Previous neuroimaging studies have identified a large network of cortical a
reas involved in semantic processing in the human brain, which includes lef
t occipito-temporal and infero-frontal areas. Most studies, however, invest
igated exclusively the associative/functional semantic knowledge by using m
ainly words and/or language related tasks, and this factor may have contrib
uted to the large left hemisphere superiority found in semantic processing
and to the controversial involvement of left prefrontal structures. The pre
sent study investigates the neural basis of visual objects knowledge, acces
sed exclusively through pictorial information. Regional cerebral blood flow
(rCBF) was assessed using positron emission tomography (PET) during 3 cond
itions in right-handed normal volunteers: resting with eyes closed, retriev
al of semantic information related to visual properties of objects (real si
ze), and visual categorization based on physical properties of the image. C
onfirming previous experiments and neuropsychological findings, most activa
tions were found in left occipito-temporal areas during retrieval of visual
semantic knowledge. The absence of any activation in the left prefrontal i
nferior cortex for visual semantic processing confirms recent observations
which suggest that this region would not be involved in retrieval of visual
semantic knowledge from living entities. Rather, such knowledge about visu
al properties of objects, situated closely to cortical regions mediating pe
rception of the visual attributes, can be retrieved directly from these reg
ions when visual images are used as entry level stimuli.