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http://dx.doi.org/10.3348/kjr.2012.13.3.257

Brain Activation in Response to Visually Evoked Sexual Arousal in Male-to-Female Transsexuals: 3.0 Tesla Functional Magnetic Resonance Imaging  

Oh, Seok-Kyun (Interdisciplinary Program of Biomedical Engineering, Chonnam National University)
Kim, Gwang-Won (Interdisciplinary Program of Biomedical Engineering, Chonnam National University)
Yang, Jong-Chul (Department of Psychiatry, Chonbuk National University Medical School)
Kim, Seok-Kwun (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine)
Kang, Heoung-Keun (Department of Radiology, Chonnam National University Medical School, Chonnam National University Hospital)
Jeong, Gwang-Woo (Interdisciplinary Program of Biomedical Engineering, Chonnam National University)
Publication Information
Korean Journal of Radiology / v.13, no.3, 2012 , pp. 257-264 More about this Journal
Abstract
Objective: This study used functional magnetic resonance imaging (fMRI) to contrast the differential brain activation patterns in response to visual stimulation with both male and female erotic nude pictures in male-to-female (MTF) transsexuals who underwent a sex reassignment surgery. Materials and Methods: A total of nine healthy MTF transsexuals after a sex reassignment surgery underwent fMRI on a 3.0 Tesla MR Scanner. The brain activation patterns were induced by visual stimulation with both male and female erotic nude pictures. Results: The sex hormone levels of the postoperative MTF transsexuals were in the normal range of healthy heterosexual females. The brain areas, which were activated by viewing male nude pictures when compared with viewing female nude pictures, included predominantly the cerebellum, hippocampus, putamen, anterior cingulate gyrus, head of caudate nucleus, amygdala, midbrain, thalamus, insula, and body of caudate nucleus. On the other hand, brain activation induced by viewing female nude pictures was predominantly observed in the hypothalamus and the septal area. Conclusion: Our findings suggest that distinct brain activation patterns associated with visual sexual arousal in postoperative MTF transsexuals reflect their sexual orientation to males.
Keywords
MTF transsexuals; Functional magnetic resonance imaging; Sexual arousal; Sexual orientation; Brain activation;
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  • Reference
1 American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 3rd ed. Washington, DC: American Psychiatric Association, 1994
2 World Health Organization. International statistical classification of diseases and related health problems. 10th revision. Geneva: World Health Organization, 1992
3 Michel A, Mormont C, Legros JJ. A psycho-endocrinological overview of transsexualism. Eur J Endocrinol 2001;145:365- 376   DOI   ScienceOn
4 Swaab DF. Sexual differentiation of the human brain: relevance for gender identity, transsexualism and sexual orientation. Gynecol Endocrinol 2004;19:301-312   DOI
5 Park JM, Kwon YS, Lee KC, Kim SK, Kwak H, Kim SB. Hormonal analysis of female transgender patients performed gender reassignment operation. J Korean Soc Plast Reconstr Surg 2005;32:699-705
6 Stoléru S, Grégoire MC, Gérard D, Decety J, Lafarge E, Cinotti L, et al. Neuroanatomical correlates of visually evoked sexual arousal in human males. Arch Sex Behav 1999;28:1-21
7 Redoute J, Stoleru S, Gregoire MC, Costes N, Cinotti L, Lavenne F, et al. Brain processing of visual sexual stimuli in human males. Hum Brain Mapp 2000;11:162-177   DOI   ScienceOn
8 Bocher M, Chisin R, Parag Y, Freedman N, Meir Weil Y, Lester H, et al. Cerebral activation associated with sexual arousal in response to a pornographic clip: A 150-H20 PET study in heterosexual men. Neuroimage 2001;14(1 Pt 1):105-117   DOI   ScienceOn
9 Park K, Kang HK, Seo JJ, Kim HJ, Ryu SB, Jeong GW. Bloodoxygenation- level-dependent functional magnetic resonance imaging for evaluating cerebral regions of female sexual arousal response. Urology 2001;57:1189-1194   DOI   ScienceOn
10 Arnow BA, Desmond JE, Banner LL, Glover GH, Solomon A, Polan ML, et al. Brain activation and sexual arousal in healthy, heterosexual males. Brain 2002;125(Pt 5):1014-1023   DOI
11 Hamann S, Herman RA, Nolan CL, Wallen K. Men and women differ in amygdala response to visual sexual stimuli. Nat Neurosci 2004;7:411-416   DOI   ScienceOn
12 Ferretti A, Caulo M, Del Gratta C, Di Matteo R, Merla A, Montorsi F, et al. Dynamics of male sexual arousal: distinct components of brain activation revealed by fMRI. Neuroimage 2005;26:1086-1096   DOI   ScienceOn
13 Jeong GW, Park K, Youn G, Kang HK, Kim HJ, Seo JJ, et al. Assessment of cerebrocortical regions associated with sexual arousal in premenopausal and menopausal women by using BOLD-based functional MRI. J Sex Med 2005;2:645-651.   DOI   ScienceOn
14 Paul T, Schiffer B, Zwarg T, Krüger TH, Karama S, Schedlowski M, et al. Brain response to visual sexual stimuli in heterosexual and homosexual males. Hum Brain Mapp 2008;29:726-735   DOI
15 Kim SW, Sohn DW, Cho YH, Yang WS, Lee KU, Juh R, et al. Brain activation by visual erotic stimuli in healthy middle aged males. Int J Impot Res 2006;18:452-457   DOI   ScienceOn
16 Toledano R, Pfaus J. The Sexual Arousal and Desire Inventory (SADI): a multidimensional scale to assess subjective sexual arousal and desire. J Sex Med 2006;3:853-877   DOI   ScienceOn
17 Safron A, Barch B, Bailey JM, Gitelman DR, Parrish TB, Reber PJ. Neural correlates of sexual arousal in homosexual and heterosexual men. Behav Neurosci 2007;121:237-248   DOI
18 Yang JC, Park K, Eun SJ, Lee MS, Yoon JS, Shin IS, et al. Assessment of cerebrocortical areas associated with sexual arousal in depressive women using functional MR imaging. J Sex Med 2008;5:602-609   DOI   ScienceOn
19 Gizewski ER, Krause E, Schlamann M, Happich F, Ladd ME, Forsting M, et al. Specific cerebral activation due to visual erotic stimuli in male-to-female transsexuals compared with male and female controls: an fMRI study. J Sex Med 2009;6:440-448   DOI   ScienceOn
20 Ogawa S, Lee TM, Nayak AS, Glynn P. Oxygenation-sensitive contrast in magnetic resonance image of rodent brain at high magnetic fields. Magn Reson Med 1990;14:68-78   DOI   ScienceOn
21 Tsuchita H, Kuwata T. Trace lipid from whey-mineral complex enhances calcium availability in young ovariectomized rats. Br J Nutr 1995;73:299-309   DOI   ScienceOn
22 Green Cross Reference Lab. Sex hormones in green cross reference lab guidebook. Yongin, Korea: Green Cross Reference Lab, 2007:201-224
23 Dove GA, Morley F, Batchelor A, Lunn SF. Oestrogenic function in postmenopausal women. J Reprod Fertil 1971;24:1-8   DOI   ScienceOn
24 Pol HEH, Cohen-Kettenis PT, Van Haren NEM, Peper JS, Brans RGH, Cahn W, et al. Changing your sex changes your brain: influences of testosterone and estrogen on adult human brain structure. Eur J Endocrinol 2006;155:S107-S114   DOI   ScienceOn
25 Llinas R, Ribary U, Contreras D, Pedroarena C. The neuronal basis for consciousness. Philos Trans R Soc Lond B Biol Sci 1998;353:1841-1849   DOI   ScienceOn
26 Meyer WJ 3rd, Webb A, Stuart CA, Finkelstein JW, Lawrence B, Walker PA. Physical and hormonal evaluation of transsexual patients: a longitudinal study. Arch Sex Behav 1986;15:121- 138   DOI   ScienceOn
27 Barbas H. Connections underlying the synthesis of cognition, memory, and emotion in primate prefrontal cortices. Brain Res Bull 2000;52:319-330   DOI   ScienceOn
28 Karama S, Lecours AR, Leroux JM, Bourgouin P, Beaudoin G, Joubert S, et al. Areas of brain activation in males and females during viewing of erotic film excerpts. Hum Brain Mapp 2002;16:1-13   DOI   ScienceOn
29 Martin JH. Neuroanatomy. Stanford: Appleton & Lange, 1996
30 Beauregard M, Lévesque J, Bourgouin P. Neural correlates of conscious self-regulation of emotion. J Neurosci 2001;21:RC165
31 Hamann SB, Ely TD, Grafton ST, Kilts CD. Amygdala activity related to enhanced memory for pleasant and aversive stimuli. Nat Neurosci 1999;2:289-293   DOI   ScienceOn
32 Devinsky O, Morrell MJ, Vogt BA. Contributions of anterior cingulate cortex to behaviour. Brain 1995;118(Pt 1):279-306   DOI   ScienceOn
33 Mesulam MM, Mufson EF. The insula of Reil in man and monkey. In: Peters A, Jones EG, eds. Architectonics, connectivity and function, 2nd ed. New York: Plenum Press, 1985:179-226
34 Oppenheimer SM, Gelb A, Girvin JP, Hachinski VC. Cardiovascular effects of human insular cortex stimulation. Neurology 1992;42:1727-1732   DOI
35 Cechetto DF. Identification of a cortical site for stressinduced cardiovascular dysfunction. Integr Physiol Behav Sci 1994;29:362-373   DOI   ScienceOn
36 Guimaraes AR, Melcher JR, Talavage TM, Baker JR, Ledden P, Rosen BR, et al. Imaging subcortical auditory activity in humans. Hum Brain Mapp 1998;6:33-41   DOI   ScienceOn
37 Fox SI. Human Physiology. New York: McGraw-Hill, 2009:226
38 Hofman MA, Swaab DF. The sexually dimorphic nucleus of the preoptic area in the human brain: a comparative morphometric study. J Anat 1989;164:55-72
39 Pfaff DW, Schwartz-Giblin S, McCarthy MM, Kow LM. Cellular and molecular mechanisms of female reproductive behaviors. In: Knobil E, Neill JD, eds. Physiology of reproduction. New York: Raven Press, 1994:107-220
40 Sachs BD, Meisel RL. The physiology of male sexual behavior. In: Knobil E, Neill JD, eds. Physiology of reproduction. New York: Raven Press, 1994:3-105
41 Allen LS, Hines M, Shryne JE, Gorski RA. Two sexually dimorphic cell groups in the human brain. J Neurosci 1989;9:497-506
42 Hofman MA, Swaab DF. Sexual dimorphism of the human brain: myth and reality. Exp Clin Endocrinol 1991;98:161-170   DOI
43 Raisman G, Field PM. Sexual dimorphism in the preoptic area of the rat. Science 1971;173:731-733   DOI   ScienceOn
44 Ferris CF, Snowdon CT, King JA, Duong TQ, Ziegler TE, Ugurbil K, et al. Functional imaging of brain activity in conscious monkeys responding to sexually arousing cues. Neuroreport 2001;12:2231-2236   DOI   ScienceOn
45 Sakheim DK, Barlow DH, Beck JG, Abrahamson DJ. The effect of an increased awareness of erectile cues on sexual arousal. Behav Res Ther 1984;22:151-158   DOI   ScienceOn
46 Gorman DG, Cummings JL. Hypersexuality following septal injury. Arch Neurol 1992;49:308-310   DOI   ScienceOn
47 Kondo Y, Shinoda A, Yamanouchi K, Arai Y. Role of septum and preoptic area in regulating masculine and feminine sexual behavior in male rats. Horm Behav 1990;24:421-434   DOI