A fundamental goal of cognitive neuroscience is to explain how mental decisions originate from basic neural mechanisms. The goal of the present study was to investigate the neural correlates of perceptual decisions in the context of emotional perception. To probe this question, we investigated how fluctuations in functional MRI (fMRI) signals were correlated with behavioral choice during a near-threshold fear detection task. fMRI signals predicted behavioral choice independently of stimulus properties and task accuracy in a network of brain regions linked to emotional processing: posterior cingulate cortex, medial prefrontal cortex, right inferior frontal gyrus, and left insula. We quantified the link between fMRI signals and behavioral choice in a whole-brain analysis by determining choice probabilities by means of signaldetection theory methods. Our results demonstrate that voxelwise fMRI signals can reliably predict behavioral choice in a quantitative fashion (choice probabilities ranged from 0.63 to 0.78) at levels comparable to neuronal data. We suggest that the conscious decision that a fearful face has been seen is represented across a network of interconnected brain regions that prepare the organism to appropriately handle emotionally challenging stimuli and that regulate the associated emotional response.decision making ͉ emotion ͉ functional MRI T he brain uses sensory information to make decisions that guide behavior. Currently, there is considerable knowledge, for example, about how contour, depth, and motion information is processed by early visual areas. In contrast, relatively little is known about how perceptual decisions are made. Even simple perceptual decisions, such as determining the presence or absence of a sensory stimulus, are not well understood. A fundamental goal of cognitive neuroscience is to explain how mental decisions originate from basic neural mechanisms.In non-human primates, Newsome, Movshon, and colleagues (1, 2) have pioneered the investigation of the neural correlates of perceptual decisions. Their experiments have probed the mechanisms associated with deciding the direction of motion of an array of moving dots, only a fraction of which move coherently at a time. Newsome et al. (1,2) showed that the activity of directionally selective neurons in middle temporal visual area (MT) could account for the psychophysical performance in a forced-choice direction discrimination task (1, 2). Related studies have quantified the link between performance and cell activity during depth perception (3) and the perception of structure from motion (4). Little is known, however, about the involvement of nonsensory regions in perceptual decisions. Previous neurophysiology studies typically have investigated one, and in some cases two [e.g., visual area 1 (V1) and MT], sensory processing regions (but see ref. 5).Decision-making processes have been investigated with neuroimaging, too. Binder et al. (6) operationally defined decisions in an auditory object identification task in terms of reaction...