Nucleus Accumbens and Medial Prefrontal Cortex Pleasure Rather Than Salience Activates Human

98: 1374–1379, 2007. Firstpublished June 27, 2007; doi:10.1152/jn.00230.2007. Recent humanfunctional imaging studies have linked the processing of pleasantvisual stimuli to activity in mesolimbic reward structures. However,whether the activation is driven specifically by the pleasantness of thestimulus, or by its salience, is unresolved. Here we find in two studiesthat free viewing of pleasant images of erotic and romantic couplesprompts clear, reliable increases in nucleus accumbens (NAc) andmedial prefrontal cortex (mPFC) activity, whereas equally arousing(salient) unpleasant images, and neutral pictures, do not. These datasuggest that in visual perception, the human NAc and mPFC arespecifically reactive to pleasant, rewarding stimuli and are not en-gaged by unpleasant stimuli, despite high stimulus salience.

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