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Chunk #50 — Discussion — Limitations of the review

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Structural and functional imaging studies in chronic cannabis users: a systematic review of adolescent and adult findings.
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With regard to other methodological limitations, some studies have reported modest sample sizes, sometimes below the threshold that would be currently regarded as acceptable (for instance, for PET or SPECT studies 10 subjects and for fMRI studies 15 subjects) [29]. In this regard, strategies for expanding data-sharing would be a welcome development in future research (i.e. The Function Biomedical Informatics Research Network [191] or the 1000 Functional Connectomes project [192], [193]). However, further obstacles must be addressed to make collaborative analysis efficient, such as between-site differences in scanners and data acquisition parameters, as well as pre- and post-processing schemes. The cross-sectional designs of most of the studies reviewed here complicated the interpretation of results as pre-existing morphological or functional alterations cannot be ruled out. Furthermore, studies that merely compare those subjects exposed to an environmental factor from those that are not, are likely to promote interpretation biases whereby study findings, irrespective of their direction, tend to be interpreted as detrimental. Longitudinal evaluations in larger samples may thus prove particularly useful. With regard to technical limitations, it is remarkable to note