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《Chinese Journal of Medical Imaging Technology》 2008-01
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Functional MRI study on two glioma cases involving Wernicke's area in auditory semantic judgment task

WEI Miao~1 WANG Xiao-yi~2 WU Chen-xing~3 LI Shao-wu~1 JIANG Tao~3 SHU Hua~2 ZHANG Zhong~3 DAI Jian-ping~(1*) (1.Imaging Center of Neuroscience,3.Glioma Center,Tiantan Hospital, Capital Medical University,Beijing 100050,China; 2.Beijing Normal University,State Key Laboratory of Cognitive Neuroscience and Learning,Beijing 100875,China)  
Objective To explore the activation areas of the brain in auditory semantic judgment task of Chinese words with fMRI.Methods fMRI examinations with block-designed auditory semantic judgment task of Chinese words were per- formed in 15 healthy young subjects and 2 patients with glioma involving Wernicke areas.3.0T MR scanner was used to obtain functional images which were analyzed by AFNI.Results In 15 healthy young subjects,addition to bilateral cerebel- lum,during word semantic judgment task,activation areas including the bilateral inferior frontal areas,middle temporal gyrus,the superior temporal gyrus,the insula lobe,the supplementary motor areas,the left inferior parietal lobe,the left supramarginal gyrus,and the activated areas were mainly located in left hemisphere.The two cases of glioma patients'acti- vation mainly involve in the bilateral inferior frontal areas,middle frontal areas,middle temporal gyrus,the insula lobe,the supplementary motor areas,inferior parietal lobe,the right supramarginal gyrus,right superior temporal gyrus,right supe- rior temporal gyrus,and the perifocal areas.The activation areas in the right hemisphere were more than the contralateral hemisphere in patients.Conclusion In our two cases of glioma,the brain sites which were activated are mainly located in the right hemisphere.Comparing to the volunteer group,the patients show right hemisphere dominance.
【Fund】: “十一五”国家科技支撑计划基金资助(2007BA105B08)
【CateGory Index】: R739.4
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