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Lesion mapping of cognitive control and value-based decision making in the prefrontal cortex
Journal article   Open access   Peer reviewed

Lesion mapping of cognitive control and value-based decision making in the prefrontal cortex

Jan Gläscher, Ralph Adolphs, Hanna Damasio, Antoine Bechara, David Rudrauf, Matthew Calamia, Lynn K Paul and Daniel Tranel
Proceedings of the National Academy of Sciences - PNAS, Vol.109(36), pp.14681-14686
09/04/2012
DOI: 10.1073/pnas.1206608109
PMCID: PMC3437894
PMID: 22908286
url
https://doi.org/10.1073/pnas.1206608109View
Published (Version of record) Open Access

Abstract

A considerable body of previous research on the prefrontal cortex (PFC) has helped characterize the regional specificity of various cognitive functions, such as cognitive control and decision making. Here we provide definitive findings on this topic, using a neuropsychological approach that takes advantage of a unique dataset accrued over several decades. We applied voxel-based lesion-symptom mapping in 344 individuals with focal lesions (165 involving the PFC) who had been tested on a comprehensive battery of neuropsychological tasks. Two distinct functional-anatomical networks were revealed within the PFC: one associated with cognitive control (response inhibition, conflict monitoring, and switching), which included the dorsolateral prefrontal cortex and anterior cingulate cortex and a second associated with value-based decision-making, which included the orbitofrontal, ventromedial, and frontopolar cortex. Furthermore, cognitive control tasks shared a common performance factor related to set shifting that was linked to the rostral anterior cingulate cortex. By contrast, regions in the ventral PFC were required for decision-making. These findings provide detailed causal evidence for a remarkable functional-anatomical specificity in the human PFC.
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