Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind

Abstract Evidence accumulation is a powerful mechanism to explain the temporal dynamics of decisions, as well as their metacognitive components such as confidence judgments and changes of mind. However, it is still unclear how and where in the brain evidence accumulation leads to these two metacogni...

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Main Authors: Dorian Goueytes, François Stockart, Alexis Robin, Lucien Gyger, Martin Rouy, Dominique Hoffmann, Lorella Minotti, Philippe Kahane, Michael Pereira, Nathan Faivre
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-61744-8
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author Dorian Goueytes
François Stockart
Alexis Robin
Lucien Gyger
Martin Rouy
Dominique Hoffmann
Lorella Minotti
Philippe Kahane
Michael Pereira
Nathan Faivre
author_facet Dorian Goueytes
François Stockart
Alexis Robin
Lucien Gyger
Martin Rouy
Dominique Hoffmann
Lorella Minotti
Philippe Kahane
Michael Pereira
Nathan Faivre
author_sort Dorian Goueytes
collection DOAJ
description Abstract Evidence accumulation is a powerful mechanism to explain the temporal dynamics of decisions, as well as their metacognitive components such as confidence judgments and changes of mind. However, it is still unclear how and where in the brain evidence accumulation leads to these two metacognitive components. We report intracranial high-gamma activity in patients with epilepsy recorded while they perform a visual discrimination task and estimate their confidence level. Our results indicate an anatomical overlap between the neural correlates of evidence accumulation, confidence, and changes of mind in the pre-supplementary motor area, as well as in the orbitofrontal, inferior frontal, and insular cortices. Behavioural and electrophysiological results are reproduced with a post-decisional evidence accumulation model, and the temporal dynamics of decision-making is characterized with mouse-tracking and intracranial electrophysiology. We conclude that confidence and changes of mind result from evidence accumulation, instantiated before the decision in the pre-supplementary motor area, and after the decision in the insula.
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spelling doaj-art-eb5a35ef848c45249d7b4e1f075fa1ae2025-08-20T03:46:20ZengNature PortfolioNature Communications2041-17232025-07-0116111410.1038/s41467-025-61744-8Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mindDorian Goueytes0François Stockart1Alexis Robin2Lucien Gyger3Martin Rouy4Dominique Hoffmann5Lorella Minotti6Philippe Kahane7Michael Pereira8Nathan Faivre9Université Grenoble Alpes, Université Savoie Mont Blanc, CNRS LPNCUniversité Grenoble Alpes, Université Savoie Mont Blanc, CNRS LPNCUniversité Grenoble Alpes, Inserm, U1216, Grenoble Institut Neurosciences GINUniversité Grenoble Alpes, Université Savoie Mont Blanc, CNRS LPNCUniversité Grenoble Alpes, Université Savoie Mont Blanc, CNRS LPNCDepartment of Neurosurgery, Grenoble HospitalUniversité Grenoble Alpes, Inserm, U1216, Grenoble Institut Neurosciences GINUniversité Grenoble Alpes, Inserm, U1216, Grenoble Institut Neurosciences GINUniversité Grenoble Alpes, Inserm, U1216, Grenoble Institut Neurosciences GINUniversité Grenoble Alpes, Université Savoie Mont Blanc, CNRS LPNCAbstract Evidence accumulation is a powerful mechanism to explain the temporal dynamics of decisions, as well as their metacognitive components such as confidence judgments and changes of mind. However, it is still unclear how and where in the brain evidence accumulation leads to these two metacognitive components. We report intracranial high-gamma activity in patients with epilepsy recorded while they perform a visual discrimination task and estimate their confidence level. Our results indicate an anatomical overlap between the neural correlates of evidence accumulation, confidence, and changes of mind in the pre-supplementary motor area, as well as in the orbitofrontal, inferior frontal, and insular cortices. Behavioural and electrophysiological results are reproduced with a post-decisional evidence accumulation model, and the temporal dynamics of decision-making is characterized with mouse-tracking and intracranial electrophysiology. We conclude that confidence and changes of mind result from evidence accumulation, instantiated before the decision in the pre-supplementary motor area, and after the decision in the insula.https://doi.org/10.1038/s41467-025-61744-8
spellingShingle Dorian Goueytes
François Stockart
Alexis Robin
Lucien Gyger
Martin Rouy
Dominique Hoffmann
Lorella Minotti
Philippe Kahane
Michael Pereira
Nathan Faivre
Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind
Nature Communications
title Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind
title_full Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind
title_fullStr Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind
title_full_unstemmed Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind
title_short Evidence accumulation in the pre-supplementary motor area and insula drives confidence and changes of mind
title_sort evidence accumulation in the pre supplementary motor area and insula drives confidence and changes of mind
url https://doi.org/10.1038/s41467-025-61744-8
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