Abstract
A good-based model proposes that the orbitofrontal cortex (OFC) represents binary choice outcome, i.e., the chosen good. Previous studies have found that the OFC represents the binary choice outcome in decision-making tasks involving commodity type, cost, risk, and delay. Real-life decisions are often complex and involve uncertainty, rewards, and penalties; however, whether the OFC represents binary choice outcomes in a such decision-making situation, e.g., Iowa gambling task (IGT), remains unclear. Here, we propose that the OFC represents binary choice outcome, i.e., advantageous choice versus disadvantageous choice, in the IGT. We propose two hypotheses: first, the activity pattern in the human OFC represents an advantageous choice; and second, choice induces an OFC-related functional network. Using functional magnetic resonance imaging and advanced machine learning tools, we found that the OFC represented an advantageous choice in the IGT. The OFC representation of advantageous choice was related to decision-making performance. Choice modulated the functional connectivity between the OFC and the superior medial gyrus. In conclusion, the OFC represents an advantageous choice during the IGT. In the framework of a good-based model, the results extend the role of the OFC to complex decision-making when making a binary choice.
Role of automatic, conscious, and unconscious thought processes in complex decision making
