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The Journal of Neuroscience, November 15, 1998, 18(22):9429-9437
Sustained Activity in the Medial Wall during Working Memory
Delays
Laurent
Petit,
Susan M.
Courtney,
Leslie G.
Ungerleider, and
James V.
Haxby
Laboratory of Brain and Cognition, National Institute of Mental
Health, Bethesda, Maryland 20892-1366
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ABSTRACT |
We have taken advantage of the temporal resolution afforded by
functional magnetic resonance imaging (fMRI) to investigate the role
played by medial wall areas in humans during working memory tasks. We
demarcated the medial motor areas activated during simple manual
movement, namely the supplementary motor area (SMA) and the cingulate
motor area (CMA), and those activated during visually guided saccadic
eye movements, namely the supplementary eye field (SEF). We determined
the location of sustained activity over working memory delays in the
medial wall in relation to these functional landmarks during both
spatial and face working memory tasks. We identified two distinct
areas, namely the pre-SMA and the caudal part of the anterior cingulate
cortex (caudal-AC), that showed similar sustained activity during both
spatial and face working memory delays. These areas were distinct from
and anterior to the SMA, CMA, and SEF. Both the pre-SMA and caudal-AC activation were identified by a contrast between sustained activity during working memory delays as compared with sustained activity during
control delays in which subjects were waiting for a cue to make a
simple manual motor response. Thus, the present findings suggest that
sustained activity during working memory delays in both the pre-SMA and
caudal-AC does not reflect simple motor preparation but rather a state
of preparedness for selecting a motor response based on the information
held on-line.
Key words:
human; working memory; fMRI; supplementary motor area; pre-SMA; supplementary eye field; anterior cingulum
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INTRODUCTION |
Sustained neural activity during the
delay period of delayed response tasks is generally interpreted as the
neural basis of working memory, underlying the ability to hold
information about a stimulus on-line over a short period of time. With
functional magnetic resonance imaging (fMRI), it is possible to
identify regions that demonstrate sustained activity during working
memory delays in humans and distinguish them from those regions that participate in other components of working memory task performance. For
example, we have shown that fMRI can distinguish sustained, memory-related activity in prefrontal cortex during a face working memory task from transient, perception-related activity in posterior extrastriate cortex (Cohen et al., 1997 ; Courtney et al., 1997 ). In a
related study, we have shown that sustained activity in the superior
frontal sulcus during a spatial working memory task can be
distinguished from activity related to oculomotor control in the
adjacent frontal eye field (Courtney et al., 1998b ).
Previous brain imaging studies have described activation of various
cortical regions (e.g., prefrontal, parietal, and occipitotemporal regions) during working memory tasks, indicating that this mnemonic function is subserved by a large-scale distributed system (for review,
see Owen, 1997 ; Courtney et al., 1998a ; D'Esposito et al., 1998 ).
Activation in medial frontal regions, namely the supplementary motor
area (SMA) and the anterior cingulate cortex (AC), has also been
described consistently in both positron emission tomography (PET) and
fMRI studies of working memory (see Table 3). In these previous
studies, however, sustained, memory delay-related activity was not
distinguished from the activity related to other working memory task
components. These medial activations generally have been interpreted to
reflect the motor output component of the task, such as the preparation
for a manual or verbal response. Consistent with this interpretation,
Picard and Strick (1996) have distinguished multiple motor areas in the
medial wall. They suggested that the SMA in the dorsomedial frontal
cortex can be subdivided further into the SMA-proper (or SMA), which
subserves the basic spatial and temporal organization of movement, and
a more anterior region called the pre-SMA, which subserves additional cognitive or motor demands, such as the selection of and preparation for a motor response. In the cingulate cortex, they defined a caudal
cingulate motor area (CMA) [also called the caudal cingulate zone
(CCZ) by Picard and Strick (1996) ], which subserves simple motor
functions and a larger anterior cingulate area [also called the
rostral cingulate zone (RCZ) by Picard and Strick (1996) ], which
subserves more complex motor functions. In an earlier review of the AC,
Devinsky et al. (1995) emphasized the role played by this area in
response selection and attention to action.
The aim of the present study was to characterize the role played by
these medial frontal areas in working memory tasks. We divided
activations in both spatial and face working memory tasks into three
components, namely transient activity related to visual perception,
sustained activity over memory delays, and transient activity related
to the manual motor response after delays. This third component allowed
us to localize the medial motor areas activated during simple manual
movement, namely the SMA and CMA. Subjects also performed a visually
guided saccade task that allowed us to identify the location of a third
medial motor area, namely the supplementary eye field (SEF). Thus, the
SMA, CMA, and SEF constituted three functional landmarks in each
subject. We investigated the location of sustained activity over
working memory delays in the medial wall in relation to these
landmarks. We contrasted sustained, memory-related activity to
sustained activity related to preparation to make a manual motor
response in a control task that had no memory component. The sustained
activity during memory delays, therefore, could not be attributed to
simple motor preparation, but rather should reflect either a state of
preparedness to select a response at the end of the delay or the
maintenance of an active representation of visual stimuli in working
memory. We predicted that the location of sustained activity during
working memory delays would lie within the pre-SMA or AC or both
because of their presumed role in the more cognitive aspects of motor tasks.
Parts of this paper have been published previously in abstract form
(Petit et al., 1997b ).
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MATERIALS AND METHODS |
Subjects. Twelve healthy right-handed volunteers
(mean age 27.8 ± 2.9 years) participated in this study. All were
free of neurological or psychiatric illness, and there were no
abnormalities on their structural magnetic resonance images. All
subjects gave written informed consent.
Task design. In seven subjects (S6-S12), fMRI studies were
conducted during performance of spatial and face working memory tasks.
In five other subjects (S1-S5), fMRI studies were conducted during
performance of spatial working memory and saccadic eye movement tasks.
In the spatial and face working memory tasks (Fig. 1), subjects saw a series of three faces,
each presented for 2 sec in a different location on the screen,
followed by a 9 sec memory delay. After the delay, a single test face
appeared in some location on the screen for 3 sec, followed by a 6 sec
intertrial interval. For the spatial working memory task, subjects were
instructed to remember the locations of the three faces in the memory
set, independent of the identities of the faces used to mark those locations. They indicated with a left or right button press whether the
test location was the same as one of the three locations presented in
the memory set. For the face memory task, subjects were instructed to
remember the identities of the three faces in the memory set, regardless of the location in which the face appeared. They indicated whether the test face was the same as one of the three faces seen in
the memory set. Both working memory tasks used the same stimuli and
were equated for difficulty. For the sensorimotor control task,
scrambled faces appeared in the same sequence as that used for the
working memory tasks. When the fourth scrambled picture appeared after
the delay, subjects pressed both buttons. Working memory items
alternated with sensorimotor control items. For both the control and
working memory tasks, subjects were instructed to look directly at each
picture as it appeared and to avoid moving their eyes during delay
periods.

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Figure 1.
Working memory task diagram and description of the
contrasts used for the multiple regression analysis. The contrasts made
between task components are (1) visual stimulation versus no visual
stimulation, (2) memory stimuli versus control stimuli, (3) the control
stimulus set versus the control response, (4) the memory stimulus set
versus the test stimulus and response, (5) delays during anticipation
of response versus intertrial intervals, and (6) the memory delays
versus the control delays (for details, see Materials and Methods)
(adapted from Courtney et al., 1998b ).
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In the eye movement task, subjects executed horizontal saccadic eye
movements toward a visual dot. The dot appeared first at the primary
central eye position for 500 msec and then jumped randomly to different
eccentric positions on the horizontal axis with a frequency of 2 Hz.
The number of left and right saccadic eye movements was equated, with
an average amplitude of 12° in both directions (range, 5-20°). The
visual dot size was 0.4°. Rest was used as the eye movement control
task in which subjects were asked to keep their eyes open and avoid
moving their eyes in total darkness, without any visual cue.
Visual stimuli were generated by a Power Macintosh computer (Apple,
Cupertino, CA) using SuperLab software (Cedrus, Wheaton, MD) (Haxby et
al., 1993 ) and were projected with a magnetically shielded LCD
video projector (Sharp, Mahwah, NJ) onto a translucent screen placed at
the feet of the subject. The subject was able to see the screen by the
use of a mirror system.
Imaging procedure. All imaging used a 1.5 Tesla General
Electric Signa magnet (Milwaukee, WI) with a standard head coil.
Interleaved multi-slice gradient echo planar imaging was used to
produce 22-26 contiguous, 5- or 6-mm-thick axial slices covering the
entire brain [field of view = 24 cm; repetition time (TR) = 3000 msec, echo time (TE) = 40 msec; flip angle 90°, 64 × 64 matrix
of 3.75 mm2 voxels). Five of the seven subjects who
performed both working memory tasks were studied in two different
sessions, one consisting of eight series contrasting spatial working
memory and sensorimotor control, and the other consisting of eight
series contrasting face working memory and sensorimotor control. The
two remaining subjects were studied in a single session that consisted
of 12 series, 6 series contrasting the spatial working memory task and the sensorimotor control task, and six series contrasting the face
working memory task and the sensorimotor control task. The five
subjects who performed both the spatial working memory and eye movement
tasks were studied in a single session, which consisted of six series
contrasting the spatial working memory and sensorimotor control tasks
and four series contrasting the saccadic eye movement and rest control
tasks. The order of all tasks was counterbalanced across subjects.
For each working memory series, subjects alternated between a single
working memory item and a single control item, each of which lasted 24 sec. Each working memory time series consisted of 88 scans with a total
duration of 4 min, 24 sec. For each eye movement time series, subjects
alternated 15 sec of a rest control task and 15 sec of the saccadic
task. Each time series consisted of 60 scans with a total duration of 3 min. The scanner was in the acquisition mode for 12 sec before each
series to achieve steady-state transverse magnetization.
For all studies, high-resolution volume spoiled gradient recalled echo
structural axial images were also acquired at the same locations as the
echo planar images (TR = 13.9 msec, TE = 5.3 msec; flip angle
30°) to provide detailed anatomical information.
Data analysis. The fMRI time series data were analyzed using
multiple regression (Neter et al., 1990 ; Friston et al., 1995 ; Rencher,
1995 ; Clark et al., 1998 ; Haxby et al., 1998 ). For the working memory
tasks, the contrasts made between task components are shown in Figure
1. All contrasts were constructed a priori so that the sum of values
over the time series equaled zero, and the cross products of all pairs
of contrasts were equal to zero, demonstrating orthogonality. These
contrasts make it possible to obtain independent estimates of activity
levels during every phase of the task. Each of the time series was
convolved with a Gaussian model of the hemodynamic response to produce
the six regressors used in the analysis. Multiple regression
simultaneously calculates a weighting coefficient for each regressor so
that the sum of all of the regressors multiplied by their weighting coefficients provides the best fit to the data.
Regressors 3 and 6 were chosen to test the hypotheses that motivated
our study. Regressor 3 contrasted, during control tasks, the transient,
perception-related activity evoked by the presentation of the stimulus
set versus the transient, perception-related and motor-related activity
evoked by the stimulus item and response after the delay. Thus,
regressor 3 reflected the manual motor-related activity corresponding
to the button press movement and was used to probe both SMA and CMA
activation in the medial wall. Regressor 6 contrasted sustained,
memory-related and motor preparation-related activity during working
memory delays versus sustained, motor preparation-related activity
during control delays. In other words, it reflected a state of
preparation to select a response based on the information held on-line
as compared with simple preparation to press both buttons. For the eye
movement task, a saccadic eye movement versus rest contrast was used to
probe the SEF activation in the medial wall. For each subject,
Z-score maps and structural images were transformed into the
standard stereotactic Talairach space (Talairach and Tournoux, 1988 )
with the three-dimensional version of SPM (Friston, 1995 ).
Activated voxels in the anterior medial wall were assigned to two
volumes of interest (VOIs): the dorsomedial part of the superior
frontal cortex and the cingulate cortex. Using the Talairach normalized
structural images, this parcellation was achieved for each subject
using software (Voxtool; General Electric, Buc, France) designed for
brain segmentation, reconstruction of the external surfaces of both
hemispheres, and the display of sections in any orientation.
The VOIs consisted of 15 mm of the cortex on each side of the
interhemispheric fissure anterior to the vertical plane passing through
the posterior commissure (VPC). The VOI delineating the dorsomedial
part of the superior frontal gyrus extended forward to the anterior
convexity (see Fig. 4, left side). Its inferior limit
corresponded to the cingulate sulcus in the posterior part and to the
plane 45 mm above the bicommissural plane in the anterior part. This
inferior limit was chosen to delineate the medial part of Brodmann's
area 6 that contains the SMA (Picard and Strick, 1996 ). The VOI
delineating the cingulate gyrus encompassed the cingulate cortex from
the VPC forward to the bicommissural plane for its inferior limit (see
Fig. 4, left side). Its superior limit corresponded to the
cingulate sulcus.
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RESULTS |
Location of the functional landmarks (SMA, CMA, and SEF)
All subjects showed two distinct foci of manual motor-related
activity (regressor 3) in the medial frontal cortex, one in the
dorsomedial part of the superior frontal cortex and the other in the
cingulate cortex. Figure 2
(top) illustrates the distribution of the two foci relative
to the cingulate sulcus for one subject. All subjects showed a similar
distribution with a local maximum of motor-related activity in the
cingulate cortex that was distinct and significantly anterior to the
local maximum in the medial superior frontal cortex (mean difference 12 mm; p < 0.0005).

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Figure 2.
Color-coded Z-score map
illustrating significant manual motor-related activity
(top) (Fig. 1, regressor 3) and sustained activity
during face working memory delays (bottom) (Fig. 1,
regressor 6) in a single subject (S11), shown overlaid onto a Talairach
normalized anatomical MR sagittal image (Y = 6
mm) for that subject with the cingulate sulcus shown in
white. Note that the superior frontal and cingulate foci
are anatomically distinct for both motor-related (top)
and sustained (bottom) activity. AC-PC,
Bicommissural plane; VAC and VPC,
vertical planes passing through the anterior and posterior commissures,
respectively.
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Within the medial superior frontal cortex, 73% (median across
subjects) of the cortex demonstrating motor-related activity was
posterior to the vertical plane passing through the anterior commissure
(VAC). Table 1 shows the Talairach
coordinates of the centroid of motor-related activity for each subject.
The mean coordinates of motor-related activity (1, 13, 50;
n = 19 comparisons in 12 subjects) located it clearly
in the SMA (see Fig. 4, red square), as defined recently
(Picard and Strick, 1996 ). In the cingulate cortex, 68% (median across
subjects) of the cortex showing motor-related activity was also located
posterior to the VAC. Table 2 shows the
Talairach coordinates of the centroid for each subject. The mean
coordinates of the cingulate motor-related activity (0, 4, 40;
n = 19 comparisons in 12 subjects) located it in the CMA (see Fig. 4, red square), as defined recently (Picard
and Strick, 1996 ). Figure 3
(right) illustrates the averaged evoked fMRI time series
response to the button press movement in SMA and CMA during both face
and spatial working memory task performances.

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Figure 3.
Plot of Talairach coordinates (in millimeters) of
manual motor-related (red squares) and working memory
delay-related activities during both face (top, red
triangles) and spatial (bottom, red circles)
working memory tasks (for details, see Tables 1, 2). Time series
(inset graphs) illustrate the average response (in
percentage change of MR signal, solid black line) and
the corresponding fitted response function (dashed red
line) from regression analysis. VAC, Vertical
plane passing through the anterior commissure. The region of cortex in
pink brain drawings is the same as that illustrated in
the right part of Figure 4.
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All subjects performing the saccadic eye movement task showed
oculomotor-related activity in the dorsomedial part of the superior frontal cortex (Table 1). In this region, 79% (median across subjects)
of the cortex demonstrating oculomotor activity was posterior to the
VAC. Mean coordinates of this activation (0, 6, 60; n = 5 subjects) identified the location of the SEF (Fig. 4, red diamond). No
oculomotor-related activity was observed in the cingulate cortex.

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Figure 4.
Left, Midsagittal view of the human
brain that illustrates the VOIs defined in the present study, namely
the dorsomedial part of the superior frontal cortex
(orange) and the anterior and mid-cingulate cortex
(dark blue) (for details, see Materials and Methods).
Right, Plot of Talairach coordinates (in millimeters) of medial
activations described in previous working memory studies in the medial
superior frontal cortex (white filled circles) and in
the cingulate cortex (blue filled circles) (for details,
see Table 3). The background areas represent the boundaries of the
medial motor areas according to Picard and Strick (1996) , namely the
supplementary motor area (SMA), the cingulate motor area
(CMA), the pre-SMA (Pre-SMA), the caudal
anterior cingulate (Caudal-AC), and the rostral anterior
cingulate (Rostral-AC). It should be noted that this
short review of the literature was not intended to survey exhaustively
all studies that may have involved working memory.
AC-PC, Bicommissural plane; VAC and
VPC, vertical planes passing through the anterior and
posterior commissures, respectively.
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Location of the sustained activity during working
memory delays
All subjects showed two distinct foci of sustained activity during
spatial working memory delays (regressor 6) in medial frontal cortex:
one in the dorsomedial part of the superior frontal cortex and the
other in the cingulate cortex. Figure 2 (bottom) illustrates the distribution of the two foci relative to the cingulate sulcus for
one subject. All subjects showed a similar distribution, with the local
maximum of sustained activity in the cingulate cortex distinct from and
significantly anterior to the one in the medial superior frontal cortex
(mean difference = 13 mm; p < 0.0001). Figure 3
(left) illustrates the averaged evoked fMRI time series response during both face and spatial working memory delays in medial
frontal cortex.
In the 12 subjects who performed the spatial working memory task, 76%
of the medial superior frontal cortex (median across subjects)
demonstrating sustained activity was anterior to VAC. The mean
coordinates ( 1, 7, 52) of the sustained activity during spatial
working memory delays were located in the pre-SMA anterior to, and
clearly distinct from, both the SMA and the SEF (Fig. 4, red
circle). The centroid of sustained activity was significantly anterior to the centroid of motor-related activity [mean
difference = 20 mm; p < 0.005 in all cases (Table
1)]. In the five subjects who performed the oculomotor task, the
centroid of sustained activity during spatial working memory delays was
significantly anterior to the centroid of eye movement-related activity
[mean difference = 11 mm; p < 0.01 in all cases
(Table 1)]. In the seven subjects who also performed the face working
memory task, the spatial extents of sustained activity during spatial
and face working memory were equivalent (3.6 vs 3.9 cm3, respectively; p > 0.1). Of the
medial superior frontal cortex (median across subjects) demonstrating
face sustained activity, 73% was anterior to the VAC. The centroid (0, 8, 50; n = 7) was nearly identical to the centroid
found for the spatial working memory delays ( 1, 9, 50;
n = 7) and significantly anterior to the centroid of
motor-related activity (Fig. 4, red triangle) [mean
difference = 22 mm for seven subjects; p < 0.0001 in all cases (Table 1)].
In the 12 subjects who performed the spatial working memory task, 87%
of the cingulate cortex (median across subjects) demonstrating sustained activity was located anterior to the VAC. The mean
coordinates (1, 13, 37) of the cingulate sustained activity were
clearly anterior to and distinct from the cingulate motor-related
activity (Fig. 4, red circle) [mean difference = 17 mm; p < 0.005 for 10 of the 12 subjects; the two
remaining subjects (S2, S5) showed the same trend, but the difference
of 11 mm did not reach statistical significance (Table 2)]. Of the
seven subjects who also performed the face working memory task, six
showed significant activity in cingulate cortex. The spatial extents of
sustained activity during spatial and face working memory delays did
not differ significantly (0.6 vs 1.9 cm3,
respectively; p > 0.1). Of the cingulate cortex
(median across six subjects) demonstrating face sustained activity,
94% was located anterior to the VAC. Its centroid ( 1, 16, 33;
n = 6) was nearly identical to the centroid found for
spatial working memory delays (1, 15, 36; n = 7) and
significantly anterior to the centroid of motor-related activity (Fig.
4, red triangle) [mean difference = 20 mm for six
subjects; p < 0.0001 in five of six subjects (Table 2)].
 |
DISCUSSION |
The present fMRI study demonstrates the existence of two
distinct areas in the medial wall of human cortex, namely the pre-SMA and the caudal-AC, that show sustained activity during working memory
delays as compared with sensorimotor control delays. The sustained
activity during working memory delays in the pre-SMA is distinct from
and anterior to the SMA and the SEF, and the sustained activity in the
caudal-AC is distinct from and anterior to the CMA. This sustained
activity was similar during both spatial and face working memory delays.
The reliability of the functional landmarks (SMA, CMA,
and SEF)
Two distinct foci of manual motor-related activity were located
caudal to the VAC plane, one in the medial part of the superior frontal
cortex and the other in the cingulate cortex, identifying the location
of the SMA (or SMA-proper) and the CMA, respectively, in each subject.
As illustrated in Figure 4, the mean locations of the medial manual
motor-related activations in this study were within the functional
boundaries delineating the human medial motor areas related to simple
arm movements, namely the SMA and CMA, both of which are caudal to the
VAC plane (for review, see Picard and Strick, 1996 ). Similarly, the eye
movement-related activity observed in the medial part of the superior
frontal cortex identified the location of the SEF in each subject.
Although we did not monitor eye movements during scanning, previous eye
movement measurements outside the scanner demonstrated that subjects
comply well with the visually guided saccade task (Petit et al.,
1997a ). Moreover, the mean location of the SEF in the present study was remarkably consistent with the location of medial superior frontal activation observed during the execution of different types of saccadic
eye movements in previous human functional imaging studies [PET: Fox
et al. (1985) , Paus et al. (1993) , Petit et al. (1993 , 1996 ), Anderson
et al. (1994) , Lang et al. (1994) , O'Sullivan et al. (1995) , Sweeney
et al. (1996) ; fMRI: Darby et al. (1996) , Petit et al. (1997c) , Luna et
al. (1998) ]. These three activations thus identified three distinct,
and reliable, functional landmarks that demarcate the motor areas of
the medial wall.
The sustained activity during working memory delays in the
medial wall
In the present study, sustained activity during both
spatial and face working memory delays was observed in the pre-SMA,
anterior to and clearly distinct from the SMA and SEF, and in the
caudal-AC, anterior to and clearly distinct from the CMA. A number of
previous functional imaging studies have described medial activations
during various types of working memory tasks. Table
3 summarizes the Talairach coordinates
reported in the frontal part of the medial wall in 14 previous studies
that were originally designed to be studies of either spatial or
nonspatial visual working memory [PET: Paulesu et al. (1993) , Smith et
al. (1995) , Coull et al. (1996) , Courtney et al. (1996) , Fiez et al.
(1996) , Goldberg et al. (1996) , Klingberg et al. (1996) , Schumacher et
al. (1996) , Smith et al. (1996) , Jonides et al. (1997) ; fMRI: Braver et
al. (1997) , Cohen et al. (1997) , Klingberg et al. (1997) , D'Esposito et al. (1998) ]. These medial activation foci are plotted on a standard
midsagittal view of the human brain (Fig. 4). With only one exception,
the foci of activation in the medial superior frontal cortex during
these previous spatial and nonspatial working memory tasks are located
rostral to the VAC, in the pre-SMA. All foci of activation in the
cingulate cortex are located in the most caudal part of the anterior
cingulum. Regions demonstrating sustained activity during spatial and
face working memory delays in the present study have similar locations
in the pre-SMA and caudal-AC (Fig. 4, red circles, red
triangles). Note that working memory-related activity is
invariably located in the caudal not rostral-AC [also called RCZp in
the terminology of Picard and Strick (1996) ]. These results suggest
that the medial wall activations in previous imaging studies of working
memory were caused primarily by sustained activity during memory delays
and not by the simple motor components of the tasks. In addition, it is
unlikely that the sustained activity during memory delays in the
pre-SMA is related to oculomotor control, because the current and
previous eye movement studies in humans have found that activity
related to visually guided saccades, self-paced saccades, smooth
pursuit, and fixation is consistently posterior to the VCA plane
(Anderson et al., 1994 ; Petit et al., 1996 , 1997c ; Sweeney et al.,
1996 ; Dejardin et al., 1998 ; Luna et al., 1998 ) (Fig. 4).
One may ask, therefore, what functional role do these medial wall areas
play during working memory delays? Anatomical studies in the monkey
indicate that these areas have strong connections to working
memory-related areas in dorsolateral prefrontal cortex, suggesting that
they constitute an important part of a distributed neural system for
working memory (Bates and Goldman-Rakic, 1993 ). In humans, the pre-SMA
is thought to participate in cognitive operations that precede motor
output, such as the selection of and preparation for a motor response
(Marsden et al., 1996 ; Passingham, 1996 ; Picard and Strick, 1996 ;
Rizzolatti et al., 1996 ). The anterior cingulate cortex is thought to
be engaged in attention for action, response selection, and cognitively
demanding information processing (for review, see Posner, 1994 ; Posner
and Dehaene, 1994 ; Devinsky et al., 1995 ). In other words, these medial
areas are considered to be part of a cortical system that is involved
in decisions to act; that is, what to do and when to do it. The
sustained activity during both spatial and face working memory delays
was nearly identical in both medial areas. Because the same type of
motor response after delays was required during the two working memory tasks, this nonspecific sustained activity may be related to sustained attention during working memory as compared with control delays or to
cognitive aspects of the motor output component of the tasks. The
extent to which the pre-SMA and caudal-AC areas perform the same
attentional or motor preparation function in concert or perform different components of these functions cannot be resolved on the basis
of current results.
During the working memory delays in our tasks, subjects did not know
what the final motor response would be, but they were prepared to
respond with either a right or left button press depending on whether
the test stimulus matched a stimulus in the memory set. During control
delays, subjects prepared an automatic simple motor response of
pressing both buttons. Thus, the sustained activity observed in the
present study corresponds to the contrast between readiness to select a
motor response as compared with readiness to execute a motor response
that was previously selected. Our findings suggest that both the
pre-SMA and caudal-AC sustained activity may reflect a higher cognitive
level than the simple selection of and preparation for a motor
response. It reveals a state of preparedness for selecting a motor
response based on the spatial and object information held on-line.
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FOOTNOTES |
Received April 3, 1998; revised Aug. 21, 1998; accepted Sept. 3, 1998.
We thank Elizabeth Hoffman and Jennifer Schouten for help with subject
recruitment, scheduling, and training, and the staff of the National
Institutes of Health in vivo NMR center for assistance with MR scanning. We also thank Michael S. Beauchamp for assistance with data analysis.
Correspondence should be addressed to Dr. Laurent Petit, Laboratory of
Brain and Cognition, National Institute of Mental Health, Building 10, Room 4C104, 10 Center Drive, Bethesda, MD 20892-1366.
Reprint requests should be addressed to Dr. James V. Haxby, Laboratory
of Brain and Cognition, National Institute of Mental Health, Building
10, Room 4C104, 10 Center Drive, Bethesda, MD 20892-1366.
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