Positron emission tomography (PET) was used to identify cortical and s
ubcortical regions involved in the control of reaching to visual targe
ts, Regional cerebral blood flow (rCBF) was measured in eight healthy
subjects using (H2O)-O-15 PET during the performance of three differen
t tasks, All tasks required central fixation while a 400-ms target was
hashed every 5 s at a random location around a virtual circle centere
d on the fixation target, Additional instructions differed according t
o the task: (i) visual detection of the target without overt responses
; (ii) immediate pointing to the most recent target in the sequence, a
nd (iii) pointing to the previous target in the sequence. By design, t
he two motor tasks differed in the cognitive processing required, In e
ach trial of immediate pointing, the spatial location of only the most
recent target needed to be processed, In each trial of pointing to th
e previous, instead, while the most recent target was stored in memory
for the movement of the next trial, the previous target had to be ret
rieved from memory to direct the current movement, Limb trajectories w
ere comparable between the two motor tasks in terms of most spatiotemp
oral parameters examined. Significant rCBF increases were identified u
sing analysis of covariance and t statistics. Compared with visual det
ection there was activation of primary sensorimotor cortex, ventrolate
ral precentral gyrus, inferior frontal gyrus in the opercular region,
supramarginal gyrus, and middle occipital gyrus, all these sites in th
e hemisphere (left) contralateral to the moving limb, and cerebellar v
ermis, during both immediate pointing and pointing to the previous. Du
ring immediate pointing there was additional activation of left inferi
or parietal lobule close to the intraparietal sulcus, and when compare
d with pointing to the previous, dorsolateral prefrontal cortex bilate
rally. During pointing to the previous, instead, there was additional
activation of supplementary motor cortex, anterior and midcingulate, a
nd inferior occipital gyrus in the left hemisphere; superior parietal
lobule, supramarginal gyrus, and posterior hippocampus in the right he
misphere; lingual gyri acid cerebellar hemispheres bilaterally; anteri
or thalamus; and pulvinar. The activation of two partially distinct ce
rebral networks in these two motor tasks reflects the different nature
of signal processing involved. In particular, the specific activation
of intraparietal sulcus and prefrontal cortex in immediate pointing a
ppears characteristic of a network for visuospatial working memory. By
contrast, the corticolimbic network engaged in pointing to the previo
us could mediate spatial attention and the sequence of encoding, recod
ing, and decoding of spatial memories required by a dual task with two
competing targets. (C) 1997 Academic Press.