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Abstract
Nowadays, several techniques exist to study and better understand how the brain works (fMRI, EEG, electrophysiology, etc.). Each has its own advantages and disadvantages (spatiotemporal resolution, maximal recording depth, signal-to-noise ratio, etc.). In this article, we show that the new functional ultrasound (fUS) imaging technique is appropriate to record and map brain activity in awake primates on a scale previously unreachable. It allows distinguishing patterns similar to ocular dominance bands in the visual cortex through all layers of the cortex, which was impossible before with common techniques. This paper demonstrates the utility of fUS imaging for studying brain activity in awake primates and its interest to all neuroscientists. Deep regions of the brain are not easily accessible to investigation at the mesoscale level in awake animals or humans. We have recently developed a functional ultrasound (fUS) technique that enables imaging hemodynamic responses to visual tasks. Using fUS imaging on two awake nonhuman primates performing a passive fixation task, we constructed retinotopic maps at depth in the visual cortex (V1, V2, and V3) in the calcarine and lunate sulci. The maps could be acquired in a single-hour session with relatively few presentations of the stimuli. The spatial resolution of the technology is illustrated by mapping patterns similar to ocular dominance (OD) columns within superficial and deep layers of the primary visual cortex. These acquisitions using fUS suggested that OD selectivity is mostly present in layer IV but with extensions into layers II/III and V. This imaging technology provides a new mesoscale approach to the mapping of brain activity at high spatiotemporal resolution in awake subjects within the whole depth of the cortex.
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Scott BH, Leccese PA, Saleem KS, Kikuchi Y, Mullarkey MP, Fukushima M, Mishkin M, Saunders RC. Intrinsic Connections of the Core Auditory Cortical Regions and Rostral Supratemporal Plane in the Macaque Monkey. Cereb Cortex 2018; 27:809-840. [PMID: 26620266 DOI: 10.1093/cercor/bhv277] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
In the ventral stream of the primate auditory cortex, cortico-cortical projections emanate from the primary auditory cortex (AI) along 2 principal axes: one mediolateral, the other caudorostral. Connections in the mediolateral direction from core, to belt, to parabelt, have been well described, but less is known about the flow of information along the supratemporal plane (STP) in the caudorostral dimension. Neuroanatomical tracers were injected throughout the caudorostral extent of the auditory core and rostral STP by direct visualization of the cortical surface. Auditory cortical areas were distinguished by SMI-32 immunostaining for neurofilament, in addition to established cytoarchitectonic criteria. The results describe a pathway comprising step-wise projections from AI through the rostral and rostrotemporal fields of the core (R and RT), continuing to the recently identified rostrotemporal polar field (RTp) and the dorsal temporal pole. Each area was strongly and reciprocally connected with the areas immediately caudal and rostral to it, though deviations from strictly serial connectivity were observed. In RTp, inputs converged from core, belt, parabelt, and the auditory thalamus, as well as higher order cortical regions. The results support a rostrally directed flow of auditory information with complex and recurrent connections, similar to the ventral stream of macaque visual cortex.
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Affiliation(s)
- Brian H Scott
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA
| | - Paul A Leccese
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA
| | - Kadharbatcha S Saleem
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA
| | - Yukiko Kikuchi
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA.,Present address: Institute of Neuroscience, Newcastle University Medical School, Newcastle Upon Tyne NE2 4HH, UK
| | - Matthew P Mullarkey
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA
| | - Makoto Fukushima
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA
| | - Mortimer Mishkin
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA
| | - Richard C Saunders
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health (NIMH/NIH), Bethesda, MD 20892, USA
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Fukushima M, Chao ZC, Fujii N. Studying brain functions with mesoscopic measurements: Advances in electrocorticography for non-human primates. Curr Opin Neurobiol 2015; 32:124-31. [PMID: 25889531 DOI: 10.1016/j.conb.2015.03.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2014] [Revised: 02/07/2015] [Accepted: 03/23/2015] [Indexed: 10/23/2022]
Abstract
Our brain is organized in a modular structure. Information in different modalities is processed within distinct cortical areas. However, individual cortical areas cannot enable complex cognitive functions without interacting with other cortical areas. Electrocorticography (ECoG) has recently become an important tool for studying global network activity across cortical areas in animal models. With stable recordings of electrical field potentials from multiple cortical areas, ECoG provides an opportunity to systematically study large-scale cortical activity at a mesoscopic spatiotemporal resolution under various experimental conditions. Recent developments in thin, flexible ECoG electrodes permit recording field potentials from not only gyral but intrasulcal cortical surfaces. Our review here focuses on the recent advances of ECoG applications to non-human primates.
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Affiliation(s)
- Makoto Fukushima
- Laboratory of Neuropsychology, National Institute of Mental Health, National Institutes of Health, 49 Convent Drive, Bethesda, MD 20892, USA
| | - Zenas C Chao
- Laboratory for Adaptive Intelligence Brain Science Institute, RIKEN, 2-1 Hirosawa, Wako 351-0198, Saitama, Japan
| | - Naotaka Fujii
- Laboratory for Adaptive Intelligence Brain Science Institute, RIKEN, 2-1 Hirosawa, Wako 351-0198, Saitama, Japan.
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Hackett TA, de la Mothe LA, Camalier CR, Falchier A, Lakatos P, Kajikawa Y, Schroeder CE. Feedforward and feedback projections of caudal belt and parabelt areas of auditory cortex: refining the hierarchical model. Front Neurosci 2014; 8:72. [PMID: 24795550 PMCID: PMC4001064 DOI: 10.3389/fnins.2014.00072] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2014] [Accepted: 03/25/2014] [Indexed: 12/21/2022] Open
Abstract
Our working model of the primate auditory cortex recognizes three major regions (core, belt, parabelt), subdivided into thirteen areas. The connections between areas are topographically ordered in a manner consistent with information flow along two major anatomical axes: core-belt-parabelt and caudal-rostral. Remarkably, most of the connections supporting this model were revealed using retrograde tracing techniques. Little is known about laminar circuitry, as anterograde tracing of axon terminations has rarely been used. The purpose of the present study was to examine the laminar projections of three areas of auditory cortex, pursuant to analysis of all areas. The selected areas were: middle lateral belt (ML); caudomedial belt (CM); and caudal parabelt (CPB). Injections of anterograde tracers yielded data consistent with major features of our model, and also new findings that compel modifications. Results supporting the model were: (1) feedforward projection from ML and CM terminated in CPB; (2) feedforward projections from ML and CPB terminated in rostral areas of the belt and parabelt; and (3) feedback projections typified inputs to the core region from belt and parabelt. At odds with the model was the convergence of feedforward inputs into rostral medial belt from ML and CPB. This was unexpected since CPB is at a higher stage of the processing hierarchy, with mainly feedback projections to all other belt areas. Lastly, extending the model, feedforward projections from CM, ML, and CPB overlapped in the temporal parietal occipital area (TPO) in the superior temporal sulcus, indicating significant auditory influence on sensory processing in this region. The combined results refine our working model and highlight the need to complete studies of the laminar inputs to all areas of auditory cortex. Their documentation is essential for developing informed hypotheses about the neurophysiological influences of inputs to each layer and area.
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Affiliation(s)
- Troy A Hackett
- Department of Hearing and Speech Sciences, Vanderbilt University School of Medicine Nashville, TN, USA
| | | | - Corrie R Camalier
- Department of Hearing and Speech Sciences, Vanderbilt University School of Medicine Nashville, TN, USA ; Laboratory of Neuropsychology, National Institutes of Mental Health Bethesda, MD, USA
| | - Arnaud Falchier
- Cognitive Neuroscience and Schizophrenia Program, Nathan Kline Institute Orangeburg, NY, USA ; Department of Psychiatry, Columbia University College of Physicians and Surgeons New York, NY, USA
| | - Peter Lakatos
- Cognitive Neuroscience and Schizophrenia Program, Nathan Kline Institute Orangeburg, NY, USA ; Department of Psychiatry, Columbia University College of Physicians and Surgeons New York, NY, USA
| | - Yoshinao Kajikawa
- Cognitive Neuroscience and Schizophrenia Program, Nathan Kline Institute Orangeburg, NY, USA ; Department of Psychiatry, Columbia University College of Physicians and Surgeons New York, NY, USA
| | - Charles E Schroeder
- Cognitive Neuroscience and Schizophrenia Program, Nathan Kline Institute Orangeburg, NY, USA ; Department of Psychiatry, Columbia University College of Physicians and Surgeons New York, NY, USA
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Kuśmierek P, Ortiz M, Rauschecker JP. Sound-identity processing in early areas of the auditory ventral stream in the macaque. J Neurophysiol 2011; 107:1123-41. [PMID: 22131372 DOI: 10.1152/jn.00793.2011] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Auditory cortical processing is thought to be accomplished along two processing streams. The existence of a posterior/dorsal stream dealing, among others, with the processing of spatial aspects of sound has been corroborated by numerous studies in several species. An anterior/ventral stream for the processing of nonspatial sound qualities, including the identification of sounds such as species-specific vocalizations, has also received much support. Originally discovered in anterolateral belt cortex, most recent work on the anterior/ventral pathway has been performed on far anterior superior temporal (ST) areas and on ventrolateral prefrontal cortex (VLPFC). Regions of the anterior/ventral stream near its origin in early auditory areas have been less explored. In the present study, we examined three early auditory regions with different anteroposterior locations (caudal, middle, and rostral) in awake rhesus macaques. We analyzed how well classification based on sound-evoked activity patterns of neuronal populations replicates the original stimulus categories. Of the three regions, the rostral region (rR), which included core area R and medial belt area RM, yielded the greatest classification success across all stimulus classes or between classes of natural sounds. Starting from ∼80 ms past stimulus onset, clustering based on the population response in rR became clearly more successful than clustering based on responses from any other region. Our study demonstrates that specialization for sound-identity processing can be found very early in the auditory ventral stream. Furthermore, the fact that this processing develops over time can shed light on underlying mechanisms. Finally, we show that population analysis is a more sensitive method for revealing functional specialization than conventional types of analysis.
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Affiliation(s)
- Paweł Kuśmierek
- Department of Neuroscience, Georgetown University Medical Center, Washington, District of Columbia 20057, USA.
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Matsuo T, Kawasaki K, Osada T, Sawahata H, Suzuki T, Shibata M, Miyakawa N, Nakahara K, Iijima A, Sato N, Kawai K, Saito N, Hasegawa I. Intrasulcal electrocorticography in macaque monkeys with minimally invasive neurosurgical protocols. Front Syst Neurosci 2011; 5:34. [PMID: 21647392 PMCID: PMC3103840 DOI: 10.3389/fnsys.2011.00034] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2011] [Accepted: 05/12/2011] [Indexed: 11/13/2022] Open
Abstract
Electrocorticography (ECoG), multichannel brain-surface recording and stimulation with probe electrode arrays, has become a potent methodology not only for clinical neurosurgery but also for basic neuroscience using animal models. The highly evolved primate's brain has deep cerebral sulci, and both gyral and intrasulcal cortical regions have been implicated in important functional processes. However, direct experimental access is typically limited to gyral regions, since placing probes into sulci is difficult without damaging the surrounding tissues. Here we describe a novel methodology for intrasulcal ECoG in macaque monkeys. We designed and fabricated ultra-thin flexible probes for macaques with micro-electro-mechanical systems technology. We developed minimally invasive operative protocols to implant the probes by introducing cutting-edge devices for human neurosurgery. To evaluate the feasibility of intrasulcal ECoG, we conducted electrophysiological recording and stimulation experiments. First, we inserted parts of the Parylene-C-based probe into the superior temporal sulcus to compare visually evoked ECoG responses from the ventral bank of the sulcus with those from the surface of the inferior temporal cortex. Analyses of power spectral density and signal-to-noise ratio revealed that the quality of the ECoG signal was comparable inside and outside of the sulcus. Histological examination revealed no obvious physical damage in the implanted areas. Second, we placed a modified silicone ECoG probe into the central sulcus and also on the surface of the precentral gyrus for stimulation. Thresholds for muscle twitching were significantly lower during intrasulcal stimulation compared to gyral stimulation. These results demonstrate the feasibility of intrasulcal ECoG in macaques. The novel methodology proposed here opens up a new frontier in neuroscience research, enabling the direct measurement and manipulation of electrical activity in the whole brain.
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Affiliation(s)
- Takeshi Matsuo
- Department of Physiology, Niigata University School of Medicine Niigata, Japan
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Falchier A, Schroeder CE, Hackett TA, Lakatos P, Nascimento-Silva S, Ulbert I, Karmos G, Smiley JF. Projection from visual areas V2 and prostriata to caudal auditory cortex in the monkey. Cereb Cortex 2009; 20:1529-38. [PMID: 19875677 DOI: 10.1093/cercor/bhp213] [Citation(s) in RCA: 107] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Studies in humans and monkeys report widespread multisensory interactions at or near primary visual and auditory areas of neocortex. The range and scale of these effects has prompted increased interest in interconnectivity between the putatively "unisensory" cortices at lower hierarchical levels. Recent anatomical tract-tracing studies have revealed direct projections from auditory cortex to primary visual area (V1) and secondary visual area (V2) that could serve as a substrate for auditory influences over low-level visual processing. To better understand the significance of these connections, we looked for reciprocal projections from visual cortex to caudal auditory cortical areas in macaque monkeys. We found direct projections from area prostriata and the peripheral visual representations of area V2. Projections were more abundant after injections of temporoparietal area and caudal parabelt than after injections of caudal medial belt and the contiguous areas near the fundus of the lateral sulcus. Only one injection was confined to primary auditory cortex (area A1) and did not demonstrate visual connections. The projections from visual areas originated mainly from infragranular layers, suggestive of a "feedback"-type projection. The selective localization of these connections to peripheral visual areas and caudal auditory cortex suggests that they are involved in spatial localization.
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Affiliation(s)
- Arnaud Falchier
- Cognitive Neuroscience and Schizophrenia Program, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY 10962, USA
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Hackett TA, Smiley JF, Ulbert I, Karmos G, Lakatos P, de la Mothe LA, Schroeder CE. Sources of somatosensory input to the caudal belt areas of auditory cortex. Perception 2008; 36:1419-30. [PMID: 18265825 DOI: 10.1068/p5841] [Citation(s) in RCA: 76] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
The auditory cortex of nonhuman primates is comprised of a constellation of at least twelve interconnected areas distributed across three major regions on the superior temporal gyrus: core, belt, and parabelt. Individual areas are distinguished on the basis of unique profiles comprising architectonic features, thalamic and cortical connections, and neuron response properties. Recent demonstrations of convergent auditory-somatosensory interactions in the caudomedial (CM) and caudolateral (CL) belt areas prompted us to pursue anatomical studies to identify the source(s) of somatic input to auditory cortex. Corticocortical and thalamocortical connections were revealed by injecting neuroanatomical tracers into CM, CL, and adjoining fields of marmoset (Callithrix jacchus jacchus) and macaque (Macaca mulatta) monkeys. In addition to auditory cortex, the cortical connections of CM and CL included somatosensory (retroinsular, Ri; granular insula, Ig) and multisensory areas (temporal parietal occipital, temporal parietal temporal). Thalamic inputs included the medial geniculate complex and several multisensory nuclei (suprageniculate, posterior, limitans, medial pulvinar), but not the ventroposterior complex. Injections of the core (A1, R) and rostromedial areas of auditory cortex revealed sparse multisensory connections. The results suggest that areas Ri and Ig are the principle sources of somatosensory input to the caudal belt, while multisensory regions of cortex and thalamus may also contribute. The present data add to growing evidence of multisensory convergence in cortical areas previously considered to be 'unimodal', and also indicate that auditory cortical areas differ in this respect.
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Affiliation(s)
- Troy A Hackett
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN 37203, USA.
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Smiley JF, Hackett TA, Ulbert I, Karmas G, Lakatos P, Javitt DC, Schroeder CE. Multisensory convergence in auditory cortex, I. Cortical connections of the caudal superior temporal plane in macaque monkeys. J Comp Neurol 2007; 502:894-923. [PMID: 17447261 DOI: 10.1002/cne.21325] [Citation(s) in RCA: 144] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The caudal medial auditory area (CM) has anatomical and physiological features consistent with its role as a first-stage (or "belt") auditory association cortex. It is also a site of multisensory convergence, with robust somatosensory and auditory responses. In this study, we investigated the cerebral cortical sources of somatosensory and auditory inputs to CM by injecting retrograde tracers in macaque monkeys. A companion paper describes the thalamic connections of CM (Hackett et al., J. Comp. Neurol. [this issue]). The likely cortical sources of somatosensory input to CM were the adjacent retroinsular cortex (area Ri) and granular insula (Ig). In addition, CM had reliable connections with areas Tpt and TPO, which are sites of multisensory integration. CM also had topographic connections with other auditory areas. As expected, connections with adjacent caudal auditory areas were stronger than connections with rostral areas. Surprisingly, the connections with the core were concentrated along its medial side, suggesting that there may be a medial-lateral division of function within the core. Additional injections into caudal lateral auditory area (CL) and Tpt showed similar connections with Ri, Ig, and TPO. In contrast to CM injections, these lateral injections had inputs from parietal area 7a and had a preferential connection with the lateral (gyral) part of Tpt. Taken together, the findings indicate that CM may receive somatosensory input from nearby areas along the fundus of the lateral sulcus. The differential connections of CM compared with adjacent areas provide additional evidence for the functional specialization of the individual auditory belt areas.
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Affiliation(s)
- John F Smiley
- Nathan Kline Institute for Psychiatric Research, Orangeburg, New York 10962, USA.
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de la Mothe LA, Blumell S, Kajikawa Y, Hackett TA. Cortical connections of the auditory cortex in marmoset monkeys: core and medial belt regions. J Comp Neurol 2006; 496:27-71. [PMID: 16528722 DOI: 10.1002/cne.20923] [Citation(s) in RCA: 146] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The auditory cortex of primates contains a core region of three primary areas surrounded by a belt region of secondary areas. Recent neurophysiological studies suggest that the belt areas medial to the core have unique functional roles, including multisensory properties, but little is known about their connections. In this study and its companion, the cortical and subcortical connections of the core and medial belt regions of marmoset monkeys were compared to account for functional differences between areas and refine our working model of the primate auditory cortex. Anatomical tracer injections targeted two core areas (A1 and R) and two medial belt areas (rostromedial [RM] and caudomedial [CM]). RM and CM had topographically weighted connections with all other areas of the auditory cortex ipsilaterally, but these were less widespread contralaterally. CM was densely connected with caudal auditory fields, the retroinsular (Ri) area of the somatosensory cortex, the superior temporal sulcus (STS), and the posterior parietal and entorhinal cortex. The connections of RM favored rostral auditory areas, with no clear somatosensory inputs. RM also projected to the lateral nucleus of the amygdala and tail of the caudate nucleus. A1 and R had topographically weighted connections with medial and lateral belt regions, infragranular inputs from the parabelt, and weak connections with fields outside the auditory cortex. The results indicated that RM and CM are distinct areas of the medial belt region with direct inputs from the core. CM also has somatosensory input and may correspond to an area on the posteromedial transverse gyrus of humans and the anterior auditory field of other mammals.
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Affiliation(s)
- Lisa A de la Mothe
- Department of Psychology, Vanderbilt University, Nashville, Tennessee 37203, USA
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de la Mothe LA, Blumell S, Kajikawa Y, Hackett TA. Thalamic connections of the auditory cortex in marmoset monkeys: core and medial belt regions. J Comp Neurol 2006; 496:72-96. [PMID: 16528728 PMCID: PMC4419740 DOI: 10.1002/cne.20924] [Citation(s) in RCA: 120] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
In this study and its companion, the cortical and subcortical connections of the medial belt region of the marmoset monkey auditory cortex were compared with the core region. The main objective was to document anatomical features that account for functional differences observed between areas. Injections of retrograde and bi-directional anatomical tracers targeted two core areas (A1 and R), and two medial belt areas (rostromedial [RM] and caudomedial [CM]). Topographically distinct patterns of connections were revealed among subdivisions of the medial geniculate complex (MGC) and multisensory thalamic nuclei, including the suprageniculate (Sg), limitans (Lim), medial pulvinar (PM), and posterior nucleus (Po). The dominant thalamic projection to the CM was the anterior dorsal division (MGad) of the MGC, whereas the posterior dorsal division (MGpd) targeted RM. CM also had substantial input from multisensory nuclei, especially the magnocellular division (MGm) of the MGC. RM had weak multisensory connections. Corticotectal projections of both RM and CM targeted the dorsomedial quadrant of the inferior colliculus, whereas the CM projection also included a pericentral extension around the ventromedial and lateral portion of the central nucleus. Areas A1 and R were characterized by focal topographic connections within the ventral division (MGv) of the MGC, reflecting the tonotopic organization of both core areas. The results indicate that parallel subcortical pathways target the core and medial belt regions and that RM and CM represent functionally distinct areas within the medial belt auditory cortex.
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Affiliation(s)
- Lisa A. de la Mothe
- Dept. of Psychology, Vanderbilt University, Vanderbilt University School of Medicine, Nashville, TN 37203
| | - Suzanne Blumell
- Dept. of Hearing and Speech Sciences, Vanderbilt University School of Medicine, Nashville, TN 37203
| | - Yoshinao Kajikawa
- Dept. of Psychology, Vanderbilt University, Vanderbilt University School of Medicine, Nashville, TN 37203
| | - Troy A. Hackett
- Dept. of Psychology, Vanderbilt University, Vanderbilt University School of Medicine, Nashville, TN 37203
- Dept. of Hearing and Speech Sciences, Vanderbilt University School of Medicine, Nashville, TN 37203
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