Evidence map›Paper›PMID 39912831›Full record

ReviewBrain topography2025

How Interoception and the Insula Shape Mental Imagery and Aphantasia.

Juha Silvanto, Yoko Nagai

Abstract readReview
PubMed Publisher
In one paragraph

Review in Brain topography, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Juha SilvantoCentre for Cognitive and Brain Sciences, University of Macau, Macau SAR, China. j.silvanto@surrey.ac.uk.
Yoko NagaiSchool of Psychology, University of Surrey, Stag Hill, University Campus, Guildford, UK. y.nagai@surrey.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A major question in cognitive neuroscience is understanding the neural basis of mental imagery, particularly in cases of its absence, known as aphantasia. While research in this field has focused on the role of sensory domains, we propose that the key to understanding imagery lies in the intertwining of sensory processing and autonomic responses. Interoception plays a crucial role in mental imagery by anchoring experiences in first-person physiological signals, providing a self-referential perspective, and grounding the imagery in the body while also enabling its emotional aspects. Moreover, interoception contributes to the sense of agency and volitional control, as well as body schema-hallmarks of voluntary mental imagery. Therefore, imagery should be approached as an integrated phenomenon that combines sensory-specific information with interoceptive signals. At the neural level, this process engages the insula and anterior cingulate cortex (ACC), regions vital for synthesizing information across cognitive, emotional, and physical domains, as well as for supporting self-awareness. From this perspective, aphantasia may reflect a suboptimal functioning of the insula/ACC, which can account for its associations with deficits in autobiographical memory, emotion perception, and conditions such as autism and dyspraxia.

Indexed as

Cerebral CortexImaginationInsular CortexInteroceptionEmotionsHumans

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.