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Updated: Jan 8, 2026

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Assessment of Cerebral Lateralization in Children using Functional Transcranial Doppler Ultrasound fTCD
Published on: September 27, 2010
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Hemispheric specialization in mental arithmetic: Insights from functional transcranial Doppler Sonography.
Lisa Moreel1, Robin Gerrits2, Wim Fias1
1Department of Experimental Psychology, Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.
Brain and Cognition
|December 21, 2025
Summary
This study shows multiplication relies on the left brain, while subtraction is more distributed. Increased task difficulty enhances left-brain dominance for both arithmetic operations, suggesting shared neural resources.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Cognitive Neuroscience
Background:
- Hemispheric specialization in arithmetic processing is key to understanding numerical cognition.
- Previous functional transcranial Doppler Sonography (fTCD) studies suggested lateralization for multiplication but not subtraction, limited by small samples and task difficulty control.
Purpose of the Study:
- To replicate and extend previous fTCD findings on arithmetic lateralization using a larger sample.
- To investigate the influence of task difficulty on hemispheric specialization in multiplication and subtraction.
Main Methods:
- Participants performed multiplication and subtraction tasks of varying difficulty.
- Cerebral blood flow velocity (CBFV) in middle cerebral arteries was measured using fTCD.
Main Results:
- Confirmed significant left-hemispheric activation for multiplication, but not subtraction.
- Increased task difficulty led to enhanced left-lateralization for both operations.
- Hemispheric asymmetries for multiplication and subtraction were positively correlated.
Conclusions:
- Findings support the Triple Code Model, linking multiplication to verbal memory and subtraction to magnitude processing.
- Increased left-lateralization with task difficulty may involve verbal working memory, like subvocal rehearsal.
- fTCD is validated as a reliable method for assessing arithmetic lateralization, highlighting operation- and difficulty-dependent specialization.
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