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Updated: May 7, 2026

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Real-time fMRI Biofeedback Targeting the Orbitofrontal Cortex for Contamination Anxiety
Published on: January 20, 2012
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Online self-evaluation of fMRI-based neurofeedback performance
Santiago Muñoz-Moldes1,2, Anita Tursic3,4, Michael Lührs3,4
1Consciousness, Cognition and Computation group, Center for Research in Cognition & Neuroscience, Faculty of Psychology and Education, Université Libre de Bruxelles , Brussels, Belgium.
Summary
Participants improved performance predictions during neurofeedback training but showed no change in confidence. This suggests distinct self-evaluation mechanisms in real-time functional magnetic resonance imaging neurofeedback (fMRI-NF).
Area of Science:
- Neuroscience
- Cognitive Science
- Neuroimaging
Background:
- Real-time functional magnetic resonance imaging neurofeedback (fMRI-NF) enables individuals to learn self-regulation of brain activity.
- Subjective self-evaluation, including performance predictions and confidence, plays a role in neurofeedback learning.
- The supplementary motor area (SMA) is a key region targeted in some neurofeedback protocols.
Purpose of the Study:
- To investigate subjective self-evaluation of performance and confidence during supplementary motor area (SMA) regulation using fMRI-NF.
- To examine how performance predictions and confidence change with learning in an fMRI-NF task.
- To explore the relationship between performance predictions, confidence, and actual neurofeedback performance.
Main Methods:
- Participants underwent three sessions of SMA regulation using a mental drawing task in a 7 Tesla fMRI scanner.
- During each trial, participants predicted their performance and confidence before receiving delayed blood-oxygen-level-dependent (BOLD) feedback.
- Two distinct target levels of SMA activation were used to guide self-regulation.
Main Results:
- Participant performance predictions significantly improved across the three training sessions.
- Improvements in performance predictions were not solely based on prior performance knowledge.
- Confidence reports remained stable throughout training and did not correlate with prediction accuracy.
Conclusions:
- Self-evaluation mechanisms in fMRI-NF involve dissociable components of performance prediction and confidence.
- Learning in fMRI-NF is associated with evolving performance predictions, independent of simple feedback recall.
- The findings offer insights into internal self-evaluation processes during endogenous neuromodulation via neurofeedback.

