Most approaches to detecting changes in functional brain images assume
that activations are focal or very localized. However, the brain's re
sponse to cognitive of sensorimotor challenge may be spatially or anat
omically distributed. In this paper we consider the usefulness of a te
st based on the mean sum of squares of statistical parametric maps. Th
e performance of this test is evaluated using simulated and real data
and is compared to the gamma(2) test, a test of the size of the activa
ted region, and a focal activation test based on the intensity of loca
l maxima. We demonstrate that the mean sum of squares test is more sen
sitive to nonfocal signals and propose that it could be used to comple
ment approaches that are more sensitive to focal activations. (C) 1995
Academic Press, Inc.