Previous imaging and neurophysiological studies have suggested that the pos
terior inferior temporal region participates in tasks requiring the recogni
tion of objects, including faces, words, and letters; however, the relation
ship between accuracy of recognition and activity in that region has not be
en systematically investigated. In this study, positron emission tomography
was used to estimate glucose metabolism in 60 normal adults performing a c
omputer-generated letter-recognition task. Both a region of interest and a
voxel-based method of analysis, with subject state and trait variables stat
istically controlled, found task accuracy to be: (1) negatively related to
metabolism in the left ventrolateral inferior temporal occipital cortex (Br
odmann's area 37, or ventrolateral BA 37) and (2) positively related to met
abolism in a region of the right ventrolateral frontal cortex (Brodmann's a
reas 47 and 11, or right BA 47/11). Left ventrolateral BA 37 was significan
tly related both to hits and to false alarms, whereas the right BA 47/11 fi
nding was related only to false alarms. The results were taken as supportin
g an automaticity mechanism for left ventrolateral BA 37, whereby task accu
racy was associated with automatic letter recognition and in turn to reduce
d metabolism in this extrastriate area. The right BA47/11 finding was inter
preted as reflecting a separate component of task accuracy, associated with
selectivity of attention broadly and with inhibition of erroneous respondi
ng in particular. The findings are interpreted as supporting the need for c
ontrol of variance due to subject and task variables, not only in correlati
onal but also in subtraction designs. (C) 2000 Academic Press.