Functional neuroanatomy of visual event detection requiring foot and hand responses: An event-related fMRI study       
Francis X. Graydon, Mark D. Benton
Brain Research and Imaging Neuroscience Division, Wayne State University, Detroit, MI USA

       
Objective: Previous fMRI studies of human motor system functioning have focused almost exclusively on motor processes associated with the hand or wrist (i.e. upper limb) such as movement preparation, planning, execution and motor learning. Recently, researchers have extended the use of fMRI to disclose the functional neuroanatomy of foot and ankle movements (i.e. lower limb). In the current study, we were interested in defining the neural networks associated with hand and foot responses during a visual-event detection task that one might encounter in a real word scenario (e.g. driving). We predicted that while hand and foot responses to the target visual events would show unique somatotopy, both would activate a shared network of motor regions, including the parietal cortex.
Methods: Seven healthy right handed and footed participants (4 women, 3 men, age 20-30) took part in the study. Subjects were imaged (BOLD EPI) as they responded with their dominant (right) hand or foot to target visual events that appeared in the center (C) or left periphery (P) of simple (black background) or complex (driving video) visual conditions. The order of the conditions was counterbalanced across subjects. An event related design was used such that during each of the 4 experimental conditions, subjects responded to 60 center (C) and 60 peripheral (P) target visual events. These 120 events were combined with 60 null events (no stimulus, no response) for a total of 180 events. Events were presented randomly with an inter-stimulus interval (ISI) of 2.5 s. Image processing and statistical analysis was performed in SPM2.
Results & Discussion: Response times for the foot were significantly slower in the simple (593±93 ms v 400±28 ms) and complex (618±60 ms v 469±46 ms) conditions. Foot responses activated a network of cortical and subcortical regions that included: anterior cingulate (BA 24), premotor cortex, supplementary motor area (SMA), dorsolateral prefrontal cortex (DLPFC) (BA 9, 46), post central gyrus (BA 2,5), inferior parietal lobules, superior temporal gyrus, cerebellum, and putamen. No significant foot response time differences were found between C and P events in the simple visual condition. Foot responses were significantly slower for peripheral events during the driving video (t = 6.80, p < .002) and were associated with increased activation in the anterior cingulate (BA 32), lingual gyri, cerebellum, cuneus and precuneus. Compared to the hand, foot event detection showed greater involvement of the SMA, motor cortex, anterior and posterior cingulate, paracentral lobule, post central gyrus (BA 5), superior temporal gyrus, and cerebellum during the driving video (complex) condition.
Conclusions: The network of foot regions identified are consistent with those reported for cued foot flexion-extension movements (Sahyoun et al. 2004). However, they also show a role for the inferior parietal lobules not previously reported. This study highlights the need to extend event detection paradigms to include pedal and multi-limb responses. This will improve our ability to understand key brain networks engaged during critical event detection performed within human operator environments, as well as motor impairments in different clinical populations.
References & Acknowledgements: Sahyoun C et al. Neuroimage 21, 568 (2004).