We examined brain activity associated with visual imagery at episodic
memory retrieval using positron emission tomography (PET). Twelve meas
urements of regional cerebral blood flow (rCBF) were taken in six righ
t-handed, healthy, male volunteers, During six measurements, they were
engaged in the cued recall of imageable verbal paired associates. Dur
ing the other six measurements, they recalled nonimageable paired asso
ciates. Memory performance was equalized across all word lists, The su
bjects' use of an increased degree of visual imagery during the recall
of imageable paired associates was confirmed using subjective rating
scales after each scan. Memory-related imagery was associated with sig
nificant activation of a medial parietal area, the precuneus. This fin
ding confirms a previously stated hypothesis about the precuneus and p
rovides strong evidence that it is a key part of the neural substate o
f visual imagery occurring in conscious memory recall. (C) 1995 Academ
ic Press, Inc.