Deficits in decision-making have been repeatedly observed in various psychiatric disorders (i.e. ADHD, Pathological Gambling, Mania, OCD and Substance Abuse) as well as in frontal lobe patients. Such decision-making deficits are often assessed using the Iowa Gambling task (IGT) [1]. The IGT represen
The Iowa Gambling Task in fMRI images
✍ Scribed by Xiangrui Li; Zhong-Lin Lu; Arnaud D'Argembeau; Marie Ng; Antoine Bechara
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 912 KB
- Volume
- 31
- Category
- Article
- ISSN
- 1065-9471
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
The Iowa Gambling Task (IGT) is a sensitive test for the detection of decision‐making impairments in several neurological and psychiatric populations. Very few studies have employed the IGT in functional magnetic resonance imaging (fMRI) investigations, in part, because the task is cognitively complex. Here we report a method for exploring brain activity using fMRI during performance of the IGT. Decision‐making during the IGT was associated with activity in several brain regions in a group of healthy individuals. The activated regions were consistent with the neural circuitry hypothesized to underlie somatic marker activation and decision‐making. Specifically, a neural circuitry involving the dorsolateral prefrontal cortex (for working memory), the insula and posterior cingulate cortex (for representations of emotional states), the mesial orbitofrontal and ventromedial prefrontal cortex (for coupling the two previous processes), the ventral striatum and anterior cingulate/SMA (supplementary motor area) for implementing behavioral decisions was engaged. These results have implications for using the IGT to study abnormal mechanisms of decision making in a variety of clinical populations. Hum Brain Mapp, 2010. © 2009 Wiley‐Liss, Inc.
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