ArticleNature communications2025
Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind.
Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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.
Who cites it
5 citing papers in PubMed.
- Orbitofrontal Cortex Encodes Decision Signals during Value-based But Not Perceptual Decisions.Journal of cognitive neuroscience · 2026Article
- Hierarchical brain dynamics supporting visual perceptual transitions.Science advances · 2026Article
- Neural basis of concurrent deliberation toward a choice and confidence judgment.Nature neuroscience · 2026Article
- Cortical evidence accumulation for visual perception occurs irrespective of reports.Nature communications · 2025Article
- Perceptual and attentional uncertainty impact global performance monitoring.Neuroscience of consciousness · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Evidence accumulation is a powerful mechanism to explain the temporal dynamics of decisions, as well as their metacognitive components such as confidence judgments and changes of mind. However, it is still unclear how and where in the brain evidence accumulation leads to these two metacognitive components. We report intracranial high-gamma activity in patients with epilepsy recorded while they perform a visual discrimination task and estimate their confidence level. Our results indicate an anatomical overlap between the neural correlates of evidence accumulation, confidence, and changes of mind in the pre-supplementary motor area, as well as in the orbitofrontal, inferior frontal, and insular cortices. Behavioural and electrophysiological results are reproduced with a post-decisional evidence accumulation model, and the temporal dynamics of decision-making is characterized with mouse-tracking and intracranial electrophysiology. We conclude that confidence and changes of mind result from evidence accumulation, instantiated before the decision in the pre-supplementary motor area, and after the decision in the insula.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.