Dear Christopher,

I would like to compare pre and post treatment brain activity in 10 
subjects, who were exposed (during scan) to 3 different categories of 
stimuli, presented through visual and auditory modalities 
(individually). Stimuli for each subject were presented in a 12-run 
block design (6 visual, with 2 runs of each of 3 stimuli categories; 6 
auditory, with 2 runs of each of 3 stimuli categories). I wish to 
analyze separate, and conjoined (V + A), activation over three time
points (1 pre and 2 post treatment scans).

I think I should first combine the 2 runs of each stimuli category 
(for visual and auditory presentations), and then the 2 stimuli 
modalities (V + A) for conjoined analysis but I'm having difficulty 
doing this with SPM5. I then hope to use repeated measures ANOVA. Is 
SPM5 able to handle such analyses? I would be EXTREMELY grateful for 
any advice you can offer.

Yes, SPM can handle repeated measures ANOVA of this sort I think the
simplest thing to do would be to use the summary statistic approach
and analyze your effects with a simple one-way ANOVA at the between-
subject level. This would entail creating contrasts for

Vpre Apre Vpost and Apost

for each subject. The main effect of Pre vs. Post would be tested
with a contrast [1 1 -1 -1]; - this is the conjoined effect and is composed
of the simple A [0 1 0 -1] and V [1 0 -1 0] main effects. You could also test
for a main effect of modality [1 -1 1 -1] and the interaction [1 -1 -1 1].
This approach could be extend to cover the category effect using

Vpre1 Vpre2 Vpre 3 Apre1 Apre2 Apre3 ....

You will have to specify the non-sphericity in this ANOVA because there
is more than one contrast (4 or 12) per subject. Unless you have good
reason to think that the error variance is different for the each effect, I
would specify equal variances but allow for non-independence (i.e.
correlations) with subject.

To do this ANOVA you need to construct summary statistics or contrasts
summarizing the Vpre, A pre etc.  I would do this by concatenating runs
from each subject and using the appropriate contrast (summing over the
2 runs per category and possibly the 2 post scans) at the within-subject
level  It is possible to do a run-specific first level and then average at a
second (within-subject) level, depending on which you find the simpler?

I hope this helps  - Karl