The objective of this study was to detect auditory cortical activation in n
on-sedated neonates employing functional magnetic resonance imaging (fMRI).
Using echo-planar functional brain imaging, subjects were presented with a
frequency-modulated pure tone; the BOLD signal response was mapped in 5 mm
-thick slices running parallel to the superior temporal gyrus. Twenty healt
hy neonates (13 term, 7 preterm) at term and 4 adult control subjects. Bloo
d oxygen level-dependent (BOLD) signal in response to auditory stimulus was
detected in all 4 adults and in 14 of the 20 neonates. FMRI studies of adu
lt subjects demonstrated increased signal in the superior temporal regions
during auditory stimulation. In contrast,signal decreases were detected dur
ing auditory stimulation in 9 of 14 newborns with BOLD response. fMRI can b
e used to detect brain activation with auditory stimulation in human infant
s. (C) 2001 Elsevier Science Inc. All rights reserved.