This study had two purposes. First, in order to address the controversy regarding activation of the primary visual area (PVA) during visual mental imagery, regional cerebral blood flow (rCBF) was recorded while subjects performed a task that required high-resolution visual mental imagery. Second, in order to discover whether verbal descriptions can engage visual mechanisms during imagery in the same way as visual stimuli, subjects memorized 3D scenes that were visually presented or were based on a verbal description. Comparison of the results from the imagery conditions to a non-imagery baseline condition revealed no activation in PVA for imagery based on a verbal description and a significant decrease of rCBF in this region for imagery based on visual learning. The pattern of activation in other regions was very similar in the two conditions, including parietal, midbrain, cerebellar, prefrontal, left insular, and right inferior temporal regions. These results provide strong evidence that imagery based on verbal descriptions can recruit regions known to be engaged in high-order visual processing.

We measured normalized regional cerebral blood flow (NrCBF) using positron emission tomography (PET) and oxygen-15-labeled water in eight young right-handed healthy volunteers selected as high-imagers. during 2 runs of 3 different conditions: 1, rest in total darkness 2; visual exploration of a map 3; mental exploration of the same map in total darkness. NrCBF images were aligned with individual magnetic resonance images (MRI), and NrCBF variations between pairs of measurements ( N = 15) were computed in regions of interest having anatomical boundaries that were defined using a three-dimensional (3-D) reconstruction of each subject MRI. During visual exploration, we found bilateral activations of primary visual areas, superior and inferior occipital gyri, fusiform and lingual gyri, cuneus and precuneus, bilateral superior parietal, and angular gyri. The right lateral premotor area was also activated during this task while superior temporal gyri and Broca's area were deactivated. By contrast, mental exploration activated the right superior occipital cortex, the supplementary motor area, and the cerebellar vermis. No activation was observed in the primary visual area. These results argue for a specific participation of the superior occipital cortex in the generation and maintenance of visual mental images.