Verbal fluency as a prefrontal activation probe : a validation study using 99mTc-ECD brain SPET

This study aimed to investigate the feasibility of brain single-photon emission tomography (SPET) in the letter and category fluency paradigm of the Controlled Oral Word Association (COWA) test in healthy volunteers. Two groups each comprising ten right-handed healthy volunteers were injected twice...

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Veröffentlicht in:European Journal of Nuclear Medicine 2000-12, Vol.27 (12), p.1800-1808
Hauptverfasser: AUDENAERT, Kurt, BRANS, Boudewijn, VAN LAERE, Koen, LAHORTE, Philippe, VERSIJPT, Jan, VAN HEERINGEN, Kees, DIERCKX, Rudi
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container_end_page 1808
container_issue 12
container_start_page 1800
container_title European Journal of Nuclear Medicine
container_volume 27
creator AUDENAERT, Kurt
BRANS, Boudewijn
VAN LAERE, Koen
LAHORTE, Philippe
VERSIJPT, Jan
VAN HEERINGEN, Kees
DIERCKX, Rudi
description This study aimed to investigate the feasibility of brain single-photon emission tomography (SPET) in the letter and category fluency paradigm of the Controlled Oral Word Association (COWA) test in healthy volunteers. Two groups each comprising ten right-handed healthy volunteers were injected twice with 370 MBq technetium-99m ethyl cysteinate dimer following a split-dose paradigm (resting and activation condition). Statistical parametric mapping (SPM96) was used to determine voxelwise significant changes. The letter fluency and the category fluency activation paradigm had a differential brain activation pattern. The posterior part of the left inferior prefrontal cortex (LIPC) was activated in both paradigms, with the category fluency task having an extra activation in the anterior LIPC. In the category fluency task, but not the letter fluency task, an activation in the right inferior prefrontal cortex was found. These findings confirm to a large extent the results of previous functional magnetic resonance imaging and positron emission tomography studies in semantic and phonological activation paradigms. The choice and validity of various methodological characteristics of the experimental design leading to these results are critically discussed. It is concluded that brain SPET activation with the letter fluency and category fluency paradigm under standard neuropsychological conditions in healthy volunteers is both technically and practically feasible.
doi_str_mv 10.1007/s002590000351
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subjects Adult
Biological and medical sciences
Cerebrovascular Circulation - physiology
Cysteine - analogs & derivatives
Female
Humans
Image Processing, Computer-Assisted
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Nervous system
Nervous system involvement in other diseases. Miscellaneous
Neurology
Organotechnetium Compounds
Prefrontal Cortex - diagnostic imaging
Prefrontal Cortex - physiology
Radionuclide investigations
Radiopharmaceuticals
Tomography, Emission-Computed, Single-Photon
Verbal Behavior - physiology
Word Association Tests
title Verbal fluency as a prefrontal activation probe : a validation study using 99mTc-ECD brain SPET
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