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Updated: Mar 15, 2026

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Published on: October 13, 2023
Salience network connectivity in the insula is associated with individual differences in interoceptive accuracy
Joanna Su Xian Chong1, Gavin Jun Peng Ng1, Sze Chi Lee1
1Neuroscience and Behavioural Disorders Programme, Centre for Cognitive Neuroscience, Duke-NUS Medical School, Singapore, Singapore.
Greater connectivity in the salience network, particularly the posterior insula, is linked to better interoceptive awareness. This brain network
Area of Science:
- Neuroscience
- Cognitive Neuroscience
- Functional Neuroimaging
Background:
- The insula and anterior cingulate cortex are key to the brain's salience network.
- Previous research highlights their role in interoceptive awareness.
- The link between salience network connectivity and interoceptive awareness remains unexplored.
Purpose of the Study:
- To investigate the association between intrinsic salience network connectivity and interoceptive awareness.
- To examine how resting-state functional connectivity within the salience network relates to heartbeat perception accuracy.
Main Methods:
- Resting-state functional magnetic resonance imaging (fMRI) was used to assess intrinsic functional connectivity.
- A heartbeat counting task was administered to measure interoceptive accuracy.
- Independent component analysis and seed-based approaches were employed to analyze fMRI data.
Main Results:
- Increased salience network connectivity in the posterior insula correlated with higher heartbeat counting accuracy.
- Greater interoceptive accuracy was associated with enhanced connectivity between insular subdivisions and salience network hubs (e.g., orbitofrontal cortex, ventral striatum).
- These findings were independent of grey matter volume.
Conclusions:
- Intrinsic connectivity within the insular salience network is crucial for interoceptive awareness.
- This research provides a foundation for studying interoceptive deficits in neurological and psychiatric disorders.
- Future studies should explore salience network dysfunction in conditions affecting interoception.
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