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解剖学岛叶亚区在体觉中的作用:体觉注意和准确性有可分离的基础。

Role of anatomical insular subdivisions in interoception: Interoceptive attention and accuracy have dissociable substrates.

机构信息

Department of Psychology, Hokkaido University, Sapporo, Japan.

出版信息

Eur J Neurosci. 2021 Apr;53(8):2669-2680. doi: 10.1111/ejn.15157. Epub 2021 Mar 8.

Abstract

Prior neuroimaging studies have supported the idea that the human insular cortex plays an important role in processing and representing internal bodily states, also termed "interoception." According to recent theoretical studies, interoception includes several aspects such as attention and accuracy. However, there is no consensus on the laterality and location of the insula to support each aspect of interoception. Thus, we aimed to identify the anatomical insular subdivisions involved in interoceptive attention and accuracy; we examined 28 healthy volunteers who completed the behavioral heartbeat counting task and interoceptive attention paradigm using functional magnetic resonance imaging. First, interoceptive attention induced significant activation in the bilateral frontal operculum, precentral gyrus, middle insula, middle cingulate cortex, and supplementary motor area. Then, we compared the activation in anatomically predefined insular subdivisions during interoceptive attention. The highest activation of the middle short gyrus was noted within the insular cortex, followed by the anterior short gyrus and posterior short gyrus, while no significant hemispheric differences were observed. Finally, the interoceptive accuracy index, measured using the heartbeat counting task, strongly correlated with the activity of the right dorsal anterior insula/frontal operculum. These findings suggest that interoceptive attention is associated with the bilateral dorsal mid-anterior insula, which supports the processing and representation of bodily signals. In contrast, the more dorsal anterior portion of the right insula plays a key role in obtaining accurate interoception.

摘要

先前的神经影像学研究支持这样一种观点,即人类脑岛皮层在处理和表现内部身体状态(也称为“内感受”)方面发挥着重要作用。根据最近的理论研究,内感受包括注意和准确性等几个方面。然而,对于支持内感受各个方面的脑岛的侧化和位置还没有共识。因此,我们旨在确定参与内感受注意和准确性的解剖学脑岛细分区域;我们检查了 28 名健康志愿者,他们使用功能磁共振成像完成了行为心跳计数任务和内感受注意范式。首先,内感受注意在双侧额上回、中央前回、中脑岛、中扣带回和辅助运动区引起显著激活。然后,我们比较了在解剖学上预先定义的脑岛细分区域在进行内感受注意时的激活情况。在脑岛皮层内,中间短回的激活最高,其次是前短回和后短回,而没有观察到明显的半球差异。最后,使用心跳计数任务测量的内感受准确性指数与右侧背侧前脑岛/额上回的活动强烈相关。这些发现表明,内感受注意与双侧背侧中前脑岛有关,这支持了身体信号的处理和表现。相比之下,右侧脑岛更靠前的部分在获得准确的内感受方面起着关键作用。

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