Assessment of Functional Cerebral Laterality for Language Using Magnetoencephalography (original) (raw)

Neuromagnetic responses to vowels vs. tones reveal hemispheric lateralization

Clinical Neurophysiology, 2006

Objective: To evaluate whether a simple auditory paradigm could demonstrate a difference in cortical lateralization between right-and lefthanded subjects. Such information would be important for later development of clinical noninvasive tests of hemispheric language dominance in candidates for brain surgery. Methods: Healthy subjects (10 strongly right-handed, 10 strongly left-handed, 5 weakly right-handed, and two ambidextrous) listened to binaural pairs of tones and pairs of Finnish vowels and decided whether the items in the pair were the same (target probability 20%). Cortical responses were recorded with whole-scalp magnetoencephalography. Results: The laterality index for strengths of the auditory-cortex 100 ms responses (N100m) to vowels vs. tones suggested left-hemispheric dominance in 8 of the 10 strongly right-handed subjects, and right-hemispheric dominance in 7 of the 10 left-handed subjects. Conclusions: Our results demonstrate difference in hemispheric dominance for processing of vowels between right-handed and left-handed subjects. This difference resembles language lateralization suggested by previous invasive studies as well as by anatomical and functional comparisons in left-and right-handed subjects. Significance: After comparison with the Wada test, this simple paradigm could prove useful as a noninvasive test for language lateralization in clinical settings.

The ontogeny of brain lateralization for speech and nonspeech stimuli

Brain and Language, 1975

Auditory evoked responses (AER) were recorded from the temporal region of both cerebral hemispheres of human infants, children, and adults in response to four speech and two nonspeech acoustic stimuli. Left hemisphere AERs were larger in amplitude than right hemisphere AERs to speech stimuli for all groups. Nonspeech stimuli produced larger amplitude AERs in the right hemisphere. Lateral differences to both types of stimuli were found to decrease with age.

Lateralization of Activity Associated with Language Function Using Magnetoencephalography

Journal of Clinical Neurophysiology, 2000

This study was conducted to investigate the reliability of magnetoencephalography in lateralizing and localizing brain activity associated with receptive language function. Sixteen right-handed adults with no history of neurologic disorder engaged in a continuous recognition memory task for visually presented words in two separate sessions. The magnetic flux normal to the scalp surface was measured with a whole-head neuromagnetometer during task performance. Using the total number of acceptable activity sources as an index, overall activation was greater in the left compared with the right hemisphere for all 16 subjects in both sessions. Sources of activity were consistently found in the temporoparietal areas of the left hemisphere in all subjects. Moreover, clusters of activity sources in this region either overlapped spatially or were found in close proximity across sessions. Medial and basal temporal lobe activity was also observed in most subjects during at least one session, and tended to be lateralized to left hemisphere. These results suggest that magnetoencephalography is a promising tool for determination of cerebral dominance for language and localization of temporal lobe language areas.

Language Lateralization Represented by Spatiotemporal Mapping of Magnetoencephalography

American Journal of Neuroradiology, 2013

BACKGROUND AND PURPOSE: Determination of hemispheric language dominance is critical for planning epilepsy surgery. We assess the usefulness of spatiotemporal source analysis of magnetoencephalography for determining language laterality. MATERIALS AND METHODS: Thirty-five patients with epilepsy were studied. The patients performed a semantic word-processing task during MEG recording. Epochs containing language-related neuromagnetic activity were averaged after preprocessing. The averaged data between 250 and 550 ms after stimulus were analyzed by using dynamic statistical parametric mapping. ROIs were obtained in the opercular and triangular parts of the inferior frontal gyrus, superior temporal gyrus, and supramarginal gyrus in both hemispheres. We calculated laterality indices according to 1) dSPM-amplitude method, based on the amplitude of activation in the ROIs, and 2) dSPMcounting method, based on the number of unit dipoles with activation over a threshold in the ROIs. The threshold was determined as half of the maximum value in all ROIs for each patient. A LI Ն0.10 or ՅϪ0.10 was considered left-or right-hemisphere dominance, respectively; a LI between Ϫ0.10 and 0.10 was considered bilateral. All patients underwent an intracarotid amobarbital procedure as part of presurgical evaluation. RESULTS: The dSPM-counting method demonstrated laterality consistent with the IAP in 32 of 35 patients (91.4%), the remaining 3 (8.6%) demonstrated bilateral language representation, whereas the dSPM-amplitude method showed 18 (51.4%) concordant and 17 (48.6%) bilateral. No laterality opposite to the IAP was found. CONCLUSIONS: Spatiotemporal mapping of language lateralization with the dSPM-counting method may reduce the necessity for an IAP in as many as 90% of patients. ABBREVIATIONS: dSPM ϭ dynamic statistical parametric mapping; IAP ϭ intracarotid amobarbital procedure; LI ϭ laterality index; MEG ϭ magnetoencephalography; MPRAGE ϭ magnetization-prepared rapid acquisition of gradient echo

Stimulus-dominance effects and lateral asymmetries for language in normal subjects and in patients with a single functional hemisphere

Brain and Cognition, 2004

The assessment of language laterality by the dichotic fused-words test may be impaired by interference effects revealed by the dominant report of one member of the stimuli-pair. Stimulus-dominance and ear asymmetry were evaluated in normal population (48 subjects of both sex and handedness) and in 2 patients with a single functional hemisphere. Results show that in normals the number of stimulus-dominated responses is five times higher than in patients, and is negatively correlated to the index of laterality. It is suggested that dichotic stimuli may interfere one with another during the subcortical acoustic processing and at cortical level, when competing for verbal output. Subcortical interference accounts for stimulus-dominance in the single-hemisphere patients. In normal subjects, the dichotic discrimination is disturbed mainly during the hemispheric cross-talk needed for the oral-verbal processing of dichotic inputs. The frequency of ÔinterhemisphericÕ interference, as well as the extents of ear asymmetry, may both depend on differences in the processing stage of the competing inputs, and then they may be influenced by differential verbal skills of LH and RH. Very unequal levels of verbal analysis of the dichotic stimuli may hinder reciprocal interference during the hemispheric cross-talk thus yielding large ear asymmetries associated to small dominance effects.

Mapping hemispheric symmetries, relative asymmetries, and absolute asymmetries underlying the auditory laterality effect

NeuroImage, 2014

Functional hemispheric differences for speech and language processing have been traditionally studied by using verbal dichotic-listening paradigms. The commonly observed right-ear preference for the report of dichotically presented syllables is taken to reflect the left hemispheric dominance for speech processing. However, the results of recent functional imaging studies also show that both hemispheres - not only the left - are engaged by dichotic listening, suggesting a more complex relationship between behavioral laterality and functional hemispheric activation asymmetries. In order to more closely examine the hemispheric differences underlying dichotic-listening performance, we report an analysis of functional magnetic resonance imaging (fMRI) data of 104 right-handed subjects, for the first time combining an interhemispheric difference and conjunction analysis. This approach allowed for a distinction of homotopic brain regions which showed symmetrical (i.e., brain region signifi...

Hemispheric lateralization in preattentive processing of speech sounds

Neuroscience Letters, 1998

among repetitive standard [da)]syllables were recorded in subjects who either attended to these stimuli in order to discriminate the [ba] syllables or ignored them while attending a silent movie. In both conditions, the deviant syllables elicited a mismatch response (MMNm, the magnetic counterpart of mismatch negativity), which was stronger in the left than in the right auditory cortex, indicating left-hemispheric dominance in speech processing already at a preattentive processing level.

Dynamics of hemispheric dominance for language assessed by magnetoencephalographic imaging

Annals of Neurology, 2012

Objective:The goal of the current study was to examine the dynamics of language lateralization using magnetoencephalographic (MEG) imaging, to determine the sensitivity and specificity of MEG imaging, and to determine whether MEG imaging can become a viable alternative to the intracarotid amobarbital procedure (IAP), the current gold standard for preoperative language lateralization in neurosurgical candidates.Methods:MEG was recorded during an auditory verb generation task and imaging analysis of oscillatory activity was initially performed in 21 subjects with epilepsy, brain tumor, or arteriovenous malformation who had undergone IAP and MEG. Time windows and brain regions of interest that best discriminated between IAP‐determined left or right dominance for language were identified. Parameters derived in the retrospective analysis were applied to a prospective cohort of 14 patients and healthy controls.Results:Power decreases in the beta frequency band were consistently observed f...

Determining language laterality by fMRI and dichotic listening

Brain Research, 2007

For imaging studies on hemispheric specialization of the human brain, data about known functional asymmetries other than handedness would be valuable for a reliable interpretation of lateralized activation in individuals or groups of subjects. As certain aspects of language processing are observed to be a function of primarily the left, it can be used as a reference for other asymmetric processes such as sensory or cognitive skills. For analyzing language laterality, there are a variety of methods, but these differ in application or accuracy. In this study, we tested the reliability of two widely used methodsdichotic listening and fMRIto determine language dominance in 30 individual subjects. The German adaptation of a dichotic listening test (Hättig, H., Beier, M., 2000. FRWT: a dichotic listening test for clinical and scientific contexts, Zeitschr f Neuropsychologie 11. 233-245.) classified 54% of the 26 right-handed subjects as left hemispheric dominant. The results of the fMRI paradigm (Fernández, G., de Greiff, A., von Oertzen, J., et al., 2001. Language mapping in less than 15 min: real-time functional MRI during routine clinical investigation.

Lateralizing language with magnetic source imaging: Validation based on the Wada test

Epilepsia, 2009

Purpose: Magnetoencephalography (MEG)/magnetic source imaging (MSI) is a noninvasive functional neuroimaging procedure used to localize language-specific regions in the brain. The Wada test, or intracarotid amobarbital procedure (IAP), is the gold standard in determining speech/language lateralization for presurgical planning, although it is invasive and associated with morbidity. The purpose of this study is to provide further validation on the use of MSI for presurgical language lateralization by comparing results against the IAP.Methods: The sample consisted of 35 patients with epilepsy and/or brain tumor undergoing presurgical evaluation at the Minnesota Epilepsy Group. All patients received both an IAP and MSI to determine hemispheric language dominance. For MSI, a 148-channel MEG system was used to record activation of language-specific cortex by an auditory word-recognition task.Results: The MSI and IAP were concordant in determining language in the hemisphere to be treated in 86% of the cases with sensitivity and specificity values of 80% and 100%, respectively.Conclusions: The results from this study are consistent with prior research findings comparing functional neuroimaging procedures to the IAP in determining language lateralization in presurgical patients. The current study provides an important replication and support for Papanicolaou et al.'s findings in 2004 using a consecutive clinical sample from a different institution. An unusually high rate of atypical IAP language cases in this sample and differences between the two procedures are believed to explain the noted discrepancies. MSI is a viable noninvasive alternative to the IAP in the presurgical determination of language lateralization.