, if the sections were meant to be independent, these overlaps may have been a conscious choice. The best way to use this high-density fact book is as a reference. Unfortunately, most papers from the fMRI field contain strange words and acronyms; however, Buxton explains most of these and their relation to each other.



*Reviewer Rating Scale/ Échelle d’évaluation du réviseur

Excellent / Excellent
Very Good / Très bon
Good / Bon
Fair / Passable
Not recommended / Pas recommandé

 


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