Increased cerebral blood flow in the anterior cingulate cortex (ACC) h
as been noted in a range of cognitively demanding tasks studied with P
ET. A PET study of 10 normal males was carried out using the bolus (H2
O)-O-15 intravenous injection technique to examine the effects of anti
cipation on blood flow to the ACC. In a series of conditions, subjects
1) passively viewed flashing plus signs, 2) noted the occurrence of a
bstract patterns, 3) named animal pictures, 4) or carried out a semant
ic judgement on animal pictures. Anticipatory scans were carried out a
fter the subjects were presented with the instructions but before they
began the cognitive task, as they were passively viewing plus signs.
Significantly increased cerebral blood flow to the ACC was found in al
l three cognitive tasks when compared with baseline. More importantly,
a similar increase was observed in each of the anticipatory states wh
en compared with baseline. When the anticipation scan served as the su
btracted baseline for the cognitive task, the increase in blood flow w
as not significant. This pattern of activity suggests that receiving i
nstructions, preparation, and anticipation of the cognitive task, rath
er than task-related processing itself, may be responsible for the inc
reased blood flow in the ACC noted in many PET studies of simple cogni
tive tasks. (C) 1996 Wiley-Liss, Inc.