The influence of gender on auditory and language cortical activation patterns: preliminary data.

PURPOSE AND BACKGROUND: Intersex cortical and functional asymmetry is an ongoing topic of investigation. In this pilot study, we sought to determine the influence of acoustic scanner noise and sex on auditory and language cortical activation patterns of the dominant hemisphere. MATERIALS AND METHODS: Echoplanar functional MR imaging (fMRI; 1.5T) was performed on 12 healthy right-handed subjects (6 men and 6 women). Passive text listening tasks were employed in 2 different background acoustic scanner noise conditions (12 sections/2 seconds TR [6 Hz] and 4 sections/2 seconds TR [2 Hz]), with the first 4 sections in identical locations in the left hemisphere. Cross-correlation analysis was used to construct activation maps in subregions of auditory and language relevant cortex of the dominant (left) hemisphere, and activation areas were calculated by using coefficient thresholds of 0.5, 0.6, and 0.7. RESULTS: Text listening caused robust activation in anatomically defined auditory cortex, and weaker activation in language relevant cortex of all 12 individuals. As a whole, there was no significant difference in regional cortical activation between the 2 background acoustic scanner noise conditions. When sex was considered, men showed a significantly (P < .01) greater change in left hemisphere activation during the high scanner noise rate condition than did women. This effect was significant (P < .05) in the left superior temporal gyrus, the posterior aspect of the left middle temporal gyrus and superior temporal sulcus, and the left inferior frontal gyrus. CONCLUSION: Increase in the rate of background acoustic scanner noise caused increased activation in auditory and language relevant cortex of the dominant hemisphere in men compared with women where no such change in activation was observed. Our preliminary data suggest possible methodologic confounds of fMRI research and calls for larger investigations to substantiate our findings and further characterize sex-based influences on hemispheric activation patterns.

The ascending pharyngeal artery: branches, anastomoses, and clinical significance.

Neuroradiologists generally do not fully appreciate the importance of the territory of the ascending pharyngeal artery. The ascending pharyngeal artery is a small but important artery that supplies multiple cranial nerves and anastomotic channels to the anterior and posterior cerebral circulations. Several disease processes in the head and neck involve the ascending pharyngeal artery. To evaluate and treat such diseases, it is necessary for neuroradiologists not only to know selective angiography and embolization techniques, but also the territory of the ascending pharyngeal artery, anastomoses, and vascular supply to the vasa nervorum of lower cranial nerves. Herein, the normal angiographic anatomy of the ascending pharyngeal artery, its relationship with neighboring territories, its importance in clinical situations, and research models are reviewed.

Intensity-dependent activation of the primary auditory cortex in functional magnetic resonance imaging.

PURPOSE: The purpose of this study was to investigate the activation patterns of the primary auditory cortex in response to varying intensities of pure tone stimuli. METHOD: A 1,000-Hz pure tone stimulus was delivered monaurally to the right ear of 12 normal-hearing right-handed volunteers in 20-second on-off cycles. Stimuli were applied at 20 and 50 dB hearing level (HL) above threshold in 12 subjects and at 0, 20, 40, and 50 dB HL above threshold in 6 subjects. Functional magnetic resonance imaging (fMRI) data were obtained using a 1.5-T scanner and echoplanar imaging. Activated pixels were identified in the transverse temporal gyrus (TTG) of both hemispheres in response to pure tone stimuli at each intensity level using cross-correlation analysis (0.6; P < 0.0001). RESULTS: Of the 24 right and left TTGs imaged (n = 12), activation to pure tone stimuli at 20 and 50 dB HL above threshold was seen in 46% and 79% of TTGs, respectively, with bilateral hemispheric activation in 27% and 64% of subjects, respectively. The mean numbers of activated voxels were 4.0 and 13.0, respectively. Of the 12 right and left TTGs imaged at 0, 20, 40, and 50 dB HL above threshold, activation was seen in 33%, 42%, 58%, and 75% of TTGs, respectively. The mean numbers of activated voxels were 5.8, 3.2, 9.8, and 15.3, respectively. There was a nonsignificant trend toward contralateral (left) dominant TTG activation with increased tone intensity. CONCLUSION: Our results show an increased likelihood of TTG activation, increased TTG activation volume, and increased bilateral hemisphere TTG activation with increasing pure tone intensity. Our results suggest that the primary auditory cortex reflects or is directly involved in the central processing of sound intensity and that varying the intensity of even simple stimuli can alter the patterns of fMRI activation in auditory cortex.