Single photon emission computed tomography (SPECT) is a widely availab
le neuroimaging technique for the three-dimensional assessment of regi
onal cerebral blood flow. The clinical utility of SPECT in neuropsychi
atry is well established, and research devoted to its use in primary p
sychiatric disorders has been gaining momentum. In this review recent
developments in SPECT neuroimaging are described, including the utilit
y of SPECT in the differential diagnosis of the dementias and other ne
uropsychiatric conditions; SPECT studies of patients with affective di
sorders, at baseline and after treatment; and SPECT studies utilizing
innovative techniques such as neuroreceptor imaging and activation str
ategies. Advances in SPECT research methodology and study design that
may contribute to clarifying the pathophysiology of psychiatric disord
ers are examined.