Prior expectations are critical in the formation of perceptions around phenomona such as pain. This study uses functional MRI to elucidate regions associated with both top-down and bottom-up aspects of pain perception, finding a network of higher-cortical regions for the former and primarily sensory regions for the latter. Additionally, bias towards cues rather than actual pain stimuli was both hypothesized and observed. The findings therefore shed light on the physiological basis of neural activation behind the complex and highly-biased formation of pain perceptions.
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