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. 2020 Oct;94:250–264. doi: 10.1016/j.neurobiolaging.2020.06.011

Table 2.

Key brain regions with at least 2 structural studies associated with anosognosia or metacognition

Region
N of MRI studies
Frontal Anosognosia Metacognition Both Total studies
 Inferior frontal Gyrus 1↓ 1↓ 2↓
 Superior frontal Gyrus 1↓ 1↓ 2↓ 4↓
 Middle/medial frontal Gyrus 1↓ 1↓ 2↓
 Prefrontal cortex (PFC)
 Orbitofrontal 1↓ 2↓ 3↓
 Medial PFC (mPFC)

1↓
1↓
2↓
Temporal




 Medial temporal lobe

1↓
1↓
2↓
Cingulate cortex




 Anterior cingulate cortex 1↓ 2↓ 3↓
 Posterior cingulate cortex

2↓

2↓
Insular




 Insula 1↓ 1↓ 2↓

Key: MRI, magnetic resonance imaging.

↓ = negative correlation—as anosognosia/metacognition scores worsen, gray matter volume/density decreases.