POSITRON emission tomography was used to investigate the functional an
atomy of mental simulation of routes (MSR) in five normal volunteers.
Normalized regional cerebral blood flow was measured while subjects me
ntally navigated between landmarks of a route which had been previousl
y learned by actual navigation. This task was contrasted with both sta
tic visual imagery of landmarks (VIL) and silent Rest. MSR appears to
be subserved by two distinct networks: a non-specific memory network i
ncluding the posterior and middle parts of the hippocampal regions, th
e dorsolateral prefrontal cortex and the posterior cingulum, and a spe
cific mental navigation network, comprising the left precuneus, insula
and medial part of the hippocampal regions.