Morihiro Sugishita

A Functional MRI study on the neural substrates for writing

Functional neuroanatomy of writing is relatively unknown compared to that of other linguistic processes. This study aimed at identifying brain regions crucial to the process of writing. Using functional magnetic resonance imaging (fMRI), brain hemodynamic activity was examined during three conditions that differentially engaged visual, linguistic, and/or motor functions: (1) writing names of pictures with the right index finger, (2) naming pictures silently, and (3) visually cued finger tapping. A writing minus naming comparison and a writing minus tapping comparison were performed, and brain regions commonly activated in these two contrasts were detected. Our main finding was that such common activation was observed in the anterior part of the left superior parietal lobule, the posterior part of the middle and superior frontal gyri, and the right cerebellum. The parietal and frontal regions were considered to subserve the process of writing as separated from that of naming and finger movements, which is consistent with the classical notion mainly proposed by studies of selective writing deficits called pure agraphia. The right cerebellar activation, on the other hand, was interpreted as the reflection of the execution of complex finger movements required for writing. Hum. Brain Mapping 13:34–42, 2001.

Both parietal lobes are involved in drawing: a functional MRI study and implications for constructional apraxia

In clinical studies, many researchers have reported that drawing can be disturbed by left or right unilateral parietal lobe damage (constructional apraxia). There seem to be two possible predictions about the cerebral laterality for drawing. The first is that drawing requires both parietal lobes, therefore, a lesion to either side can disrupt drawing. The second is that individuals can differ in laterality: some have only right or left activations, and some have bilateral. To test these predictions, we investigated with functional magnetic resonance imaging (fMRI) the cerebral activation whilst 17 right-handed healthy subjects performed a drawing task. The experiment consisted of two conditions: (1). naming an object in a presented picture and drawing it by using right index finger (DRAWING & NAMING); (2). naming an object in a presented picture (NAMING). We considered the brain regions that had greater activity in the DRAWING&NAMING condition than in the NAMING condition were the neural substrates of drawing. Individual analysis revealed that all subjects showed parietal activation bilaterally. We interpret that the results support the first prediction that both parietal lobes are required for drawing. By calculating the laterality indices of the individual parietal activations, it was found that there were more left dominant subjects than right dominant subjects (left, 12; right, 5). The results are inconsistent with previous studies on the incidence of constructional apraxia. In addition, we found activation in regions that were not previously reported in the literature of constructional apraxia: they are the ventral premotor area and posterior part of inferior temporal sulcus.

Reading of ideograms and phonograms in Japanese patients after partial commissurotomy

Abstract The reading of three Japanese patients who had undergone section of the splenium of the corpus callosum for pineal tumours was examined by the tachistoscopic technique. Oral reading of isolated words and their comprehension (matching of words to pictures) in the left visual half-field were found to be impaired 1 yr post-operatively both for ideograms and for phonograms. Two or three years after operation, retests indicated that the deficit (unilateral alexia) was comparatively restricted to the reading of phonograms. It is argued that unilateral alexia is not due to a disorder in the visual perception of words.

Interindividual uniformity and variety of the "Writing center": a functional MRI study.

Our aim is to investigate the neural substrates for writing using fMRI (twenty right-handed subjects). We assumed that common areas involved in both writing with right and left hands are crucial to the central process of writing. We employed Japanese phonograms (Kana), in which phoneme-grapheme conversion would be extremely simple. Brain activation was examined under three conditions: (1) written naming with the right hand (WR), (2) written naming with the left hand (WL), and (3) naming silently (NA). While the comparison of WR to NA (WR>NA) exhibited activation only in the left frontoparietal area, the WL>NA comparison exhibited broader activation than the WR>NA comparison, i.e., the left frontoparietal area except the motor and sensory areas and the right frontoparietal area. A conjunction analysis in SPM2 revealed common areas of activation across the WR>NA and WL>NA comparisons, which are assumed to be crucial to writing. In the group analysis, three areas were found to be activated: the posterior end of the left superior frontal gyrus, which is superior and posterior to Exners center; the anterior part of the left superior parietal lobule; and the lower part of the anterior limb of the left supramarginal gyrus. In the single-subject analysis, whereas the first two of the above three areas were found to be crucial for writing in all individuals, an interindividual inconsistency of involvement with writing was observed in three areas: the lower part of the anterior limb of the left supramarginal gyrus (60% involved); the right frontal region (47%); and the right intraparietal sulcus (47%).

A spatio-temporal regression model for the analysis of functional MRI data.

The standard method for analyzing functional magnetic resonance imaging (fMRI) data applies the general linear model to the time series of each voxel separately. Such a voxelwise approach, however, does not consider the spatial autocorrelation between neighboring voxels in its model formulation and parameter estimation. We propose a spatio-temporal regression analysis for detecting activation in fMRI data. Its main features are that (1) each voxel has a regression model that involves the time series of the neighboring voxels together with its own, (2) the regression coefficient assigned to the center voxel is estimated so that the time series of these multiple voxels will best fit the model, (3) a generalized least squares (GLS) method was employed instead of the ordinary least squares (OLS) to put intrinsic autocorrelation structures into the model, and (4) the underlying spatial and temporal correlation structures are modeled using a separable model which expresses the combined correlation structures as a product of the two. We evaluated the statistical power of our model in comparison with voxelwise OLS/GLS models and a multivoxel OLS model. Our models power to detect clustered activation was higher than that of the two voxelwise models and comparable to that of the multivoxel OLS. We examined the usefulness and goodness of fit of our model using real experimental data. Our model successfully detected neural activity in expected brain regions and realized better fit than the other models. These results suggest that our spatio-temporal regression model can serve as a reliable analysis suited for the nature of fMRI data.

Hemispheric representation of the central retina of commissurotomized subjects

It is controversial whether a stimulus projected within 1 to 3 degrees from the boundary between the right and left hemiretina is transmitted to only one cerebral hemisphere or to both cerebral hemispheres. In order to resolve this issue, letter- and word-stimuli were presented for 200 msec with a new type of tachistoscope, called the fundus tachistoscope, in and about the central retina, (i.e. fovea, 1.2 degrees in horizontal diameter) of the right eyes of two commissurotomized subjects (N.G. and A.A.). During stimulus presentation the subjects were attempting to fixate a fixation target. The fundus tachistoscope combined with image analysis of the fundus enables us to measure the position of the stimulus on the retina, relative to the foveal center, as well as whether or not the eye moved during stimulus presentation. The results indicate that the region of the right (temporal) hemiretina represented by both hemispheres in letter processing, if it exists, was estimated as less than 0.6 degrees from the foveal center. The two subjects frequently (27% in N.G. and 46% in A.A.) fixated the fixation target eccentrically, i.e. with a retinal point other than the foveal center, during fixation, namely stimulus presentation. Their eccentric fixations were small with magnitude almost all falling between 1.35 degrees right and 1.25 degrees left of the foveal center. It is therefore recommended that letter-stimuli be presented at least 2.0 degrees from the foveal center in ordinary tachistoscopic studies of cerebral hemispheric differences. Eye movements, which varied in 0.11 degrees and 1.43 degrees horizontally, occurred in about 8% of all the trials during fixation. On the average of the two subjects, the eye movements caused or worsened eccentric fixation in only about one third of the trials, and corrected eccentric fixation in about two thirds of the trials.

Diffusion-weighted imaging demonstrates transient cytotoxic edema involving the corpus callosum in a patient with diffuse brain injury

Reversible T2 hyperintense signal abnormality in the corpus callosum, although frequently seen after diffuse brain injury, has not been well clarified. With some accumulated evidence, we report a case of diffuse brain injury in a 24-year-old man. Magnetic resonance imaging (MRI) demonstrated T2 hyperintense signals in the trunk and the splenium of the corpus callosum 12 days postinjury. Echo-planar diffusion-weighted imaging was also performed on the same day, which revealed decreased diffusion (hyperintense signals) in the same site and almost the same size as T2 hyperintense signals. T1-weighted images were normal. Neuropsychological examination of the patient did not show callosal syndrome, namely hemialexia, unilateral agraphia and unilateral apraxia. Repeat MRI on day 20 demonstrated a signal decrease of both T2-weighted images and diffusion-weighted images (DWI) in the lesion. Follow-up MRI at 6 months showed complete resolution of the T2 signal abnormalities and of the corresponding decreased diffusion. Considering that diffusion-weighted imaging showed transient decreased diffusion, the lesion in the corpus callosum indicated the existence of cytotoxic edema. Also, transient DWI hyperintensity, namely cytotoxic edema, in the trunk and the splenium of the corpus callosum does not necessarily reveal callosal deficits.

The precuneus in motor imagery: a magnetoencephalographic study.

Magnetoencephalography was applied to subjects who imagined themselves hurdling in self-centered space. In three of six subjects all 300 trials in the motor imagery condition revealed the precuneus dipole. When we divided the 300 trials into four overlapping blocks (one block = 150 trials), all six subjects showed precuneus activity. The latency of the precuneus dipole was about 220 ms. We suggest that the precuneus activity during motor imagery involves retrieval of spatial information and/or setting up spatial attributes. Only in one subject but twice, the current dipole located in the supplementary motor area was observed 60 ms after activation of the precuneus, which suggests that the signal from the precuneus for motor imagery is transferred to the supplementary motor area.

Dichotic listening in patients with situs inversus: brain asymmetry and situs asymmetry.

In order to investigate the relation between situs asymmetry and functional asymmetry of the human brain, a consonant-vowel syllable dichotic listening test known as the Standard Dichotic Listening Test (SDLT) was administered to nine subjects with situs inversus (SI) that ranged in age from 6 to 46 years old (mean of 21.8 years old, S.D. = 15.6); the four males and five females all exhibited strong right-handedness. The SDLT was also used to study twenty four age-matched normal subjects that were from 6 to 48 years old (mean 21.7 years old, S.D. = 15.3); the twelve males and twelve females were all strongly right-handed and served as a control group. Eight out of the nine subjects (88.9%) with SI more often reproduced the sounds from the right ear than sounds from the left ear; this is called right ear advantage (REA). The ratio of REA in the control group was almost the same, i.e., nineteen out of the twenty-four subjects (79.1%) showed REA. Results of the present study suggest that the left-right reversal in situs inversus does not involve functional asymmetry of the brain. As such, the system that produces functional asymmetry in the human brain must independently recognize laterality from situs asymmetry.

Neural substrates for the recognition of newly learned faces: a functional MRI study

Face recognition is critical to the appreciation of our social and physical relations. Functional magnetic resonance imaging (fMRI) was used to identify brain regions involved in the recognition of newly learned faces. Two experiments were conducted. Experiment 1 contrasted a fixation control task with a face recognition task in which subjects were exposed solely to previously viewed faces (all-target). Experiment 2 compared a fixation control with another face recognition task in which subjects were presented with both novel and viewed faces (half-target). Compared to the fixation control, the all-target face recognition was associated with activation in the bilateral occipital and occipitotemporal regions, whereas the half-target face recognition produced activation in the right parietal and prefrontal regions, in addition to the occipital and occipitotemporal. The all-target minus half-target comparison revealed significant activation in the bilateral fusiform gyrus, suggesting stronger fusiform activity during the all-target than the half-target face recognition. The half-target minus all-target comparison showed significant activation in the superior and inferior parietal lobules and several regions in the right frontal lobe. These findings demonstrated that the bilateral fusiform gyrus is involved, not only in face perception, but in a certain aspect of face recognition memory and that this aspect is related to the actual recognition of previously viewed faces rather than the processing of novel ones, which results are consistent with previous lesion work. The right parietal and frontal regions, in contrast, are differentially more associated with the processes related to the detection of novel faces or retrieval effort.