WE compared the cortical fields activated by simple, self-paced index-
finger flexions with those activated during visually triggered movemen
t and rest using PET. Of 12 fields detected during self-paced movement
compared to rest, three were located in the classically defined motor
areas: primary motor area (M1), premotor cortex (PM) and supplementar
y motor area (SMA). The latter extended into the cingulate motor area
(CMA). Four corresponding clusters were also found when triggered move
ment was subtracted from self-paced movement. The change in regional c
erebral blood flow (rCBF) was greater in SMA than in PM during self-pa
ced movement compared with either control. We conclude that repetitive
, self-paced index-finger flexions can activate SMA, PM and CMA, and t
hat this movement activates SMA more strongly than PM.