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Tech and Science

We’ve figured out how our brains sort imagination from reality

Last updated: June 6, 2025 3:40 am
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We've figured out how our brains sort imagination from reality
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Similar brain regions are involved in imagination and perceiving reality

Naeblys/Alamy

A recent study has shed light on how the brain differentiates between real and imaginary experiences, offering insights that could enhance treatments for conditions like Parkinson’s disease that involve hallucinations. Researchers have identified a specific brain pathway that plays a crucial role in this process.

Prior research has shown that the brain regions activated during visual imagination closely resemble those activated during actual visual perception. However, the mechanism by which the brain discerns between the two remains unclear. According to Nadine Dijkstra from University College London, understanding how the brain distinguishes between imagination and reality is a fundamental question.

In a study conducted by Dijkstra and her team, 26 participants underwent MRI scans while performing a visual task. They were shown grey blocks on a screen and instructed to imagine diagonal lines on the blocks, with only some blocks actually containing the lines. After each block presentation, participants rated the vividness of the lines they imagined and determined whether they believed the lines were real or imaginary.

Analysis of the brain scans revealed that the fusiform gyrus, a brain region associated with visual processing, showed increased activity when participants reported more vivid visual imagery, regardless of whether the lines were present. Dijkstra explained that this finding indicates the fusiform gyrus tracks the intensity of visual imagery.

Furthermore, the researchers observed that heightened activity in the fusiform gyrus triggered increased activity in the anterior insula, a region responsible for decision-making. This interaction influenced participants’ judgments of whether something was real or imaginary. Dijkstra suggested that the anterior insula acts as a binary decision-maker in this process.

While the fusiform gyrus and anterior insula are not the sole brain regions involved in distinguishing reality from imagination, further exploration of this pathway could offer valuable insights into the treatment of visual hallucinations in conditions such as schizophrenia and Parkinson’s disease. Dijkstra hypothesized that individuals experiencing hallucinations may exhibit abnormal activity in these brain regions.

Adam Zeman from the University of Exeter noted the significance of this research for clinical applications, particularly in understanding and potentially addressing visual hallucinations. He emphasized the complexity of differentiating minor sensory fluctuations from fully formed hallucinations that individuals firmly believe to be real.

Building on these findings, Dijkstra’s team plans to investigate this brain pathway in individuals with Parkinson’s disease, aiming to deepen our understanding of hallucinations and improve treatment strategies.

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