General activation of cerebral metabolism with speech: a PET study

Contribution of the frontal lobe to externally and internally specified verbal responses: fMRI evidence

It has been suggested that within the frontal cortex there is a lateral to medial shift in the control of action, with the lateral premotor area (PMA) involved in externally specified actions and the medial supplementary motor areas (SMA) involved in internally specified actions. Recent brain imaging studies demonstrate, however, that the control of externally and internally specified actions may involve more complex and overlapping networks involving not only the PMA and the SMA, but also the pre-SMA and the lateral prefrontal cortex (PFC). The aim of the present study was to determine whether these frontal regions are differentially involved in the production of verbal responses, when they are externally specified and when they are internally specified. Participants engaged in three overt speaking tasks in which the degree of response specification differed. The tasks involved reading aloud words (externally specified), or generating words aloud from narrow or broad semantic categories (internally specified). Using fMRI, the location and magnitude of the BOLD activity for these tasks was measured in a group of ten participants. Compared with rest, all tasks activated the primary motor area and the SMA-proper, reflecting their common role in speech production. The magnitude of the activity in the PFC (Brodmann area 45), the left PMAv and the pre-SMA increased for word generation, suggesting that each of these three regions plays a role in internally specified action selection. This confirms previous reports concerning the participation of the pre-SMA in verbal response selection. The pattern of activity in PMAv suggests participation in both externally and internally specified verbal actions.

Does functional neuroimaging solve the questions of neurolinguistics?

Neurolinguistic research has been engaged in evaluating models of language using measures from brain structure and function, and/or in investigating brain structure and function with respect to language representation using proposed models of language. While the aphasiological strategy, which classifies aphasias based on performance modality and a few linguistic variables, has been the most stable, cognitive neurolinguistics has had less success in reliably associating more elaborately proposed levels and units of language models with brain structure. Functional imaging emerged at this stage of neurolinguistic research. In this review article, it is proposed that the often-inconsistent superfluity of outcomes arising from functional imaging studies of language awaits adjustment at both "ends" of the process: model and data. Assumptions that our current language models consistently and reliably represent implicit knowledge within human cerebral processing are in line for major revision; and the promise of functional brain imaging to reveal any such knowledge structures must incorporate stable correlates of the imaging signal as dependent variable.

Neuroscientific Psychophysiology: The International Organization of Psychophysiology (I.O.P.) associated with the United Nations (New York) in the 21st Century

This Presidential Address 2004 emphasizes the pivotal role of Psychophysiology as an integrated neuroscience with a panoply of electrophysiological and neuroimaging technologies for the establishment of methodologically crucial conceptual links for the understanding and mapping of brain functions pertaining to cognitive, emotional and motivational processes. Moreover, Psychophysiology's unique neuroscientific perspective by integrating functions of central and autonomic nervous systems with behavior in health and disease is underlined. Based on these developments, the progress of rigorous neuroscientific Clinical Psychophysiology offers possibilities for diagnosis, treatment and objective evaluation of therapeutic outcome in various pathological conditions.

Psychophysiology by the end of the 20th century

The first real breakthrough in the research of brain organization and thinking in the 20th century was made in neurophysiological investigations performed in direct contact with different sites of the brain, which became possible in diagnosis and treatment. The second breakthrough is happening at present. It is based on the opportunities provided by the non-invasive technique. The theory of the unique character of the brain system consisting of rigid and flexible elements maintaining thinking was created as well as concepts on the reliability in the system, of the error detector and intrinsic protective mechanisms of the brain. In the clinic these data enabled us to help patients who had lost various functions due to stroke. In confirmation with the above theory it was revealed that the same task could be solved in the brain by systems consisting of different elements due to environmental changes or even direction of attention. Data on the functional properties or every zone of the cortex and subcortex as well as cerebellum are rapidly increasing in number. The first priority lies in neurophysiologically penetrating into the physiological character and micromosaic of the activation sites of PET. The main aim of future brain research lies in the investigation of the fine physiological rearrangements which underlie thinking, i.e. deciphering its brain code. This is going to be the basis for the third, extremely valid breakthrough in the research on brain organization of thinking.

Conceptual processing during the conscious resting state. A functional MRI study

Localized, task-induced decreases in cerebral blood flow are a frequent finding in functional brain imaging research but remain poorly understood. One account of these phenomena postulates processes ongoing during conscious, resting states that are interrupted or inhibited by task performance. Psychological evidence suggests that conscious humans are engaged almost continuously in adaptive processes involving semantic knowledge retrieval, representation in awareness, and directed manipulation of represented knowledge for organization, problem-solving, and planning. If interruption of such 'conceptual' processes accounts for task-induced deactivation, tasks that also engage these conceptual processes should not cause deactivation. Furthermore, comparisons between conceptual and nonconceptual tasks should show activation during conceptual tasks of the same brain areas that are 'deactivated' relative to rest. To test this model, functional magnetic resonance imaging data were acquired during a resting state, a perceptual task, and a semantic retrieval task. A network of left-hemisphere polymodal cortical regions showed higher signal values during the resting state than during the perceptual task but equal values during the resting and semantic conditions. This result is consistent with the proposal that perceptual tasks interrupt processes ongoing during rest that involve many of the same brain areas engaged during semantic retrieval. As further evidence for this model, the same network of brain areas was activated in two direct comparisons between semantic and perceptual processing tasks. This same 'conceptual processing' network was also identified in several previous studies that contrasted semantic and perceptual tasks or resting and active states. The model proposed here offers a unified account of these findings and may help to explain several unanticipated results from prior studies of semantic processing.

Role of the nondominant hemisphere and undamaged area during word repetition in poststroke aphasics. A PET activation study

BACKGROUND AND PURPOSE

Although the resting regional cerebral blood flow (rCBF) in aphasic patients has been thoroughly investigated with positron emission tomography (PET) and single-photon emission CT, and PET studies in normal subjects have elucidated the functional localization of language processing, little is known about the activation pattern of language processing in aphasic patients.

METHODS

We measured the changes in rCBF during a repetition task (hearing a single word and repeating it aloud) and the resting state using the H2(15)O PET activation technique in 6 normal subjects (mean +/- SD age, 58.3 +/- 8.1 years) and 16 aphasic patients: 10 fluent aphasics (age, 60.3 +/- 12.5 years) and 6 nonfluent aphasics (age, 50.5 +/- 8.3 years).

RESULTS

In normal subjects, the posteroinferofrontal area (PIF) including Broca's area, the posterosuperotemporal area (PST) including Wernicke's area, the rolandic areas, and a few other areas were activated with left side dominance by the repetition task. In the resting state, the rCBF in the left PIF and the left posterotemporal area was reduced in both fluent and nonfluent aphasics. In aphasic patients, the magnitude of activation in the right PIF and PST by the repetition task was greater than in normal subjects. The increase in rCBF during the repetition task in the left PIF correlated with the Western Aphasia Battery score of spontaneous speech in the nonfluent aphasics with a left inferofrontal lesion.

CONCLUSIONS

This study shows the importance in aphasic patients of the mirror regions of the left PIF and PST in the nondominant (right) hemisphere for performing the word repetition task. The results also show the importance for nonfluent aphasic patients of the recruitment of the undamaged PIF for spontaneous speech.