Engagement of fusiform cortex and disengagement of lateral occipital cortex in the acquisition of radiological expertise

Erin M. Harley, Whitney B. Pope, J. Pablo Villablanca, Jeanette Mumford, Robert Suh, John C. Mazziotta, Dieter Enzmann, Stephen A. Engel

Research output: Contribution to journalArticlepeer-review

64 Scopus citations

Abstract

The human visual pathways that are specialized for object recognition stretch from lateral occipital cortex (LO) to the ventral surface of the temporal lobe, including the fusiform gyrus. Plasticity in these pathways supports the acquisition of visual expertise, but precisely how training affects the different regions remains unclear. We used functional magnetic resonance imaging to measure neural activity in both LO and the fusiform gyrus in radiologists as they detected abnormalities in chest radiographs. Activity in the right fusiform face area (FFA) correlated with visual expertise, measured as behavioral performance during scanning. In contrast, activity in left LO correlated negatively with expertise, and the amount of LO that responded to radiographs was smaller in experts than in novices. Activity in the FFA and LO correlated negatively in experts, whereas in novices, the 2 regions showed no stable relationship. Together, these results suggest that the FFA becomes more engaged and left LO less engaged in interpreting radiographic images over the course of training. Achieving expert visual performance may involve suppressing existing neural representations while simultaneously developing others.

Original languageEnglish (US)
Pages (from-to)2746-2754
Number of pages9
JournalCerebral Cortex
Volume19
Issue number11
DOIs
StatePublished - Nov 2009

Bibliographical note

Funding Information:
The authors thank Yuhong Jiang for helpful comments. For generous support the authors also wish to thank the Brain Mapping Medical Research Organization, Brain Mapping Support Foundation, Pierson-Lovelace Foundation, The Ahmanson Foundation, William M. and Linda R. Dietel Philanthropic Fund at the Northern Piedmont Community Foundation, Tamkin Foundation, Jennifer Jones-Simon Foundation, Capital Group Companies Charitable Foundation, Robson Family, and Northstar Fund. Conflict of Interest : None declared.

Keywords

  • Diagnosis
  • Expert
  • FFA
  • Radiology
  • Vision

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