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. 2013 Jun 30;212(3):167-74.
doi: 10.1016/j.pscychresns.2013.01.009. Epub 2013 May 1.

An application of item response theory to fMRI data: prospects and pitfalls

Affiliations

An application of item response theory to fMRI data: prospects and pitfalls

Michael L Thomas et al. Psychiatry Res. .

Abstract

When using functional brain imaging to study neuropsychiatric patients an important challenge is determining whether the imaging task assesses individual differences with equal precision in healthy control and impaired patient groups. Classical test theory (CTT) requires separate reliability studies of patients and controls to determine equivalent measurement precision with additional studies to determine measurement precision for different levels of disease severity. Unlike CTT, item response theory (IRT) provides estimates of measurement error for different levels of ability, without the need for separate studies, and can determine if different tests are equivalently difficult when investigating differential deficits between groups. To determine the potential value of IRT in functional brain imaging, IRT was applied to behavioral data obtained during a multi-center functional MRI (fMRI) study of working memory (WM). Average item difficulty was approximately one standard deviation below the ability scale mean, supporting the task's sensitivity to individual differences within the ability range of patients with WM impairment, but not within the range of most controls. The correlation of IRT estimated ability with fMRI activation during the task recognition period supported the linkage of the latent IRT scale to brain activation data. IRT can meaningfully contribute to the design of fMRI tasks.

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Figures

Fig. 1
Fig. 1
Panels on the left are derived from acquired study data. The remaining panels are simulated data. Top: Loess fit of histograms for Working Memory Task ability (solid lines) and item difficulty (dashed lines) parameter estimates for Model 4. X-axis is scaled in standard deviation units. Bottom: standard error function for Working Memory Task ability parameter estimates in Model 4. Plots are shown for 256 easy items (left column), 171 easy items (center column), and 171 hard items (right column).
Fig. 2
Fig. 2
(A) Voxel-wise correlations of θ with %signal change during the recognition period. (B) Voxel-wise correlations of %correct with %signal change during the recognition period. Data are presented for gray matter voxels where %signal change was greater than zero.

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