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Updated: Jan 23, 2026

A Free-breathing fMRI Method to Study Human Olfactory Function
Published on: July 30, 2017
Advances in Understanding Parosmia: An fMRI Study
Emilia Iannilli1, Donald A Leopold2, David E Hornung3
1Smell and Taste Clinic, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany.
Introduction:
A number of patients with a diminished sense of smell also can suffer from parosmia. These patients with such a qualitative smell disorder are often more severely affected than patients exhibiting only a quantitative smell disorder. Qualitative smell disorders have heretofore been poorly investigated. The focus of the present study was, using functional MRI, to compare the central processing of olfactory stimulation in patients with qualitative smell disorders.
Material And Methods:
A total of 23 patients were investigated, 12 hyposmic patients without parosmia (HYP group) and 11 hyposmic patients with parosmia (PAR group). Both groups were matched with regard to sex and age. The olfactory smells used were peach and coffee odors.
Results:
The two groups exhibited different patterns of activation. In HYP patients a stronger activation was observed in the medial orbitofrontal cortex, anterior cingulate cortex, and parahippocampal gyrus, whereas in the PAR group stronger activation in the thalamus and putamen was seen.
Discussion:
These results are consistent with the hypothesis that there are specific patterns in the central processing of olfactory stimuli which differ in hyposmic patients with and without parosmia.
Insights
Patients with parosmia, a qualitative smell disorder, show distinct brain activation patterns compared to those with only hyposmia (reduced smell). This functional MRI study highlights differences in olfactory processing between these groups.
Area of Science:
- Neuroscience
- Olfactory Research
- Medical Imaging
Background:
- Parosmia is a qualitative smell disorder often accompanying hyposmia (reduced sense of smell).
- Qualitative smell disorders are less understood and can be more debilitating than quantitative ones.
- Previous research has not extensively investigated the central processing of olfactory stimuli in parosmia.
Purpose of the Study:
- To compare the central olfactory processing in patients with qualitative smell disorders (parosmia) versus quantitative smell disorders (hyposmia).
- To utilize functional MRI (fMRI) to investigate differences in brain activation patterns during olfactory stimulation.
Main Methods:
- Functional MRI (fMRI) was used to study 23 patients.
- Patients were divided into two groups: 12 with hyposmia without parosmia (HYP) and 11 with hyposmia and parosmia (PAR).
- Groups were matched for age and sex; peach and coffee odors were used for olfactory stimulation.
Main Results:
- Distinct brain activation patterns were observed between the HYP and PAR groups.
- HYP patients showed stronger activation in the medial orbitofrontal cortex, anterior cingulate cortex, and parahippocampal gyrus.
- PAR patients exhibited stronger activation in the thalamus and putamen.
Conclusions:
- The findings support the hypothesis of specific central olfactory processing patterns differentiating hyposmic patients with and without parosmia.
- These differences in brain activation suggest distinct neural mechanisms underlying quantitative and qualitative smell disorders.
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