Purpose: Our goal was to use functional MRI (fMRI) to measure brain activat
ion in response to imagination of odors in humans.
Method: fMR brain scans were obtained in 21 normal subjects (9 men, 12 wome
n) using multislice FLASH MRI in response to imagination of odors of banana
and peppermint and to the actual smells of the corresponding odors of amyl
acetate and menthone, respectively, in three coronal sections selected fro
m anterior to posterior temporal brain regions. Similar studies were obtain
ed in two patients with hyposmia using FLASH MRI and in one patient with hy
posmia using echo planar imaging, both before and after theophylline treatm
ent, which returned smell function to or toward normal in each patient. Act
ivation images were derived using correlation analysis, and ratios of areas
of brain activated to total brain areas were calculated.
Results: Activation was present in each section in all normal subjects and
in each patient after imagination of each vapor. In normal subjects, brain
activation in response to imagination of odors was significantly less than
that in response to the actual smell of these odors, and activation followi
ng imagination of banana odor was significantly greater in men than in wome
n, as was previously reported for the actual smell of the odor of amyl acet
ate. However, in relative terms, albeit at an absolute lower brain activati
on level, the ratio of brain activation by imagination of banana to activat
ion by actual amyl acetate odor was about twice as high in women as in men.
Before treatment, in patients with hyposmia, brain activation in response
to odor imagination was greater than after presentation of the actual odor
itself. After treatment, in patients with hyposmia in whom smell acuity ret
urned to or reward normal, brain activation in response to odor imagination
was not significantly different quantitatively from that before treatment,
however, brain activation in response to the actual odor was significantly
greater than that in response to imagination of the corresponding odor. Br
ain regions activated by both odor imagination and actual corresponding odo
r were similar and consistent with regions previously described as respondi
ng to odors.
Conclusion: These studies indicate that (a) odors can be imagined and simil
ar brain regions are activated by both imagined and corresponding actual od
ors; (b) imagination of odors elicits quantitatively less brain activation
than do actual smells of corresponding odors in normal subjects; (c) absolu
te brain activation in men by odor imagination is greater than in women for
some odors, but on a relative basis, the ratio for odor imagination to act
ual smell in women is twice that in men; (d) odor imagination, once the odo
r has been experienced, is present. recallable, and capable of inducing a r
elatively constant degree of brain activation even in the absence of the ab
ility to recognize an actual corresponding odor.