Summary: We measured, using single photon emission computed tomography, the regional CBF (rCBF) changes in the motor areas of 24 right-handed normal volunteers during the performance of a motor task consisting of se quential finger-to-thumb opposition. Twelve of them per formed the task with their right and their left hands con secutively with a fast frequency and large amplitude. The other 12 subjects performed the task with their right hand only at a slow frequency and small amplitude. The con tralateral primary sensorimotor area (SlIMl), supplemen tary motor area (SMA), and ipsilateral cerebellum were significantly activated during right and left finger move ments performed at fast frequency and large amplitude.It is possible in humans to map the active brain areas involved in voluntary movements by measur ing regional CBF (rCBF) changes using the nonto mographic \33Xe technique (Olesen, 1971;Roland et al., 1980), single photon emission computed tomog raphy (SPECT) (Lauritzen et al., 1981), or more recently positron emission tomography (Fox et al., 1985; Colebatch et al., 1990; Deiber et al., 1991). Several studies have underlined the physiological role of the contralateral primary sensorimotor area (SlIM1) in the execution of movement and support Received September 4, 1992; final revision received January 6, 1993; accepted January 7, 1993.Address correspondence and reprint requests to Dr. F. Chollet at Department of Neurology, Hopital Universitaire Purpan, place Baylac, 31059 Toulouse, France.Abbreviations used: CM, canthomeatal plane; gCBF, global CBF; M task; motor task; MANOV A, multivariate analysis of variance; rCBF, regional CBF; ROI, region of interest; SllMl, primary sensorimotor area; SMA, supplementary motor area; SPECT, single photon emission computed tomography.
639No significant difference was found between the rCBF changes induced by the right dominant and left nondomi nant hands. When the task was performed with a slow rate and small amplitude, the SMA was significantly ac tivated while no significant changes were observed in the contralateral S 11M I or in the ipsilateral cerebellum. These results demonstrate (a) that hand dominance evokes no differences in the activation of the main motor areas and (b) that the frequency and amplitude of the movement have a major effect on the quantitative and qualitative aspect of activation of motor areas in humans.