This study had two purposes. First, in order to address the controversy reg
arding activation of the primary visual area (PVA) during visual mental ima
gery, regional cerebral blood flow (rCBF) was recorded while subjects perfo
rmed a task that required high-resolution visual mental imagery. Second, in
order to discover whether verbal descriptions can engage visual mechanisms
during imagery in the same way as visual stimuli, subjects memorized 3D sc
enes that were visually presented or were based on a verbal description. Co
mparison of the results from the imagery conditions to a non-imagery baseli
ne condition revealed no activation in PVA for imagery based on a verbal de
scription and a significant decrease of rCBF in this region fur imagery bas
ed on visual learning. The pattern of activation in other regions was very
similar in the two conditions,, including parietal, midbrain, cerebellar, p
refrontal, left insular, and right inferior temporal regions. These results
provide strong evidence that imagery based on verbal descriptions can recr
uit regions known to be engaged in high-order visual processing.