Pronunciation (of irregular/inconsistent words and of pseudowords) and
lexical decision-making tasks were used with O-15 PET to examine the
neural correlates of phonological and orthographic processing in 14 he
althy right-handed men (aged 18-40 years). Relative to a visual-fixati
on control task, all four experimental tasks elicited a left-lateraliz
ed stream of activation involving the lingual and fusiform gyri, perir
olandic cortex, thalamus and anterior cingulate. Both pronunciation ta
sks activated the left superior temporal gyrus, with significantly gre
ater activation seen there during phonological (pseudoword) than durin
g orthographic (real word) pronunciation. The left inferior frontal co
rtex was activated by both decision-making tasks; more intense and wid
espread activation was seen there during phonological, than during ort
hographic, decision making, with the activation during phonological de
cision-making extending into the left insula. Correlations of referenc
e voxels in the left superior temporal gyrus and left inferior frontal
region with the rest of the brain were highly similar for the phonolo
gical and orthographic versions of each task type. These results are c
onsistent with connectionist models of reading, which hypothesize that
both real words and pseudowords are processed within a common neural
network.