Abstract:
1. The somatotopic representation of the human primary motor
cortex was examined noninvasively with estimates of cerebral blood flow
(CBF) obtained with positron emission tomography. Twelve normal subjects
performed a motor tracking task with the arm, first finger, tongue, and
great toe commensurate with the bolus injection of radioactive H215O.
Images of the relative percent increase of blood flow, compared with
control studies, demonstrated reproducible foci of CBF increases in the
motor cortex in every subject. Each motor task could be localized to a
predictable site on a coronal section containing the precentral gyrus.
2. In reproducibility experiments of repeated measures, it was
determined that two foci of activation in the primary motor cortex could
be discriminated with a 95% confidence if they were separated by 5.4 mm.
3. In five subjects with matched magnetic resonance imaging studies, the
sites of activation were variable with respect to surface anatomy and
could be found at the depth of sulci or the surface of gyri. The
findings were similar to previously reported electrophysiological
studies using direct cortical stimulation. 4. The method may be applied
to the in vivo functional mapping of the primary motor cortex in
patients with cerebral disorders