This tutorial is written by LMT contributor Neil Turner and is cross-posted on Neil's World.

Since upgrading to Movable Type 3.2 I’ve dumped Jay Allen’s MT-Blacklist and instead made SpamLookup handle comment/trackback spam on its own. The plugin is included by default on MT 3.2, and while it can do a good job as it is, you might like to try some tune-ups to make it more effective.
Moderation and Junking
In Movable Type 2.x, comments just had one status - published. Any spam blocking system could only accept or deny comments and trackbacks. In MT 3.0x and 3.1x, comments gained an additional status - ‘moderated’. This was where comments could be held for human approval before being published, and tools like SpamLookup and MT-Blacklist could hold comments here if they thought they might be spam but couldn’t be sure.
With 3.2x, trackbacks can also be moderated, but a new third status has been added for both: junk. Now, rather than deleting spam outright, you’ll find plugins send it sent here instead. That way, if you have a false positive - a comment that is seen as being spam but isn’t - you can retrieve it.
The junk status also has a rating system, and plugins can adjust the rating for an individual comment or trackback. The rating is between 10 and -10 - comments with a negative score are junked, otherwise they are moderated or published. You’ll find that SpamLookup can reduce the rating of comments that it thinks are spam, but also add points if, say the comment has no links or has been posted with a URL that has already been accepted before.