Does literacy improve brain function? Does it also entail losses? Using functional magnetic resonance imaging, we measured brain responses to spoken and written language, visual faces, houses, tools, and checkers in adults of variable literacy (10 were illiterate, 22 became literate as adults, and 31 were literate in childhood). As literacy enhanced the left fusiform activation evoked by writing, it induced a small competition with faces at this location, but also broadly enhanced visual responses in fusiform and occipital cortex, extending to area V1. Literacy also enhanced phonological activation to speech in the planum temporale and afforded a top-down activation of orthography from spoken inputs. Most changes occurred even when literacy was acquired in adulthood, emphasizing that both childhood and adult education can profoundly refine cortical organization.

Visual word recognition has been proposed to rely on a hierarchy of increasingly complex neuronal detectors, from individual letters to bigrams and morphemes. We used fMRI to test whether such a hierarchy is present in the left occipitotemporal cortex, at the site of the visual word-form area, and with an anterior-to-posterior progression. We exposed adult readers to (1) false-font strings; (2) strings of infrequent letters; (3) strings of frequent letters but rare bigrams; (4) strings with frequent bigrams but rare quadrigrams; (5) strings with frequent quadrigrams; (6) real words. A gradient of selectivity was observed through the entire span of the occipitotemporal cortex, with activation becoming more selective for higher-level stimuli toward the anterior fusiform region. A similar gradient was also seen in left inferior frontoinsular cortex. Those gradients were asymmetrical in favor of the left hemisphere. We conclude that the left occipitotemporal visual word-form area, far from being a homogeneous structure, presents a high degree of functional and spatial hierarchical organization which must result from a tuning process during reading acquisition.

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Fluent readers recognize visual words across changes in case and retinal location, while maintaining a high sensitivity to the arrangement of letters. To evaluate the automaticity and functional anatomy of invariant word recognition, we measured brain activity during subliminal masked priming. By preceding target words with an unrelated prime, a repeated prime, or an anagram made of the same letters, we separated letter-level and whole-word codes. By changing the case and the retinal location of primes and targets, we evaluated the invariance of those codes. Our results indicate that an invariant binding of letters into words is achieved unconsciously through a series of increasingly invariant stages in the left occipitotemporal pathway.

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Many people exposed to sinewave analogues of speech first report hearing them as electronic glissando and, later, when they switch into a dspeech modeT, hearing them as syllables. This perceptual switch modifies their discrimination abilities, enhancing perception of differences that cross phonemic boundaries while diminishing perception of differences within phonemic categories. Using high-density evoked potentials and fMRI in a discrimination paradigm, we studied the changes in brain activity that are related to this change in perception. With ERPs, we observed that phonemic coding is faster than acoustic coding: The electrophysiological mismatch response (MMR) occurred earlier for a phonemic change than for an equivalent acoustic change. The MMR topography was also more asymmetric for a phonemic change than for an acoustic change. In fMRI, activations were also significantly asymmetric, favoring the left hemisphere in both perception modes. Furthermore, switching to the speech mode significantly enhanced activation in the posterior parts of the left superior gyrus and sulcus relative to the non-speech mode. When responses to a change of stimulus were studied, a cluster of voxels in the supramarginal gyrus was activated significantly more by a phonemic change than by an acoustic change. These results demonstrate that phoneme perception in adults relies on a specific and highly efficient left-hemispheric network, which can be activated in top-down fashion when processing ambiguous speech/non-speech stimuli.

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