Visual object enumeration is rapid and accurate for four or fewer items but
slow and error-prone for over four items. This dichotomy has recently been
linked to visual attentional phenomena by findings suggesting that "subiti
zing" of small sets of objects is preattentive whereas "counting" of over f
our items demands spatial shifts of attention. We evaluated this link at a
neural level, using (H2O)-O-15 positron emission tomography to measure chan
ges in regional cerebral blood flow while subjects enumerated the number of
target vertical bars that "popped out" of a 16-bar visual display consisti
ng of both horizontal and vertical bars. Relative to a condition with a sin
gle target, subitizing (one to four targets) activated foci in the occipita
l extrastriate cortex, consistent with involvement of early, preattentive v
isual processes. Relative to subitizing, counting (five to eight targets) a
ctivated a widespread network of brain regions, including multiple foci imp
licated in shifting visual attention-large regions of the superior parietal
cortex bilaterally and a focus in the right inferior frontal cortex. These
results offer the first direct neural support for mapping the subitizing-c
ounting dichotomy onto separable processes mediating preattentive vision an
d shifts of visual attention.