Cerebral Cortex April 2007;17:760--765 doi:10.1093/cercor/bhk029 Advance Access publication May 12, 2006 Similar Frontal and Distinct Posterior Cortical Regions Mediate Visual and Auditory Perceptual Awareness Johan Eriksson1, Anne Larsson2,3, Katrine Riklund Åhlström3,4 and Lars Nyberg3,4,5 Department of Psychology and 2Department of Radiation Science, Radiation Physics, Umeå University, S-901 87 Umeå, Sweden, 3Umeå Centre for Functional Brain Imaging (UFBI), Umeå, Sweden, 4Department of Radiation Sciences, Diagnostic Radiology and 5Department of Integrative Medical Biology, Physiology Section, Umeå University, S-901 87 Umeå, Sweden 1 Activity in ventral visual cortex is a consistent neural correlate of visual consciousness. However, activity in this area seems insufficient to produce awareness without additional involvement of frontoparietal regions. To test the generality of the frontoparietal response, neural correlates of auditory awareness were investigated in a paradigm that previously has revealed frontoparietal activity during conscious visual perception. A within-experiment comparison showed that frontal regions were related to both visual and auditory awareness, whereas parietal activity was correlated with visual awareness and superior temporal activity with auditory awareness. These results indicate that frontal regions interact with specific posterior regions to produce awareness in different sensory modalities. tested the generality of frontoparietal activity by examining conscious perception in the visual and auditory modalities with a fMRI paradigm that previously has revealed frontoparietal activity during visual conscious perception (Portas and others 2000; Eriksson and others 2004). This paradigm makes it possible to isolate transient brain activity related to conscious awareness (Fig. 1a). We found that similar frontal regions were related to conscious perception in both the visual and auditory domains. By contrast, posterior brain activity was domain selective with occipitotemporal and parietal activation for visual stimuli and superior temporal activation for auditory stimuli. Keywords: auditory awareness, fMRI, parietal cortex, prefrontal cortex, visual awareness Experiment 1 Introduction Participants Sixteen neurologically healthy subjects participated in the study, 24--37 years old (8 women). All participants were right handed by self-report, had normal or corrected to normal vision, and no hearing impairments. Participants gave their informed consent, and the study was approved by the ethics committee at the University Hospital of Northern Sweden. Consciousness is a central concept in the history of psychology (Leahey 2000) but has only more recently become a topic of study in the neurosciences. How the brain implements consciousness has been labeled ‘‘the deepest of biological mysteries’’ (Kandel and others 2000). Searching for the neural correlates of consciousness, defined as neuronal events that give rise to a specific aspect of a conscious percept, has been proposed as a framework for consciousness (Crick and Koch 2003). Several previous studies have found that activity in regions in ventral visual cortex is correlated with visual conscious perception (Sheinberg and Logothetis 1997; Tong and others 1998; Grill-Spector and others 2000). However, such activity has been suggested to be necessary but not sufficient for conscious visual experience in the sense that additional contribution from parietal and prefrontal loci is required (Rees and others 2002). This suggestion is supported by the functional magnetic resonance imaging (fMRI) studies that show transient changes in frontoparietal brain activity related to visual conscious experience (Kleinschmidt and others 1998; Lumer and others 1998; Portas and others 2000; Eriksson and others 2004), as well as other studies that have implicated frontoparietal regions with conscious awareness (McIntosh and others 1999; Beck and others 2001; Dehaene and others 2001; Kjaer and others 2001; Ehrsson and others 2004). Moreover, frontoparietal activity has consistently been observed in relation to visual attention (Kanwisher and Wojciulik 2000) and visual working memory (Baddeley 2003), and similarities in frontoparietal activity for awareness, attention, and working memory have been noted (Lumer and others 1998). Most previous studies on conscious perception have involved visual stimuli (Rees and others 2002). In the present study, we Ó The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: [email protected] Methods Stimulus Material The stimuli consisted of sounds of objects (animals) rather than tones because this is more perceptually and conceptually comparable with visual object recognition (Bregman 1990). The stimulus consisted of 24 animal sounds deemed commonly known, such as pig, dog, lion, etc. A background noise (consisting of a conglomerate of all animal sounds used) was custom made for each animal sound. Specifically, the noise was made louder on some sections and quieter on others. This was to make melodic and pitch clues less pronounced and thereby making the different animal sounds more comparable in terms of recognizability. The animal sounds were made either 1 3 4 or 2 3 4 s long to match the timing of the noise reduction steps (4 s, see Procedures) and were looped during playback to create a continuous sound image. The choice between 1 3 4 and 2 3 4 s was based on whether the animal had a characteristically repetitive sound or not. For example, a cricket would get 1 3 4 s, whereas the howling of a wolf would get 2 3 4 s. Procedure Each animal sound remained constant throughout the trial with a loop of 4.0 or 8.0 s (see Stimulus Material) and a stimulus onset asynchrony of 60.0 s. The participants were required to fixate on a black crosshair centered on a white screen throughout the experiment. Every 4.0 s, the noise level was reduced one step (one step is –120, where 0 is no reduction and –10 000 is complete silence, see E-Prime manual, Psychology Software Tools, Inc. [Pittsburgh, PA], for further detail) until the subject pressed a button with their left hand, thereby indicating animal identification. This motor response was accompanied by a change in background screen color from white to green. After identification, the subject was required to continue attending to the animal sound during the remainder of the trial (sustained perception). During the period of sustained perception, a second change of background color, from green to white, prompted the subject to press Figure 1. (a) In both the auditory and visual paradigm, perception is made difficult by having noise in the stimulus presentation. This creates a delay in target identification (for Experiment 2 M (mean) = 14.9 s, standard deviation [SD] = 6.4 s for sounds; M = 11.0 s, SD = 10.3 s for pictures) and dissociates the stimulus parameters from identification and onset of a specific conscious content. For each trial, the participant presses a button when he/she identified the target object. To separate brain activity related to this motor response from activity specific for identification, a second button press is made some time later during the same trial. This creates a unique blood oxygen level--dependent activation profile for the motor response (M), identification (I), and also the continuous sustained perception (SP) following identification, allowing an analytical separation of each effect within trials. (b) In Experiment 1, only auditory stimuli were used (supplementary wav-file online), and in Experiment 2, both auditory and visual stimuli were used. This example visual stimulus depicts a small bird in green lines ‘‘hidden’’ among distractor lines (noise). the button once again. This subsequent motor response served as control for any brain activation in the first response that was due to the response itself and not to perceptual identification because it also consisted of seeing a color change and performing the same motor act (Fig. 1a). This second response occurred 8.0--12.0 s after identification. Following the second response, the stimulus presentation continued for 12.0 s. The described procedure with 1 target identification, 2 motor responses, and an unbroken period of sustained perception enables a comparison of the 3 conditions and identification of brain activity specifically associated with each effect. If identification did not occur within 28 s, the sound and trial were terminated because there would not be enough time left of the remaining trial to reliably separate each effect of interest. Although each stimulus was constructed with the aim of an identification time of 8--28 s, no lower boundary was set. This was based on the argument that if a larger proportion of the identifications occurred after 8 s, occasional early responses would still provide useful information as in a jittered design (Donaldson and Buckner 2001) and not be confounded by stimulus onset. The participants were asked to identify each animal as fast as possible. To avoid false-positive responses, trials with only noise and no animal sound were intermixed with the other trials, and the participants were explicitly told not to respond unless they could identify the animal. Despite these precautions, one false positive occurred which, combined with low task performance, lead to the exclusion of the (male) participant from the statistical analysis. After magnetic resonance (MR) scanning, a debriefing was performed with each participant, making sure that they had heard the correct animal in each trial. All trials were deemed successful. MR Procedures Data collection was made on a 1.5-T Philips Intera scanner (Philips Medical Systems, The Netherlands). Functional T2*-weighted images were obtained with a single-shot gradient echo planar imaging sequence used for blood oxygen level--dependent imaging. The sequence had the following parameters: echo time 50 ms, repetition time 3000 ms (33 slices acquired), flip angle 90°, field of view 22 3 22 cm, 64 3 64 matrix, and 4.4-mm slice thickness. To eliminate signals arising from progressive saturation, 5 dummy scans were performed prior to the image acquisition. The stimuli were presented through MR-compatible headphones (Silent Scan SS-3000 Audio System, Avotech, Stuart FL), and the color background and crosshair were projected on a semitransparent screen, which the participants viewed through a tilted mirror attached to the head coil. Presentation and reaction time data were handled by a PC running E-Prime 1.1 (Psychology Software Tools, Inc.,). Before the functional imaging, high-resolution T1- and T2-weighted structural images were acquired. Data Analysis The data were analyzed with statistical parametric mapping (SPM2) (Wellcome Department of Cognitive Neurology, London, UK) on Matlab 6.5.1 (Mathworks Inc., Sherborn, MA). All images were corrected for slice timing, realigned to the first image volume in the series, normalized to standard anatomical space defined by the Montreal Neurological Institute (MNI) atlas (SPM2), and smoothed using an 8.0-mm full width half maximum Gaussian filter kernel. The effects of interest were modeled using 3 regressors: identification, sustained perception, and sensorimotor integration (Fig. 1a). Because onset for the regressors varied in every trial depending on the participants’ identification time, each regressor parameter was based on reaction time data for that specific trial. All regressors were convolved with a hemodynamic response function. Model estimations of main effects from each individual were taken into a second level random-effects model to account for interindividual variability. The statistical threshold was set to P < 0.05 (familywise error—corrected for multiple comparisons). Experiment 2 Participants Twelve healthy volunteers (6 women) aged 20--42 years participated (no one from Experiment 1 participated in Experiment 2). All participants were right handed by self-report, had normal or corrected to normal vision, and no hearing impairment. All gave informed consent, and the study was approved by the ethics committee at the University Hospital of Northern Sweden. Stimulus Material Twenty of the 24 sounds from Experiment 1 were reused for the auditory condition. For the visual condition, 20 pictures developed for an earlier experiment were used. These are fragmented pictures where an object is made out of a subset of colored fragments and is therefore difficult to identify. However, once the object is identified, there is no ambiguity in the picture and sustained perception can occur (Fig. 1b; for further detail, see Eriksson and others 2004). Procedure Each trial was randomly selected without replacement from 1 of 2 lists, consisting of auditory and visual trials, respectively. The procedure for auditory trials was similar as in Experiment 1 except that trial duration was interactive (i.e., no fixed stimulus onset asynchrony). The visual trials proceeded as follows: The picture was projected on the semitransparent screen and remained unchanged throughout the trial. When identification occurred, the participant pressed a button and continued looking at the identified object. As a consequence of the button press, a short beep appeared in the headphones. After 8.0--12.0 s, the beep reappeared prompting a second button press. Following the second response, the stimulus presentation continued for 12.0 s. All trials (auditory and visual) were separated by a 9.0-s presentation of a crosshair on a gray background. MR Procedures and Data Analysis The MR procedures for Experiment 2 were the same as in Experiment 1. Data analysis was similar to Experiment 1 except that 6 regressors were Cerebral Cortex April 2007, V 17 N 4 761 used to model the effects of interest (3 for auditory and 3 for visual trials). One participant did not show the expected activation pattern for sensorimotor integration and was therefore excluded from the group analysis. The statistical threshold was set to P < 0.01 corrected for false discovery rate (Genovese and others 2002). This more liberal threshold compared with Experiment 1 was chosen because of the power difference between the 2 experiments (14 vs. 10 degrees of freedom). The random-effects conjunction analysis was implemented in in-house software on the relevant main effects contrasts (testing the conjunction null hypothesis, Nichols and others 2005). Data Extraction for Selected Regions Regions of interest (Fig. 3) were defined from the random-effects analysis, where the superior temporal region was selected as the regional peak voxel for auditory identification, the parietal region as the regional peak voxel for visual identification, and the anterior cingulate and dorsolateral (DL) prefrontal regions as regional peak voxels for the conjunction analysis on identification. Data (effect size) were extracted using the Marsbar software (Brett and others 2002) from a spherical region with a radius of 6 mm. Figure 2. Identification of sounds in Experiment 1 activated right superior temporal cortex (MNI x, y, z = 64, –24, 4), bilateral prefrontal cortex (–42, 20, –6; 52, 30, 18), ACC (6, 34, 38), and cerebellum (–28, –66, –30). All activations are significant at P < 0.05 corrected for whole-brain volume. Right hemisphere activations are illustrated as volume clouds (Van Essen and others 2001; left in figure), and left hemisphere activations are overlaid on single-subject T1-weighted images (right). Results Sensorimotor Processes In Experiment 1, the motor responses activated primary motor cortex (x, y, z = 30, –20, 64, z-score = 7.29) and color-related regions in the fusiform gyrus (26, –74, –14, z-score = 6.88; –20, –68, –10, z-score = 6.50). This result was replicated in Experiment 2 for auditory stimuli (motor cortex: 48, –14, 62, z-score = 5.77; fusiform gyrus: –16, –54, –16, z-score = 5.71). For visual stimuli, sensorimotor activity was observed in primary motor cortex (28, –26, 58, z-score = 6.10) and auditory cortex (–52, –32, 14, z-score = 5.33). These results confirm that the analytic strategy of separating effects of interest within trials was successful. Conscious Awareness In Experiment 1, identification of target sounds activated lateral prefrontal cortex (PFC), anterior cingulate cortex (ACC), superior temporal cortex, and cerebellum (Fig. 2 and Table 1). However, in contrast to previous research on visual awareness (Portas and others 2000; Eriksson and others 2004), no parietal activity increase was observed. To consider possible parietal activity at a lower statistical threshold, we reexamined the results at a threshold of P < 0.001 uncorrected for multiple comparisons. At this more liberal threshold, some parietal activity was seen (x, y, z = –6, –74, 40; –30, –58, 42), but frontotemporal activity continued to be the most salient response. In Experiment 2, a similar pattern of results was observed as in Experiment 1. Identification of sounds activated lateral PFC, ACC, superior temporal cortex, and cerebellum. Again, no parietal activity increase was found (Fig. 3), and this was true even at a threshold of P < 0.001 uncorrected. In contrast, identification of visual stimuli did activate regions in the parietal cortex. In addition, increased activity was observed in inferior occipitotemporal cortex, lateral PFC, and ACC (Fig. 3 and Table 2). The results of Experiment 2 showed overlapping frontal activity for visual and auditory perception. To formally characterize similarities in activation patterns associated with awareness in different sensory modalities, a conjunction analysis was performed. This analysis revealed exclusively frontal (lateral PFC and ACC) activity across modalities, mainly in the right hemisphere (Fig. 3). These results suggest that activity in the same frontal regions is related to awareness regardless of sensory modality. 762 Visual and Auditory Perceptual Awareness d Eriksson and others Table 1 Brain regions related to identification and sustained perception for Experiment 1 Brain region Identification DLPFC ST VLPFC ACC Cerebellum Sustained perception Parietal Premotor Cerebellum LPFC x y z z-score BA 52 64 ÿ42 6 ÿ28 30 ÿ24 20 34 ÿ66 18 4 ÿ6 38 ÿ30 5.46 5.43 5.40 5.40 5.32 45/46 22 47 32 — 52 ÿ44 40 44 ÿ38 16 38 ÿ38 32 34 36 ÿ48 ÿ46 ÿ48 ÿ76 ÿ42 ÿ62 18 10 ÿ68 ÿ50 ÿ72 36 50 36 36 22 56 42 58 46 ÿ44 ÿ30 ÿ26 20 ÿ6 6.19 5.48 5.44 5.42 5.21 5.64 5.27 5.50 5.26 5.21 5.40 5.22 40 40 39/19 40/7 40/19 6 6/8 — — — 46 47 Note: P \ 0.05 familywise error corrected, only clusters larger or equal to 5 voxels are reported. x, y, z, MNI coordinates; BA, Brodmann area; ST, superior temporal cortex; VLPFC, ventrolateral prefrontal cortex; LPFC, lateral prefrontal cortex. Sustained Perception For both visual and auditory stimuli, sustained perception activated extensive brain networks (Supplementary Table 1 online; Table 1 for results from Experiment 1). Critically, in both modalities, the networks included frontal and parietal regions, and a conjunction analysis revealed overlapping frontal and parietal activity during visual and auditory sustained perception (Table 3). Control Analysis of Experiment 1 and 2 A difference between the auditory and visual stimuli is that in the auditory version, the stimuli change in a systematic way, whereas the visual stimuli remain unchanged throughout each trial. To control for possible confounding effects from this on the results of Experiment 1 and 2, we reanalyzed both data sets with the addition of a fourth (for Experiment 1, seventh for Experiment 2) regressor modeling the noise levels parametrically (assuming linearity among levels). This analysis revealed activity in auditory cortex related to noise level for both Figure 3. Lateral view (top right) of left and right hemispheres with auditory (red) and visual (green) activations from Experiment 2 (P < 0.01 corrected for false discovery rate). Blue regions designate results from the conjunction analysis across modalities. Diagrams show group mean effect size in selected regions. The left part of the figure shows activations projected on flat maps (Van Essen and others 2001). The within-experiment comparison showed that ACC (A) and lateral PFC (B) were similarly activated for both auditory and visual awareness, whereas parietal (C) and occipitotemporal regions were exclusively activated for visual awareness and superior temporal cortex (D) exclusively for auditory awareness. (Center coordinates for (A): –2, 26, 44; (B): 48, 44, 14; (C): 22, –66, 54; (D): 66, –22, –10). Letter indexing designates the same regions in flat maps, lateral views, and diagrams. experiments. Importantly, the activation pattern for all previous contrasts remained unchanged, although statistical power was reduced (Supplementary Fig. 1). Discussion A consistent finding in neuroimaging research on visual awareness is that activity in both visual sensory regions and frontoparietal regions is correlated with the subjective experience of seeing a particular percept (Rees and others 2002). Frontoparietal activity correlates with awareness of a number of different visual stimuli (words, Kjaer and others 2001; motion, Williams and others 2003; objects, Portas and others 2000) and may thus reflect general stimulus-independent cognitive processes. The aim of Experiment 1 was to test the apparent generality of frontoparietal regions in relation to perceptual awareness by using auditory stimuli in a paradigm that previously has revealed frontoparietal activity during visual conscious perception (Portas and others 2000; Eriksson and others 2004). Whereas both auditory sensory regions and frontal regions were activated for auditory awareness, only weak parietal activity was found. This result was replicated in Experiment 2 where visual and auditory awareness were directly compared. In this experiment, parietal activity correlated exclusively with visual awareness. Parietal cortex is reciprocally connected with visual areas, and activity in secondary visual cortex during visual perceptual rivalry has been found to correlate with parietal and prefrontal activity (Lumer and Rees 1999). These previous observations converge with the present findings of frontoparietal activity during visual awareness, and they provide support for neural theories that visual awareness depends on interactions between visual cortex and PFC (Crick and Koch 1995). Our finding that frontal and temporal regions showed increased activity during auditory perceptual awareness extends this theory by suggesting that auditory awareness depends on frontotemporal interactions. In support of this interpretation, auditory object identification has been associated with a region in temporal cortex (Binder and others 2004), and anatomical connections between PFC and auditory association areas have been demonstrated (Romanski and others 1999). Our experiments on auditory and visual awareness thus suggest that frontal regions interact with posterior regions in a modality-specific manner to create perceptual awareness in different sensory modalities. Several frontal regions were identified here in relation to perceptual awareness. Ventrolateral PFC activation may be related to making decisions about sensory stimuli (Bar and others 2001; Binder and others 2004). ACC has been associated with conflict monitoring (Dehaene and others 2003), and interactions among ACC and regions in lateral PFC have been related to the ability to decide whether a response is correct (Gehring and Knight 2000). A region in right DLPFC was also engaged. This prefrontal region has consistently been observed in previous studies of conscious Cerebral Cortex April 2007, V 17 N 4 763 Table 2 Brain regions related to identification in Experiment 2 Brain region x Auditory object identification ST 66 ÿ66 DLPFC 48 48 VLPFC ÿ32 ÿ42 MPFC ÿ2 ÿ4 ÿ14 ÿ6 MTL 30 Visual object identification Occipital ÿ34 ÿ40 ÿ14 30 VLPFC 34 ÿ38 IT 48 Parietal 22 ÿ16 DLPFC 46 MTL ÿ36 MPFC ÿ2 Conjunction VLPFC ÿ42 34 ACC ÿ2 10 DLPFC 48 62 y z z-score BA ÿ22 ÿ40 20 20 16 24 10 26 36 24 18 ÿ10 0 28 10 ÿ14 ÿ4 62 46 22 30 ÿ24 5.65 4.93 5.30 5.20 5.23 4.81 5.00 4.91 4.71 4.08 4.84 21 21 9/44 45 47/38 47 6 8 32 32 38 ÿ98 ÿ74 ÿ96 ÿ72 32 20 ÿ52 ÿ66 ÿ68 8 ÿ32 26 8 ÿ14 ÿ14 36 ÿ14 ÿ10 ÿ14 54 58 26 ÿ26 44 5.36 4.73 4.73 4.36 4.89 4.25 4.81 4.57 4.13 4.57 3.95 3.76 18/19 18/19 17/18 39/19 47 47 37 7 7 44 36/20 6/8 24 30 26 32 44 22 ÿ8 ÿ10 44 26 14 14 3.97 3.65 3.76 3.31 3.70 3.39 47 47 32 32 45 44/45 Note: P \ 0.01 false discovery rate corrected (P \ 0.001 uncorrected for conjunction), only clusters larger or equal to 5 voxels are reported. MPFC, medial prefrontal cortex; MTL, medial temporal lobe; IT, inferior temporal cortex. Other abbreviations as in Table 1. Table 3 Conjunction analysis of auditory and visual sustained perception Brain region x y z z-score BA LPFC 40 ÿ38 42 ÿ44 8 58 14 28 ÿ58 ÿ62 0 56 44 32 64 4.70 4.65 4.59 4.35 4.12 46/47/10 8/9/46 8/9/46 39/40 7/40 Parietal Note: Subset of regions activated according to conjunction analysis of auditory and visual sustained perception (for full report, see Supplementary Table 2). P \ 0.001 uncorrected. Abbreviations as in Table 1. perception (Rees and others 2002; Naghavi and Nyberg 2005), and it is also consistent with the model by Frith and Dolan (1996) that advocate a principal role for PFC in establishing conscious states. Frith and Dolan suggested that posterior regions define the specific content of consciousness, whereas frontal regions are needed to become aware of this content. DLPFC has also been linked to a variety of cognitive functions, such as attention (Kanwisher and Wojciulik 2000), working memory (Baddeley 2003), and cognitive control (Miller and Cohen 2001). Furthermore, DLPFC and also ACC are important regions in a recent version of global workspace theory (Dehaene and Naccache 2001). In relation to this theory, Dehaene and Naccache notice several empirical findings that connects the mentioned cognitive functions with consciousness 1) that attention may be a requirement for conscious awareness, 2) that consciousness seems to require durable and 764 Visual and Auditory Perceptual Awareness d Eriksson and others explicit information maintenance (implicating working memory), and 3) that some functions seem impossible without consciousness, for example, intentional behavior and novel combinations of operations. These latter functions are related to cognitive control because they tend to involve some form of conflict resolution. The exact relation between attention, working memory, cognitive control, and consciousness is not yet clear, but recent theories suggest that they may share underlying information-processing mechanisms (Courtney 2004; Maia and Cleeremans 2005; Naghavi and Nyberg 2005), thus explaining the common activation of PFC across functions. Our results further indicated that once modality-specific frontoposterior interactions had defined a percept, an amodal brain system contributed to actively holding this percept in mind. That is, for both visual and auditory stimuli, a network including frontoparietal regions was activated during sustained perception. Conceivably, representation maintenance during sustained perception involves working memory processes and/ or selective attentional enhancement due to the relative difficulty of the perceptual task. In previous studies, working memory and also selective attention have been found to engage a similar frontoparietal network for many different kinds of stimuli (Cabeza and Nyberg 2000), and a recent fMRI study found considerable overlap in frontal and parietal activity for visual and auditory working memory (Crottas-Herbette and others 2004). Critically, the fMRI protocol allowed us to isolate transient brain activity related to perceptual awareness from brain activity during sustained perception, which made possible the demonstration that parietal cortex was differentially involved in auditory and visual awareness and commonly involved in auditory and visual sustained perception. In conclusion, this study demonstrates that the role of frontoparietal regions in perceptual awareness may not be as general as previously thought. Instead, common frontal regions seem to interact with specific posterior regions to produce awareness in different sensory modalities. 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