FORENSIC TOXICOLOGY

An amphetamine imaging study found that the relationship between brain-signal variability and working-memory performance depended on age and drug-session order. Greater variability was not a universal indicator of better performance.

Study design

Garrett and colleagues examined younger and older adults during a letter N-back task under amphetamine and placebo. Functional MRI quantified variability in the blood-oxygenation signal, rather than only its average amplitude. The analysis also considered whether a participant received the drug condition before or after placebo, allowing interactions with task practice to be examined.

The finding and its qualifications

Older adults showed lower signal variability on placebo but reached or exceeded younger-adult levels under amphetamine. However, the association with response speed and consistency varied by session order. Older adults receiving amphetamine first tended to improve when variability increased; patterns differed when amphetamine was given second. Counterbalancing order helps control an average sequence effect, but does not make a drug-by-practice interaction disappear.

What this cannot establish

The findings concern variability of an imaging signal, not variability in a drug concentration and not a direct measurement of dopamine release. A more youthful-looking signal does not automatically demonstrate restored everyday cognition. The experiment also does not establish a treatment for normal aging or an individual impairment threshold. Its practical lesson is methodological: the meaning of a biological change may depend on prior task exposure and population. Omitting those interactions can turn a conditional finding into an unsupported claim that increasing one brain measure always improves function.

Related evidence

See why different structural brain measures should remain separate.

Primary research

Original study: 10.1073/pnas.1504090112.