Department of Neurology, University Medical Center Freiburg, 79106 Freiburg, Germany.
J Neurosci. 2013 May 1;33(18):7837-45. doi: 10.1523/JNEUROSCI.3147-12.2013.
Despite a large body of research, extant findings on the functional role of left inferior frontal gyrus (LIFG) in phonological and semantic fluency are still controversial. Based on cross-study comparisons, a recent meta-analysis of neuroimaging results suggests that posterior-dorsal (Brodmann area, BA, 44) and anterior-ventral parts (BA 45) of LIFG contribute differentially to processes of phonologically and semantically cued word retrieval, respectively. In contrast, a subsequent functional magnetic resonance imaging experiment failed to validate the proposed dissociation using a within-subjects design. In particular, no evidence for a specific role of BA 45 in semantic fluency was found. Here, we resolve this apparent controversy by showing that the conflicting findings can be accounted for when considering the influence of task demands and individual ability on resulting functional magnetic resonance imaging activation patterns. By comparing phonological versus semantic fluency, higher activation was robustly observed in BA 44. For the opposite comparison, higher activation was found in dorsal BA 45; however, this was more pronounced in posterior-dorsal parts of BA 45 for low-performing subjects and was only apparent in anterior-dorsal parts of BA 45 under high demands on controlled semantic retrieval. Our results thus disclose important determinants for detecting a functional segregation of LIFG in verbal fluency that also have implications for the controversial findings in previous lesion studies. Moreover, the present parcellation of dorsal BA 45 corresponds well with anatomical evidence suggesting a subdivision into an anterior (45A) and posterior part (45B) and may therefore represent evidence for its functional significance in humans.
尽管有大量的研究,但关于左额下回(LIFG)在语音和语义流畅性方面的功能作用的现有发现仍然存在争议。基于跨研究比较,最近对神经影像学结果的荟萃分析表明,LIFG 的后背(Brodmann 区,BA,44)和前腹(BA 45)部分分别对语音和语义提示词检索过程有不同的贡献。相比之下,随后的一项功能磁共振成像实验使用内-组设计未能验证所提出的分离。特别是,没有发现 BA 45 在语义流畅性中的特定作用的证据。在这里,我们通过表明当考虑任务需求和个体能力对产生的功能磁共振成像激活模式的影响时,可以解释这些明显的争议,从而解决了这个问题。通过比较语音流畅性与语义流畅性,我们发现 BA 44 中存在更强的激活。对于相反的比较,在背侧 BA 45 中发现了更高的激活;然而,对于表现较差的受试者,这种激活在前背侧 BA 45 中更为明显,而在需要对受控语义检索进行高要求的情况下,这种激活仅在前背侧 BA 45 中出现。因此,我们的研究结果揭示了在语音流畅性中检测 LIFG 功能分离的重要决定因素,这也对以前的病变研究中的有争议的发现具有启示意义。此外,目前对背侧 BA 45 的划分与解剖学证据非常吻合,表明其分为前(45A)和后(45B)部分,因此可能代表其在人类中的功能意义的证据。