Functional magnetic resonance imaging (fMRI) at 1.5 T was used to investiga
te the influence of cognitive strategies on cortical activation during ment
al calculation. Twenty-nine right-handed subjects performed a serial subtra
ction of prime numbers. Data were analyzed taking into account whether the
spontaneous strategy of subjects was verbal (n = 15) or visual (n = 14). Ev
en thought a common corpus of brain areas was activated during this mental
calculation task, i.e. the dorsolateral prefrontal, premotor and parietal c
ortices, and Broca's area, differences appeal ed between the two groups of
subjects. In subjects using a verbal strategy, the main activation was loca
ted in the whole left dorsolateral frontal cortex with a little activation
of the inferior parietal cortices. In subjects using a visual strategy a bi
lateral activation in rite prefrontal cortex and a high activation in the l
eft inferior parietal cortex were observed. These results demonstrate that
numbers are processed through a distributed network of cortical areas, the
lateralization of which is clearly influenced by subject strategy. Taken to
gether this data, reveals a functional interaction between the left inferie
ur parietal cortex and the right prefrontal cortex in the visuo-spatial ske
tchpad for number processing. This network could be involved in sustained s
elective attention to mental numerical images generated in the left inferie
ur parietal cortex.