Multi-task Intracranial EEG recordings reveal a Comprehensive Role of the Human Dorsal Anterior Insula in High-Level Cognition

The dorsal anterior insula (dAI) is widely recognized as a cornerstone of human cognition. However, its functional characterization remains the subject of considerable debate and competing theories. Embracing a "shift in viewpoint" approach--defining a brain regions function through the observation of the same neural population across diverse experimental contexts--this study used intracranial EEG (iEEG) recordings from a large cohort of patients to investigate the sub-second neural response dynamics of the human dAI across a broad range of cognitive tasks, spanning visual category discrimination, phonological and semantic processing, attentive visual search, and verbal and visuospatial working memory. This within-subject, multi-task iEEG framework offered a robust basis for decoding the structure-function relationship of the dAI and for empirically testing key predictions of prevailing theoretical models concerning its role. Our findings confirmed the dAIs involvement in the Action-Mode Network and shed new light on the large-scale spatiotemporal organization of that network, while providing novel insights into the interplay between cognitive effort and efficiency.