Mental imagery research has weathered both disbelief of the phenomenon and inherent methodological limitations. Here we review recent behavioral, brain imaging, and clinical research that has reshaped our understanding of mental imagery. Research supports the claim that visual mental imagery is a depictive internal representation that functions like a weak form of perception. Brain imaging work has demonstrated that neural representations of mental and perceptual images resemble one another as early as the primary visual cortex (V1). Activity patterns in V1 encode mental images and perceptual images via a common set of low-level depictive visual features. Recent translational and clinical research reveals the pivotal role that imagery plays in many mental disorders and suggests how clinicians can utilize imagery in treatment.

A key characteristic of human brain activity is coherent, spatially distributed oscillations forming behaviour-dependent brain networks. However, a fundamental principle underlying these networks remains unknown. Here we report that functional networks of the human brain are predicted by harmonic patterns, ubiquitous throughout nature, steered by the anatomy of the human cerebral cortex, the human connectome. We introduce a new technique extending the Fourier basis to the human connectome. In this new frequency-specific representation of cortical activity, that we call ‘connectome harmonics', oscillatory networks of the human brain at rest match harmonic wave patterns of certain frequencies. We demonstrate a neural mechanism behind the self-organization of connectome harmonics with a continuous neural field model of excitatory–inhibitory interactions on the connectome. Remarkably, the critical relation between the neural field patterns and the delicate excitation–inhibition balance fits the neurophysiological changes observed during the loss and recovery of consciousness.

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Mental imagery has been proposed to contribute to a variety of high-level cognitive functions, including memory encoding and retrieval, navigation, spatial planning, and even social communication and language comprehension. However, it is debated whether mental imagery relies on the same sensory representations as perception, and if so, what functional consequences such an overlap might have on perception itself. We report novel evidence that single instances of imagery can have a pronounced facilitatory influence on subsequent conscious perception. Either seeing or imagining a specific pattern could strongly bias which of two competing stimuli reach awareness during binocular rivalry. Effects of imagery and perception were location and orientation specific, accumulated in strength over time, and survived an intervening visual task lasting several seconds prior to presentation of the rivalry display. Interestingly, effects of imagery differed from those of feature-based attention. The results demonstrate that imagery, in the absence of any incoming visual signals, leads to the formation of a short-term sensory trace that can bias future perception, suggesting a means by which high-level processes that support imagination and memory retrieval may shape low-level sensory representations.