---------------------------------------------------------------------- Invited Paper The International Statistical Institute's 53rd Biennial Session Seoul, South Korea August 22-30, 2001 Carey E. Priebe, Daniel Q. Naiman, Jiang Hu Department of Mathematical Sciences Whiting School of Engineering Johns Hopkins University Baltimore, MD 21218--2682 Title: Assessing the Significance of Excursion Regions in Brain Imagery via Importance Sampling Abstract: We consider the problem of assessing the significance of excursion regions in brain imagery (PET, fMRI, etc.). For example, one application of PET involves collecting volumetric brain image data from each of a number of subjects during two different states, $A$ and $B$, and subtracting these to produce a contrast image $C=B-A$. Local regions of high intensity in the contrast image $C$ are considered to be regions with increased blood flow associated with state $B$ relative to state $A$. This in turn is considered to be indicative of increased neural activity representing regionally specific effects attributable to state $B$. Assessing the significance of such regions is a stage in the attempt to understand the workings of the brain. We present a methodology based on importance sampling which provides a computationally efficient unbiased estimate of the p-value for the test of homogeneity (no excursion regions) against the alternative of nonhomogeneity (the existence of local excursion regions). Our methodology is indicated in cases where the true p-value is not so small as to allow for approximations based on extreme value theory, yet small enough to prohibit estimation via naive Monte Carlo. ----------------------------------------------------------------------