TO elucidate cortical processing during vocalization, we used positron
emission tomography to measure regional cerebral blood flow during vo
calization in six Japanese subjects. During reading Japanese sentences
used daily or short syllables aloud, the visual cortices, the left He
schl's gyrus, Broca's area, the primary motor area of the articulatory
organs, the supplementary motor area and the cerebellum were signific
antly activated, compared with resting conditions. The superior tempor
al gyri were rarely activated. Significant activation of the cerebellu
m was observed by comparing cortical activity during reading sentences
used daily with that during reading meaningless short syllables. Thes
e results suggest that vocalization of familiar materials is taken ove
r by the cerebellum, rather than cortical speech areas, and without en
gagement of the superior temporal gyri.