TY - JOUR
T1 - Temporal and topographical characterization of language cortices using intraoperative optical intrinsic signals
AU - Cannestra, Andrew F.
AU - Bookheimer, Susan Y.
AU - Pouratian, Nader
AU - O'Farrell, Alyssa
AU - Sicotte, Nancy
AU - Martin, Neil A.
AU - Becker, Donald
AU - Rubino, Gregory
AU - Toga, Arthur W.
N1 - Funding Information:
The authors thank the surgical team for their willingness and cooperation. A.F.C. is supported in part by the Training Program in Neuroimaging (MH19950). A.F.C., N.P., and A.O. are supported, in part, by a Medical Scientist Training Program grant (GM08042). Additional support was provided by research grants to A.W.T. (NIMH MH52083 and NCRR RR05956).
PY - 2000/7
Y1 - 2000/7
N2 - We used intraoperative optical imaging of intrinsic signals (iOIS) and electrocortical stimulation mapping (ESM) to compare functionally active brain regions in 10 awake patients undergoing neurosurgical resection. Patients performed two to four tasks, including visual and auditory naming, word discrimination, and/or orofacial movements. All iOIS maps included areas identified by ESM mapping. However, iOIS also revealed topographical specificity dependent on language task. In Broca's area, naming paradigms activated both anterior and posterior inferior frontal gyrus (IFG), while the word discrimination paradigm activated only posterior IFG. In Wernicke's area, object naming produced activations localizing over the inferior and anterior/posterior regions, while the word discrimination task activated superior and anterior cortices. These results may suggest more posterior phonological activation and more anterior semantic activations in Broca's area, and more anterior/superior phonological activation and more posterior/inferior semantic activations in Wernicke's area. Although similar response onset was observed in Broca's and Wernicke's areas, temporal differences were revealed during block paradigm (20-s) activations. In Broca's area, block paradigms yielded a boxcar temporal activation profile (in all tasks) that resembled response profiles observed in motor cortex (with orofacial movements). In contrast, activations in Wernicke's area responded with a more dynamic profile (including early and late peaks) which varied with paradigm performance. Wernicke's area profiles were very similar to response profiles observed in sensory and visual cortex. The differing temporal patterns may therefore reflect unique processing performed by receptive (Wernicke's) and productive (Broca's) language centers. This study is consistent with task-specific semantic and phonologic regions within Broca's and Wernicke's areas and also is the first report of response profile differences dependent on cortical region and language task. (C) 2000 Academic Press.
AB - We used intraoperative optical imaging of intrinsic signals (iOIS) and electrocortical stimulation mapping (ESM) to compare functionally active brain regions in 10 awake patients undergoing neurosurgical resection. Patients performed two to four tasks, including visual and auditory naming, word discrimination, and/or orofacial movements. All iOIS maps included areas identified by ESM mapping. However, iOIS also revealed topographical specificity dependent on language task. In Broca's area, naming paradigms activated both anterior and posterior inferior frontal gyrus (IFG), while the word discrimination paradigm activated only posterior IFG. In Wernicke's area, object naming produced activations localizing over the inferior and anterior/posterior regions, while the word discrimination task activated superior and anterior cortices. These results may suggest more posterior phonological activation and more anterior semantic activations in Broca's area, and more anterior/superior phonological activation and more posterior/inferior semantic activations in Wernicke's area. Although similar response onset was observed in Broca's and Wernicke's areas, temporal differences were revealed during block paradigm (20-s) activations. In Broca's area, block paradigms yielded a boxcar temporal activation profile (in all tasks) that resembled response profiles observed in motor cortex (with orofacial movements). In contrast, activations in Wernicke's area responded with a more dynamic profile (including early and late peaks) which varied with paradigm performance. Wernicke's area profiles were very similar to response profiles observed in sensory and visual cortex. The differing temporal patterns may therefore reflect unique processing performed by receptive (Wernicke's) and productive (Broca's) language centers. This study is consistent with task-specific semantic and phonologic regions within Broca's and Wernicke's areas and also is the first report of response profile differences dependent on cortical region and language task. (C) 2000 Academic Press.
KW - Broca's area
KW - Functional imaging
KW - Human brain mapping
KW - Neurosurgery
KW - Wernicke's area
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U2 - 10.1006/nimg.2000.0597
DO - 10.1006/nimg.2000.0597
M3 - Article
C2 - 10875901
AN - SCOPUS:0033852528
SN - 1053-8119
VL - 12
SP - 41
EP - 54
JO - NeuroImage
JF - NeuroImage
IS - 1
ER -