[Skip to Content]
[Skip to Content Landing]
Comment & Response
March 2014

The Problem of Spurious Correlations Between Pairs of Brain Metabolite Values Measured in the Same Voxel With Magnetic Resonance Spectroscopy

Author Affiliations
  • 1Imaging Research Center, Department of Psychiatry, University of California–Davis, Sacramento
JAMA Psychiatry. 2014;71(3):338-339. doi:10.1001/jamapsychiatry.2013.4343

To the Editor The article by Kraguljac and colleagues1 presents a potentially important finding on the association between hippocampal glutamate levels and hippocampal morphology. However, one aspect of the article requires correction. The authors report a significant positive correlation (r = +0.39) between N-acetylaspartate (NAA)/creatine (Cr) and glutamate and glutamine (Glx)/Cr in normal participants that is lost in patients with schizophrenia (r = −0.19). Unfortunately, using zero correlation as the null hypothesis here is incorrect because Glx/Cr and NAA/Cr are not independent numbers. Both include the Cr value in their denominator.

First Page Preview View Large
First page PDF preview
First page PDF preview