“…This might reflect relatively small sample sizes, ElderkinThompson et al, 2008, n ¼ 23;Gur et al, 1998, n ¼ 17;Sanfilipo et al, 2002, n ¼ 27, or stem from combining the WCST with other tests, whose neural substrates may not be overlapping [Van Petten et al, 2004]. In addition to issues regarding sample size and use of composite scores of executive functioning, the studies reporting negative results are affected by at least one of the following limitations: (a) use of volumetric measures, which confound cortical thickness, surface area, and folding [Im et al, 2006a,b]; a direct comparison of volumetric measures based on voxel-based morphometry and cortical thickness measures in 48 healthy adults aged 22-60 years revealed that volumetric measures were less sensitive, had lower signal-to-noise ratio, lower T-scores, and were more confounded by overall brain size than thickness measures [Hutton et al 2009]; (b) gross definition of frontal volume or frontal gyri, pooling together functionally dissociable areas, such as the dorsal and ventrolateral PFC, the orbitofrontal cortex, and premotor areas; and (c) investigation of frontal-lobe volume only, although the WCST is no longer considered a specific test of prefrontal function [Nyhus and Barcelo, 2009].…”