Objectives: To investigate the neural basis of autistics’ RPM performance using fMRI.
Methods: Fifteen autistics and 18 nonautistics participated, matched on age (mean 22 years), Wechsler IQ (mean 103), sex and manual preference. The 60 RPM problems were presented in random order in one continuous self-paced run using echoplanar imaging on a 3T MRI system. Sixty visual pattern matching problems, similar in format to RPM, but not involving complex reasoning, were presented in a separate session. Performance and task related activity were compared between groups for both problem types.
Results: While accuracy for the RPM and pattern matching problems was equal in both groups, nonautistics were 40% slower in solving RPM problems. For the RPM problems, both groups exhibited similar patterns of task-related activity in occipital cortex, posterior parietal cortex, lateral premotor cortex, insula and cerebellum; with higher activity in nonautistics in the left middle frontal gyrus and medial posterior parietal cortex, and higher activity in autistics in a left extrastriate area (cuneus, BA19). This extrastriate region was active in both groups during pattern matching problems, but only in the autistic group during the RPM problems.
Conclusions: Autistics’ faster performance in solving randomly-ordered RPM problems may indicate a net processing efficiency resulting from increased use of posterior and decreased use of frontal processing mechanisms. Areas primarily involved in perceptual processing in nonautistics may be utilized in reasoning and complex problem solving in autistics.