Brain mechanisms involved in the maintenance of attention to auditory
and visual stimuli at different spatial locations were assessed using
positron emission tomography with [O-15]water to measure regional cere
bral blood flow (rCBF) changes in 13 normal volunteers. Simultaneous a
uditory [dichotically presented consonant-vowel-consonants (CVCs)] and
visual stimuli (vertically oriented, CVCs presented to the left and r
ight of fixation) were presented on every trial. In different conditio
ns subjects attended for targets in a specified stimulus channel (left
or right ears or left or right visual fields) while maintaining fixat
ion on a central x. Attending left or right for auditory stimuli incre
ased rCBF in primary auditory cortex in Heschl's gyrus and in temporal
lobe auditory association cortices in both hemispheres. Attending lef
t or right for visual stimuli did not change rCBF in primary visual co
rtex, and only attention to the right significantly increased rCBF in
contralateral occipital cortex. Visual attention caused significant rC
BF changes in a widespread network that included frontal, parietal, an
d temporal cortical regions as well as the cerebellum, whereas rCBF ch
anges due to auditory attention were largely localized in the temporal
lobes. The results suggest that spatially directed attention is media
ted by different mechanisms in the auditory and visual modalities. (C)
1997 Wiley-Liss, Inc.