Cited by 740Advanced Neuroimaging Techniques and ApplicationsNeural and Behavioral Psychology StudiesMemory and Neural Mechanisms

The cingulum bundle: Anatomy, function, and dysfunction

Open access
Bubb, Emma J., Metzler-Baddeley, Claudia, Aggleton, John P.·2018·Neuroscience & Biobehavioral Reviews

Abstract

The cingulum bundle is a prominent white matter tract that interconnects frontal, parietal, and medial temporal sites, while also linking subcortical nuclei to the cingulate gyrus. Despite its apparent continuity, the cingulum's composition continually changes as fibres join and leave the bundle. To help understand its complex structure, this review begins with detailed, comparative descriptions of the multiple connections comprising the cingulum bundle. Next, the impact of cingulum bundle damage in rats, monkeys, and humans is analysed. Despite causing extensive anatomical disconnections, cingulum bundle lesions typically produce only mild deficits, highlighting the importance of parallel pathways and the distributed nature of its various functions. Meanwhile, non-invasive imaging implicates the cingulum bundle in executive control, emotion, pain (dorsal cingulum), and episodic memory (parahippocampal cingulum), while clinical studies reveal cingulum abnormalities in numerous conditions, including schizophrenia, depression, post-traumatic stress disorder, obsessive compulsive disorder, autism spectrum disorder, Mild Cognitive Impairment, and Alzheimer's disease. Understanding the seemingly diverse contributions of the cingulum will require better ways of isolating pathways within this highly complex tract.

AI snapshot

Written from the paper’s full text.

TL;DR

This review integrates anatomical tracing, lesion, cingulotomy, and diffusion MRI evidence to argue that the cingulum bundle is not a unitary tract: its connections and functions change along its length, with anterior/dorsal portions linked to executive-attentional processes and parahippocampal portions to memory. It finds cingulum abnormalities across many psychiatric and neurological conditions, yet lesion and cingulotomy effects are often surprisingly mild, likely because cingulum functions are distributed and supported by alternate routes.

Key findings

  • The cingulum contains short and long sagittal association fibres plus fibres radiating to cortical and subcortical sites; few, if any, connections extend its entire length. The authors recommend five subdivisions—subgenual, anterior cingulate, midcingulate, retrosplenial, and parahippocampal—based on Heilbronner and Haber (2014) plus the midcingulate area.
  • Dorsal/anterior cingulum microstructure correlates with executive function and attention, while parahippocampal cingulum is more linked to memory. In rats, cingulum bundle lesions most consistently affect allocentric spatial tasks but are far less disruptive than anterior thalamic lesions, and fornix lesions produce more severe spatial memory deficits; crossed unilateral cingulum/fornix lesions had little or no apparent effect on T-maze alternation or radial-arm maze working memory (unpublished data), whereas bilateral fornix lesions severely disrupted both.
  • dMRI studies commonly report reduced FA and increased diffusivity in the cingulum across schizophrenia, ADHD, depression, PTSD, OCD, and ASD, most consistently in OCD, ASD, and PTSD and concentrated in the dorsal cingulum. Cited meta-analytic/review figures include OCD: 22 datasets/537 cases; ASD: 33 studies, though a five-study meta-analysis found no significant cingulum FA difference; PTSD: seven studies with mixed FA increases/decreases.
  • A prospective series of 198 cingulotomy cases reported lasting improvement in approximately half treated for OCD, with slightly better outcomes for anxiety/affective disorders, and over 50% of chronic pain patients had appreciable relief; cognition was often preserved, though attention/executive deficits were reported. The cingulum is one of the last major tracts to mature, with mean age to peak FA reported as 42 years.

Methods

  • Narrative review; no primary data collection. It synthesizes cross-species axonal tracing (rat, macaque), lesion studies in rodents and nonhuman primates, human cingulotomy clinical literature, and human diffusion MRI/DTI studies.
  • Evidence is organized into tables: Table 1 compares cingulum bundle lesion effects with anterior cingulate, retrosplenial, anterior thalamic, and fornix lesions; Table 2 lists dMRI findings in psychiatric conditions; Table 3 maps functions to cingulum subdivisions. Cited samples include 202 community adults, 220 healthy older adults, 257 healthy individuals aged 13–84, and 25 MCI patients vs 20 controls.
  • Main analysis is qualitative synthesis and cross-species comparison, with a recommendation for five cingulum subdivisions and discussion of dMRI methodological limitations.

Limitations

  • Paper-stated: dMRI is correlative, not causal; it cannot determine afferent/efferent direction; fibre crossing and tracking limitations can cause streamlines to jump pathways; CSF partial-volume effects can bias FA/MD; cingulum subdivisions and terminology are inconsistent. Lesion studies often lack verification of disconnection extent; cingulotomy literature often lacks formal post-operative assessments, controls, and blinding; no selective cingulum bundle lesions have been investigated in nonhuman primates, and selective parahippocampal cingulum pathology is lacking.
  • Evident from text: as a narrative review, no systematic search or inclusion criteria are reported, and conclusions draw on heterogeneous studies and methods; some key crossed-lesion data are unpublished.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.neubiorev.2018.05.008

Cites

356 of 356 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

122 of 334 cited sources checked · 76 supported · 1 flagged · accuracy not yet measured

  • Premisecitation

    Combat veterans with PTSD had increased cingulum FA.

    “In contrast, combat veterans with PTSD had increased cingulum FA (Davenport et al., 2015).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Davenport et al., 2015 source

      The Voxelwise Comparisons section reports higher GFA in a cluster including the cingulum, but states that PTSD effects on FA were not significant. The Conclusion likewise identifies higher GFA—not FA—in the bilateral cingulum. The claim substitutes FA for the measure on which the paper found an increase. (LLM, conf=0.88)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • Premisecitation

    Few, if any, connections extend the entire length of the cingulum tract.

    “Consequently, few, if any, connections extend the entire length of the tract (Heilbronner and Haber, 2014).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Heilbronner and Haber, 2014 source

      The Abstract (page unavailable) says many brain regions send projections through only part of the cingulum bundle, supporting the general point that connections need not span it. But “few, if any” is stronger than the paper establishes: the Segmenting the CB section (page unavailable) says many fibers travel through all four segments, without establishing how many individual connections traverse the tract’s full length. (LLM, conf=0.81)

      Experimental — accuracy not yet measured
  • Premisecitation

    Initial DTI tractography studies portrayed the cingulum as a unitary bundle.

    “Initial DTI tractography studies portrayed the cingulum as a unitary bundle (e.g., Catani et al., 2002; Xie et al., 2005; see Fig. 6A).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Catani et al., 2002 source
    • cites Xie et al., 2005 source
    • cites Fig. 6A

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Premisecitation

    To better reflect the cingulum's changing anatomical properties, reconstructions increasingly distinguished between the 'dorsal' and 'ventral' cingulum, i.e., above or below the splenium, which roughly corresponds to the distinction between cingulum cingulate gyrus and cingulum angular bundle.

    “However, to better reflect its changing anatomical properties, reconstructions increasingly distinguished between the ‘dorsal’ and ‘ventral’ cingulum, i.e., above or below the splenium (e.g., Budisavljevic et al., 2015; Fig. 6B) which roughly corresponds to the distinction between cingulum cingulate gyrus and cingulum angular bundle (e.g., Ezzati et al., 2016).”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites Budisavljevic et al., 2015 source
    • cites Ezzati et al., 2016 source
  • Premisecitation

    The primate cingulum bundle contains some fibres from across almost all parts of the prefrontal cortex.

    “there is a marked extension as the tract contains some fibres from across almost all parts of the prefrontal cortex (Heilbronner and Haber, 2014)”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Heilbronner and Haber, 2014 source
  • Classified as probably not a substantial claim. 25
  • May combine two claims. 71
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Some researchers using constrained spherical deconvolution for fibre tracking have divided the cingulum three-ways into subgenual, retrosplenial (supracallosal), and parahippocampal (ventral) components.

    “Other researchers using the constrained spherical deconvolution algorithm (Tournier et al., 2004) for fibre tracking have divided the tract three-ways, e.g., into its ‘subgenual’, ‘retrosplenial’ (supracallosal), and ‘parahippocampal’ (ventral) components (Jones et al., 2013; see Fig. 6C).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Tournier et al., 2004 source
    • cites Jones et al., 2013 source
    • cites Fig. 6C

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    The laterodorsal nucleus projects to area 23 and area 30, and both the laterodorsal and anterior thalamic nuclei also reach medial parietal area 7 m (precuneus), while laterodorsal fibres also extend to more lateral parietal areas.

    “The laterodorsal nucleus projects to area 23 (Shibata and Yukie, 2003) and 30 (Morris et al., 1999b), with both the laterodorsal and anterior thalamic nuclei also reaching medial parietal area 7 m (precuneus) (Heilbronner and Haber, 2014), while laterodorsal fibres also extend to more lateral parietal areas (Mufson and Pandya, 1984).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Shibata and Yukie, 2003 source
    • cites Morris et al., 1999b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Heilbronner and Haber, 2014 source
  • May combine two claims.

    Premisecitation

    The three subdivisions of the cingulum (subgenual, retrosplenial, parahippocampal) exhibit distinct FA measures and occupy different medial-lateral positions within the bundle, even in areas where they overlapped.

    “These three subdivisions were found to exhibit distinct FA measures and occupied different medial-lateral positions within the bundle, even in areas where they overlapped (Jones et al., 2013).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Jones et al., 2013 source
  • May combine two claims.

    Interpretationcitation

    The problem of disentangling complex fibre architecture helps explain why the reconstructed cingulum sometimes appears to extend rostrally beyond the limit of the tract, suggesting that streamlines have jumped into adjacent pathways.

    “Meanwhile, the problem of disentangling complex fibre architecture (Fischer et al., 2012; Jeurissen et al., 2017) helps to explain why the reconstructed cingulum sometimes appears to extend rostrally beyond the limit of the tract (Heilbronner and Haber, 2014), suggesting that streamlines have jumped into adjacent pathways.”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites Fischer et al., 2012 source
    • cites Jeurissen et al., 2017

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Heilbronner and Haber, 2014 source

      The Results describe the cingulum bundle’s anatomical course and its proximity to the uncinate fasciculus, providing a basis for identifying the tract’s limits. They do not report that reconstructed cingulum streamlines extend rostrally beyond those limits or jump into adjacent pathways; that reconstruction-specific part is unsupported by this source. (LLM, conf=0.78)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Fornix and anterior thalamic lesions, as well as hippocampal and medial prefrontal lesions, persistently impair delayed nonmatching-to-position.

    “In contrast, both fornix and anterior thalamic lesions, as well as hippocampal and medial prefrontal lesions (Aggleton et al., 1992, 1995), persistently impair this task.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Aggleton et al., 1992 source
    • cites Aggleton et al., 1995 source

      The introduction reports that hippocampal, fornix, and anterior thalamic lesions produce severe deficits on spatial tasks including delayed nonmatching-to-position. The paper also reports fornix and medial prefrontal DNMP deficits when rats were retested about six weeks after surgery (Subjects; Comparisons among animals with medial prefrontal lesions). It does not establish that the hippocampal and anterior thalamic deficits persist, so the claim’s persistence qualifier is not supported for all four lesion types. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    Pathways between the hippocampal formation, anterior thalamic nuclei, and retrosplenial cortex might contain sufficient crossed projections to nullify the impact of the disconnection.

    “Another issue is that the pathways between the hippocampal formation, anterior thalamic nuclei, and retrosplenial cortex might contain sufficient crossed projections to nullify the impact of the disconnection (Mathiasen et al., 2017).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Mathiasen et al., 2017 source

      The Discussion (Functional considerations; page unavailable) describes crossed projections and suggests that they may contribute to gradual improvement after crossed disconnection lesions. It does not say they are sufficient to nullify the disconnection’s impact; it instead notes that such lesions can substantially disrupt spatial memory. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    Landmark and head-direction information within retrosplenial cortex presumably reflects its cingulum connections.

    “One potential example of the latter concerns landmark and head-direction information within retrosplenial cortex (Jacob et al., 2016), which presumably reflect its cingulum connections.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Jacob et al., 2016 source
  • May combine two claims.

    Premisecitation

    Anterior cingulate lesions can decrease social responsiveness and the memory of social stimuli in rats.

    “Further, evidence that anterior cingulate lesions can decrease social responsiveness and the memory of social stimuli in rats (Rudebeck et al., 2007) points to the likely involvement of the bundle.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Rudebeck et al., 2007 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Cholinergic activity is intrinsic to 5-CSRTT performance.

    “while related studies show how cholinergic activity is intrinsic to 5-CSRTT performance (Dalley et al., 2004).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Dalley et al., 2004 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Anterior cingulate lesions cause monkeys to become more docile and less shy of humans.

    “In contrast, other studies suggest that anterior cingulate lesions cause monkeys to become more docile and less shy of humans (Anand et al., 1957; Glees et al., 1950; Ward, 1948).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Anand et al., 1957

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Glees et al., 1950 source
    • cites Ward, 1948 source
  • May combine two claims.

    Premisecitation

    Anterior cingulotomies compromise the cingulum but cause additional cortical damage, principally in area 24.

    “The advent of computerised tomography and subsequent MR imaging, confirmed that although anterior cingulotomies do compromise the cingulum (Steele et al., 2008; Turner., 1973), they cause additional cortical damage, principally in area 24 (Spangler et al., 1996; Steele et al., 2008).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Steele et al., 2008 source
    • cites Turner., 1973 source
    • cites Spangler et al., 1996 source
  • May combine two claims.

    Interpretationcitation

    The anterior cingulate cortex plays a role in representing error likelihoods and adjusting behavioural patterns following an error.

    “Related evidence from monkeys performing a Wisconsin Card Sorting Test (WCST) again points to a role for the anterior cingulate cortex in representing error likelihoods and adjusting behavioural patterns following an error (Buckley et al., 2009; Kuwabara et al., 2014).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Buckley et al., 2009 source
    • cites Kuwabara et al., 2014 source
  • May combine two claims.

    Premisecitation

    Apathy is a well-recognized feature of strokes affecting the medial frontal cortex and the medial and anterior thalamus.

    “In addition, apathy is a well-recognized feature of strokes affecting similar portions of the medial frontal cortex (Kang & Kim, 2008; Le Heron et al., 2018) and the medial and anterior thalamus (Carrera & Bogousslavsky, 2006; Krause et al., 2012; Serra et al., 2013) respectively.”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Kang & Kim, 2008 source
    • cites Le Heron et al., 2018 source
    • cites Carrera & Bogousslavsky, 2006 source
  • May combine two claims.

    Premisecitation

    Informal reports and formal assessments often indicate preserved cognition after anterior cingulotomy, although transient confusion, disorientation, and memory loss can occur.

    “Both informal reports (Tow and Whitty, 1953; Turner, 1973) and formal assessments (Cohen et al., 1999a,b; Corkin, 1980) often indicate preserved cognition, although transient confusion, disorientation, and memory loss can occur (Dougherty et al., 2003; Sharim and Pouratian, 2016; Whitty and Lewin, 1960).”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites Tow and Whitty, 1953 source
    • cites Turner, 1973 source

      In the Posterior cingulectomy section (page unavailable), Turner says anterior cingulectomy appears to have no permanent effect on memory. He also says he could not find a clear account of its effects on mentality or performance, so the paper supports preserved memory but not the broader claim of preserved cognition after anterior cingulotomy. The sentence attributes the transient symptoms to other citations, not Turner. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites Cohen et al., 1999a,b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Mårtensson et al. (2018) found age-related FA differences in the anterior and posterior but not the inferior portions of the cingulum, while RD, AD and MD showed also effects in the inferior portion.

    “They found age-related FA differences in the anterior and posterior but not in the inferior portions of the cingulum whilst RD, AD and MD showed also effects in the inferior portion.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Mårtensson et al., 2018 source

      The retrieved passages contain bibliographic information and keywords, but no Results passage reporting FA, RD, AD, or MD by cingulum portion. Searches for anterior, posterior, and inferior cingulum effects did not locate evidence for the claimed pattern in the indexed copy. (LLM, conf=0.70)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Older versus younger adults exhibited lower FA and AD as well as increased RD in the left subgenual cingulum, but not in the retrosplenial or parahippocampal cingulum.

    “For example, older versus younger adults exhibited lower FA and AD as well as increased RD in the left subgenual cingulum, but not in the retrosplenial or parahippocampal cingulum (Sibilia et al., 2017).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Sibilia et al., 2017 source

      The passages available from our copy are bibliographic metadata (labeled Abstract, no page), not study results. Searches for FA, AD, RD, the left subgenual cingulum, and the retrosplenial and parahippocampal cingulum found no passage reporting the claimed comparison, so it cannot be verified from this copy. (LLM, conf=0.72)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Post-operative reductions in aggression were reported after posterior cingulotomies for chronic aggression, while memory was thought to be unaffected, although formal assessments were lacking.

    “Post-operative reductions in aggression were reported, while memory was thought to be unaffected, although formal assessments were lacking (Turner, 1973).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Turner, 1973 source

      The Posterior cingulectomy section reports reduced chronic aggression after 37 operations and says memory was unaffected. But the paper also says suitable patients underwent psychometric testing before and after surgery, including tests of recent and distant memory. The claim that formal assessments were lacking is therefore not supported. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Cingulum associations with episodic memory are not always observed in healthy older individuals nor are they always confined to its parahippocampal subdivision.

    “However, such cingulum associations with episodic memory are not always observed in healthy older individuals (Metzler-Baddeley et al., 2011) nor are they always confined to its parahippocampal subdivision (e.g., Kantarci et al., 2011).”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites Metzler-Baddeley et al., 2011 source
    • cites Kantarci et al., 2011 source
  • May combine two claims.

    Premisecitation

    Bettcher et al. (2016) found individual FA differences in the dorsal cingulum contribute independently to all executive functions, while prefrontal cortex grey matter volume did not independently predict executive performance.

    “They found individual FA differences in the dorsal cingulum to contribute independently to all executive functions whilst prefrontal cortex grey matter volume did not independently predict executive performance.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Bettcher et al., 2016 source

      Results §3.4 reports that dorsal cingulum FA independently contributed to both executive-function factors in separate models. But in the final model that also included corpus callosum FA, cingulum FA was independently related only to updating/working memory, not all executive functions. The Discussion confirms that prefrontal grey matter volume did not independently predict executive function after accounting for global atrophy. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Kantarci et al. (2011) found FA differences in the anterior cingulum correlate with differences in attention/executive and memory performance, while FA in the posterior dorsal cingulum appeared to contribute to all four cognitive domains.

    “They found FA differences in the anterior cingulum to correlate with differences in attention/executive and memory performance, while FA in the posterior dorsal cingulum appeared to contribute to all four cognitive domains.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Kantarci et al., 2011 source

      The attention/executive results and Table 2 report correlations between anterior cingulum FA and both attention/executive and memory performance. The Abstract and Figure 1 passage report that posterior cingulum FA was associated with all four cognitive domains. The paper does not identify that posterior cingulum measurement as dorsal; its reference to a dorsal component concerns the superior longitudinal fasciculus. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    In the posterior cingulum, FA reached a maximum in early adulthood up to the age of 40 and then declined, while RD was lowest at midlife and increased thereafter with age.

    “In the posterior cingulum, FA reached a maximum in early adulthood up to the age of 40 and then declined, whilst RD was lowest at midlife and increased thereafter with age.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Mårtensson et al., 2018 source

      The available passages labelled Abstract contain bibliographic details and keywords, including cingulum and fractional anisotropy, but no results describing their age trajectories. Searches for posterior cingulum, FA, RD, and the age-40 peak found no passage in our copy that verifies the claimed pattern. (LLM, conf=0.70)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Among familial high-risk schizophrenia studies, only a minority find cingulum changes, with other structures more often affected.

    “Only a minority of these familial studies find cingulum changes, with other structures more often affected (e.g., Clark et al., 2011; Hoptman et al., 2008; Karlsgodt et al., 2009; Maniega et al., 2008).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Clark et al., 2011 source
    • cites Hoptman et al., 2008 source
    • cites Karlsgodt et al., 2009 source

      The Methods (Participants; Data Analysis) describe an ultra-high-risk group defined by prodromal criteria, not a specifically familial high-risk sample, and include the cingulate bundle among the regions examined. The Results (Analysis I) find reduced FA in the superior longitudinal fasciculus but no significant difference in the other regions. This supports the paper as an example of a non-cingulum finding, but it does not establish that only a minority of familial studies find cingulum changes. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    In schizophrenia, cingulum abnormalities are most often seen near the genu but may also occur in the parahippocampal cingulum.

    “while cingulum abnormalities are most often seen near the genu, they may also occur in the parahippocampal cingulum (e.g. Whitford et al., 2014).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Whitford et al., 2014 source
  • May combine two claims.

    Premisecitation

    In ADHD, clinical symptoms and executive dysfunctions correlate best with the status of fronto-striatal tracts, while cingulum bundle changes are less reliable.

    “Studies relating the severity of ADHD symptoms with dMRI indices (Angriman et al., 2014) reveal that clinical symptoms and executive dysfunctions correlate best with the status of fronto-striatal tracts, while cingulum bundle changes are less reliable.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Angriman et al., 2014 source

      The Key points and Starting Point sections report correlations between ADHD symptom severity, executive functioning, and fronto-striatal tract integrity. The Starting Point section reports reduced fractional anisotropy in fronto-striatal tracts but not mid-cingulum bundles; it also reports an association between cingulum integrity and reaction-time variability. The paper does not establish that fronto-striatal correlations are the strongest or that cingulum changes are generally less reliable. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    In PTSD, tract volume changes are most frequent in the left hemisphere, while dMRI changes occur in the dorsal cingulum.

    “There is evidence that tract volume changes are most frequent in the left hemisphere, while the dMRI changes occur in the dorsal cingulum (e.g., Sanjuan et al., 2013).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Sanjuan et al., 2013 source

      The Discussion (section 4) reports DTI differences in both the left and right dorsal cingulum, supporting the dMRI portion. The Methods (section 2.2) describe measurements of diffusion metrics using the same regional volume across subjects; they do not support a claim that tract-volume changes are most frequent in the left hemisphere. Page numbers were unavailable in our copy. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationcitation

    Some processes such as pain and emotion, or motor control and aspects of attention, likely overlap.

    “It is, of course, most likely that some processes, such as pain and emotion (Shackman et al., 2011), or motor control and aspects of attention (Paus, 2001) will overlap given their close relationships with one another.”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Shackman et al., 2011 source
    • cites Paus, 2001 source
  • Probably not a substantial claim: may not pass S1 (asserted), S4 (based).

    Premisecitation

    Cingulotomies disconnect many anterior thalamic efferents.

    “the presumption that such cingulotomies will disconnect many anterior thalamic efferents (Heilbronner and Haber, 2014)”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Heilbronner and Haber, 2014 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingreasoning

    The literature review reveals much heterogeneity in cingulum reconstructions across different studies.

    “Our literature review reveals much heterogeneity in cingulum reconstructions across different studies.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Bilateral fornix lesions severely disrupt T-maze alternation and radial-arm maze working memory.

    “In contrast, bilateral fornix lesions severely disrupted both tasks.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingnone given

    Neither cingulum bundle nor cingulate cortex lesions have any apparent effect on delayed nonmatching-to-position.

    “Neither cingulum bundle nor cingulate cortex lesions have any apparent effect on this task.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    Selective cingulum bundle lesions have not been investigated in nonhuman primates.

    “Selective cingulum bundle lesions have not been investigated in nonhuman primates.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Further distinctions of the cingulum include the anterior (close to the genu) and posterior (close to the splenium) cingulum.

    “Further distinctions include the anterior (close to the genu) and posterior (close to the splenium) cingulum.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisereasoning

    In the rat cingulum, many cortico-cortical connections are light, and other components link directly across the cortex rather than joining the bundle.

    “In contrast, many of the cortico-cortical connections are not only light, but other components link directly across the cortex, i.e., do not join the bundle.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given

    Like the rat, the monkey cingulum contains many short projection fibres but, in comparison, it innervates more cortical areas.

    “Like the rat, the monkey cingulum contains many short projection fibres but, in comparison, it innervates more cortical areas.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Overall, the rat cingulum bundle principally provides subcortical connections for cortical regions close to the midline, i.e., with medial frontal, cingulate and parahippocampal cortices, as well as interlinking these same cortical areas.

    “Overall, the rat cingulum bundle principally provides subcortical connections for cortical regions close to the midline, i.e., with medial frontal, cingulate and parahippocampal cortices, as well as interlinking these same cortical areas.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    No single site dominates the monkey cingulum tract; its component connections shift along the length of the bundle.

    “It is, however, clear from Fig. 5 that no single site dominates the tract, as its component connections shift along the length of the bundle.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Fig. 5

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisenone given

    In the rat, the part of the cingulum bundle above the corpus callosum largely consists of thalamic connections with the cingulate cortices, as well as ascending cholinergic, noradrenergic and serotonergic projections.

    “In fact, that part of the bundle above the corpus callosum largely consists of thalamic connections with the cingulate cortices, as well as ascending cholinergic, noradrenergic and serotonergic projections.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    As in the rat, the monkey cingulum connections include noradrenergic, serotonergic, and cholinergic fibres.

    “Again, as in the rat, the cingulum connections include noradrenergic, serotonergic, and cholinergic fibres.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    DTI based tractography has difficulties in resolving fibre tracking in areas with mixed fibre orientations due to, for instance, intra-voxel fibre crossing.

    “While DTI based tractography (Basser et al., 2000) has been widely applied, it has difficulties in resolving fibre tracking in areas with mixed fibre orientations due to, for instance, intra-voxel fibre crossing (Jones and Cercignani, 2010; Jeurissen et al., 2017).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Basser et al., 2000 source
    • cites Jones and Cercignani, 2010 source
    • cites Jeurissen et al., 2017

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given

    DTI metrics are sensitive indices of white matter microstructural changes, and the in vivo investigation of the cingulum bundle in humans is predominantly based on DTI techniques.

    “Having said this, DTI metrics are known to be sensitive indices of white matter microstructural changes and the in vivo investigation of the cingulum bundle in humans is predominately based on DTI techniques.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    There is a need for a consensus on how best to subdivide the cingulum in dMRI research.

    “Thus, there is clearly need for a consensus on how best to subdivide the cingulum in dMRI research.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Current shortcomings of dMRI tractography include an inability to determine the direction of white matter (afferent or efferent), a limitation that is highly problematic for studies of the cingulum bundle.

    “Whilst these methods can improve fibre tracking (Jeurissen et al., 2017), it is worth remembering that current shortcomings of dMRI tractography also include an inability to determine the direction of white matter (afferent or efferent), a limitation that is highly problematic for studies of the cingulum bundle.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Jeurissen et al., 2017

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Given the length and complexity of the cingulum bundle, finer detailed tract subdivisions might provide even better correspondence with potential functional changes.

    “Given the length and complexity of the cingulum bundle (Fig. 5, Fig. 6) it is to be expected that finer detailed tract subdivisions might provide even better correspondence with potential functional changes.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Fig. 5

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Fig. 6

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Fibres continuously join and leave the cingulum, emphasising its affinity with the cingulate gyrus.

    “This cortical relationship was clarified by Beevor (1891) who realised that fibres continuously join and leave the cingulum, emphasising its affinity with the cingulate gyrus.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Beevor, 1891

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    The differences among cingulum subdivisions suggest qualitative changes along the length of the tract and add support to similar tract subdivisions used in other dMRI studies.

    “These differences, which suggest qualitative changes along the length of the tract, add support to similar tract subdivisions used in other dMRI studies (e.g., Concha et al., 2005; Kates et al., 2015; Lin et al., 2014; Metzler-Baddeley et al., 2017).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Concha et al., 2005
    • cites Kates et al., 2015

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Lin et al., 2014 source
  • May combine two claims.

    Premisecitation

    A complex disconnection procedure found evidence that anterior thalamic lesions and retrosplenial cortex lesions have additive effects, implying different contributions to hippocampal function.

    “While this concern is difficult to disprove, a complex disconnection procedure (Dumont et al., 2010) found evidence that anterior thalamic lesions and retrosplenial cortex lesions have additive effects, implying different contributions to hippocampal function.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Dumont et al., 2010 source
  • May combine two claims.

    Interpretationcitation

    The lesser disruption by cingulum bundle lesions than anterior thalamic lesions reveals the relative importance of anterior thalamic connections that avoid the cingulum bundle and indicates that thalamic nuclei are a key convergence point for spatial processing.

    “This difference reveals the relative importance of those anterior thalamic connections that avoid the cingulum bundle, e.g., its inputs from the hippocampal region, the mammillary bodies, and frontal cortices, while also signifying how these thalamic nuclei are a key point of convergence for spatial processing (Bubb et al., 2017).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Bubb et al., 2017

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The increasing robustness of cingulum bundle lesion effects with more lesions along the tract presumably reflects how cortical fibres join and leave the tract along its length.

    “This pattern presumably reflects how cortical fibres join and leave the tract along its length.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    The lack of a disconnection effect indicates that information in the cingulum bundle either duplicates or is qualitatively different from that in the fornix.

    “The lack of a disconnection effect indicates that information in the cingulum bundle either duplicates or is qualitatively different from that in the fornix.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Despite presumed disconnections caused by the various surgeries, the impact on social behaviour, emotion, memory, and executive control is often slight, implying that damage more confined to the bundle might be even less disruptive.

    “Despite the presumed disconnections caused by the various surgeries, the impact on social behaviour, emotion, memory, and executive control is often slight, implying that damage more confined to the bundle might be even less disruptive.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: In nonhuman primate studies, surgical lesions in adjacent cingulate areas consistently involved the cingulum bundle unless otherwise stated.
  • May combine two claims.

    Premisecitation

    After anterior cingulum lesions for chronic pain, patients continue to experience pain but perceive it as less distressing or less worrying.

    “Patients are reported as continuing to experience pain but to perceive it as less distressing or less worrying (Foltz and White, 1962; Corkin and Hebben, 1981)”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Foltz and White, 1962 source
    • cites Corkin and Hebben, 1981 source
  • May combine two claims.

    Premisecitation

    Delayed alternation was spared even though anterior cingulate gyrus lesions consistently involved the cingulum bundle.

    “In other reports, delayed alternation was spared, even though the anterior cingulate gyrus lesions again consistently involved the cingulum bundle (Rushworth et al., 2003).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Rushworth et al., 2003 source
  • May combine two claims.

    Premisecitation

    Both anterior thalamic nuclei and fornix lesions impair the initial learning of scene discrimination problems.

    “This retention deficit is informative as both anterior thalamic nuclei and fornix lesions impair the initial learning of these same problems (Gaffan, 1994; Parker and Gaffan, 1997).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Gaffan, 1994 source
    • cites Parker and Gaffan, 1997

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    T-maze alternation and scene discrimination tasks are hippocampal sensitive.

    “yet both tasks are hippocampal sensitive (Gaffan, 1994; Murray et al., 1989).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Gaffan, 1994 source
    • cites Murray et al., 1989 source
  • May combine two claims.

    Premisecitation

    No lasting benefits occurred from the first anterior cingulotomies for schizophrenia, so cingulotomy for psychotic patients was generally abandoned.

    “As no lasting benefits occurred (Corkin, 1980), cingulotomy for psychotic patients was generally abandoned (Ballantine et al., 1967).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Corkin, 1980

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Ballantine et al., 1967 source
  • May combine two claims.

    Study design and conductnone given

    Difficulties in interpreting the clinical cingulotomy literature include the lack of formal post-operative assessments in early studies, the frequent absence of appropriate controls, and the failure to test blind to surgical treatment.

    “Difficulties in interpreting this clinical literature include the lack of formal post-operative assessments in early studies, the frequent absence of appropriate controls, and the failure to test blind to surgical treatment.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Frontal-type deficits have been seen in a Stroop Interference task, with borderline deficits on a Go/No-Go executive task after cingulotomy.

    “Frontal-type deficits have also been seen in a Stroop Interference task, with borderline deficits on a Go/No-Go executive task (Cohen et al., 1999b).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cohen et al., 1999b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Spontaneous response initiation and generation were both reduced in a study of 12 cingulotomy patients tested over a year post-surgery.

    “It is notable that spontaneous response initiation and generation were both reduced in a study of 12 cingulotomy patients when tested over a year post-surgery (Cohen et al., 1999b).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cohen et al., 1999b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    OCD sufferers after cingulotomy showed poorer WCST performance on several measures, consistent with a loss of executive control.

    “Furthermore, OCD sufferers after cingulotomy showed poorer WCST performance on several measures (Kim et al., 2003; but see Corkin, 1980, Cohen et al., 1999b), consistent with a loss of executive control.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Kim et al., 2003 source
    • cites Corkin, 1980

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Cohen et al., 1999b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    These observations point to an involvement of the anterior cingulate/cingulum area in high-level processing and selection, though the lack of consistent deficits points to contributions from other pathways.

    “Together, these observations point to an involvement of the anterior cingulate/cingulum area in high-level processing and selection, though the lack of consistent deficits points to contributions from other pathways.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Stimulation of the left cingulum bundle in five patients disrupted a verbal working memory task, but subsequent cingulotomy for pain relief did not affect performance levels.

    “Finally, while stimulation of the left cingulum bundle in five patients disrupted a verbal working memory task, subsequent cingulotomy for pain relief did not affect levels of performance (Fedio and Ommaya, 1970).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Fedio and Ommaya, 1970 source
  • May combine two claims.

    Premisecitation

    Other evidence points to post-surgical deficits in focused and sustained attention, as well as mild changes in executive function, after cingulotomy.

    “Other evidence points, however, to post-surgical deficits in focused and sustained attention, as well as mild changes in executive function (Cohen et al., 1999a,b).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cohen et al., 1999a,b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    The same study found no deficits on the Trail Making Test after cingulotomy, although borderline deficits had previously been reported in a larger cohort of 18 cases.

    “The same study (Steele et al., 2008) also found no deficits on the Trail Making Test, which taxes visual attention and task switching, although borderline deficits had previously been reported in a larger cohort of 18 cases (Cohen et al., 1999b).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Steele et al., 2008 source
    • cites Cohen et al., 1999b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    The apparent lack of more overt cognitive changes after anterior cingulotomy is often most striking, echoing the earlier review of monkey research.

    “Nevertheless, it is the apparent lack of more overt cognitive changes after anterior cingulotomy that is often most striking, a finding that echoes the earlier review of monkey research (Section 3.2).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationcitation

    Aging does not affect the cingulum uniformly; region-specific effects can be observed.

    “A number of studies suggest that aging does not affect the cingulum uniformly but that region-specific effects can be observed.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    While there is an overall shift from genual parts of the cingulum (executive function) to parahippocampal parts (memory), this shift appears to be gradual in nature and the latter association appears more robust in some clinical populations.

    “Consequently, while there is an overall shift from genual parts of the cingulum (executive function) to parahippocampal parts (memory), this shift appears to be gradual in nature and the latter association appears more robust in some clinical populations.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given

    The commonest reported changes in psychiatric conditions are reduced FA and increased diffusivity, which are thought to reflect a disruption of white matter integrity.

    “The commonest reported changes are reduced FA and increased diffusivity, both of which are though to reflect a disruption of white matter integrity.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Reductions in FA and increases in diffusivity reflect a loss of white matter integrity.
  • May combine two claims.

    Premisecitation

    Choo et al. (2010) reported reduced FA in the parahippocampal cingulum in both MCI and Alzheimer's patients, with additional FA changes in the posterior retrosplenial cingulum in the Alzheimer's group.

    “This study reported reduced FA in the parahippocampal cingulum in both MCI and Alzheimer’s patients, with additional FA changes in the posterior retrosplenial cingulum in the Alzheimer’s group (Choo et al., 2010; see also Ito et al., 2015).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Choo et al., 2010 source
    • cites Ito et al., 2015 source
  • May combine two claims.

    Premisecitation

    Yu et al. (2017) meta-analysis: ROI studies showed consistent reductions in FA and increases in MD in the fornix, parahippocampal cingulum, and uncinate fasciculus, while whole brain TBSS/VBA showed significant FA reductions in the posterior corona radiata.

    “Studies that employed ROI analysis, including tractography, showed consistent reductions in FA and increases in MD in the fornix, the parahippocampal cingulum, and the uncinate fasciculus, whilst whole brain analysis study based on TBSS or VBA demonstrated significant FA reductions in the posterior corona radiata.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Yu et al., 2017

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    Overall, the cingulum is not uniquely affected in schizophrenia, but is part of a wider network of disrupted pathways.

    “Overall, the cingulum is not uniquely affected in schizophrenia, but is part of a wider network of disrupted pathways.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Differences between patients and controls may be overestimated and could potentially reflect atrophy rather than intrinsic white matter microstructural changes.

    “differences between patients and controls may be overestimated and could potentially reflect atrophy rather than intrinsic white matter microstructural changes.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Chiang et al. (2016) reported lower cingulum FA in ADHD that correlated with inattention.

    “Chiang et al. (2016) reported lower cingulum FA in ADHD that correlated with inattention”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Chiang et al. (2016) source
  • May combine two claims.

    Premisecitation

    Increased radial diffusivity in the cingulum is found in schizophrenia but not bipolar disorder.

    “Meanwhile, Nenadic et al. (2017) found evidence of increased radial diffusivity in the cingulum in schizophrenia but not bipolar disorder.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Nenadic et al. (2017) source
  • May combine two claims.

    Interpretationnone given

    Cingulum dMRI changes appear most consistently in OCD, ASD and PTSD, and are concentrated in the dorsal cingulum.

    “Cingulum dMRI changes, which appear most consistently in OCD, ASD and PTSD, are concentrated in the dorsal cingulum (Table 2).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Table 2

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationcitation

    dMRI data reveal overlapping patterns of fronto-cortical and fronto-limbic changes across a variety of psychiatric disorders, with cingulum alterations a frequent component.

    “dMRI data reveal overlapping patterns of fronto–cortical and fronto-limbic changes across a variety of disorders, with cingulum alterations a frequent component (Table 2).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Table 2

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    FA can increase as well as decrease in PTSD.

    “while also showing that FA can increase as well as decrease in this condition.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    In bipolar disorders, abnormalities in interhemispheric and posterior limbic connectivity appeared more prominent, while schizophrenia was more linked with frontotemporal changes.

    “In bipolar disorders, abnormalities in interhemispheric and posterior limbic connectivity appeared more prominent, while schizophrenia was more linked with frontotemporal changes (O’Donoghue et al., 2017).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites O’Donoghue et al., 2017 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Scene discrimination learning is regarded as a behavioural test of episodic memory.

    “even though the latter task is regarded as a behavioural test of episodic memory (Gaffan, 1994).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Gaffan, 1994 source
  • May combine two claims.

    Study design and conductnone given

    Current dMRI reconstructions fail to distinguish short association fibres and fail to identify the direction of a pathway.

    “At present, dMRI reconstructions fail to distinguish short association fibres, while also failing to identify the direction of a pathway.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Cingulate projections to subcortical sites more typically cross the bundle and are less easy to detect.

    “In contrast, cingulate projections to subcortical sites more typically cross the bundle and, hence, are less easy to detect.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationnone given

    Most clinical studies that report a change in the cingulum find increased diffusion associated with reduced FA, but the opposite is sometimes found in PTSD and ADHD.

    “While most clinical studies that report a change in the cingulum, find increased diffusion associated with reduced FA, the opposite is sometimes found, e.g., in PTSD and ADHD.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Both retrosplenial damage and hippocampal damage can cause anterograde amnesia.

    “This outcome is to be expected as both retrosplenial damage and hippocampal damage can cause anterograde amnesia (Spiers et al., 2001; Valenstein et al., 1987; Vann et al., 2009)”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Spiers et al., 2001 source
    • cites Valenstein et al., 1987 source
    • cites Vann et al., 2009 source
  • May combine two claims.

    Interpretationreasoning

    dMRI indices reveal an array of correlations with cognitive functions that differ along the main axis of the pathway, while lesion studies with nonhuman primates and clinical descriptions of cingulotomies typically fail to report robust changes in these same attributes.

    “The present review reveals a remarkable contrast: dMRI indices reveal an array of correlations with cognitive functions, which differ along the main axis of the pathway, yet lesion studies with nonhuman primates and clinical descriptions of cingulotomies typically fail to report robust changes in these same attributes.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    The anterior thalamic nuclei are critical components of the pathology responsible for diencephalic amnesia.

    “the anterior thalamic nuclei are seen as critical components of the pathology responsible for diencephalic amnesia (Aggleton and Brown, 1999; Carlesimo et al., 2011).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Aggleton and Brown, 1999 source
    • cites Carlesimo et al., 2011 source
  • May combine two claims.

    Study design and conductreasoning

    Current cingulum subdivisions are based on the long axis of the bundle and fail to isolate specific connections.

    “Furthermore, current cingulum subdivisions are based on the long axis of the bundle (Fig. 6). Although clearly better than treating the tract as a single entity, this approach still fails to isolate specific connections.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Fig. 6

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Interpretationreasoning

    One explanation for the array of dMRI effects stems from the wide range of connections within the cingulum.

    “One explanation for this array of dMRI effects stems from the wide range of connections within the cingulum.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Study design and conductnone given

    The position of the parahippocampal cingulum with respect to the adjacent angular bundle leaves concern about reconstructed fibre traces jumping pathways.

    “the position of the parahippocampal cingulum with respect to the adjacent angular bundle leaves concern about reconstructed fibre traces jumping pathways.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    The normal significance of the parahippocampal cingulum for memory remains largely unknown.

    “Unfortunately, the normal significance of the parahippocampal cingulum for memory remains largely unknown.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationnone given

    Many psychiatric conditions, as well as healthy aging, appear more related to changes in anterior parts of the bundle, while neurodegenerative conditions such as Alzheimer's disease appear linked with parahippocampal regions.

    “While many of the psychiatric conditions, as well as healthy aging, appear to be more related to changes in anterior parts of the bundle, neurodegenerative conditions such as Alzheimer’s disease appear linked with parahippocampal regions.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationnone given

    Inconsistent cingulum subdivisions and associated inconsistent terminology have been a barrier to research in this area.

    “One barrier to research in this area has been the inconsistent array of cingulum subdivisions used in dMRI studies and the associated inconsistent terminology.”
    Quote in the paperSubstantial claim
90 of 90
  • The paper relies on this without support.

    Attempts to integrate anatomical and functional knowledge about the cingulum tract remain rare.

    “Nevertheless, attempts to integrate anatomical and functional knowledge about this tract remain rare, yet this integration is needed to understand this highly complex pathway.”
  • The paper relies on this without support.

    The set of subcortical–cortical connections that appear to dominate the rat cingulum bundle are duplicated in the primate brain, including humans.

    “There seems every reason to believe that the set of subcortical – cortical connections, which appear to dominate the rat cingulum bundle, are duplicated in the primate brain, including humans.”
  • The authors state this as an assumption.

    In nonhuman primate studies, surgical lesions in adjacent cingulate areas consistently involved the cingulum bundle unless otherwise stated.

    “It can be assumed that, unless otherwise stated, these surgeries consistently involved the bundle.”
  • The authors state this as an assumption.

    The Papez circuit is vital for normal cognition.

    “which is assumed to be vital for normal cognition (Aggleton and Brown, 1999; Rolls, 2015).”
  • The paper relies on this without support.

    Reductions in FA and increases in diffusivity reflect a loss of white matter integrity.

    “The commonest reported changes are reduced FA and increased diffusivity, both of which are though to reflect a disruption of white matter integrity.”
  • The paper relies on this without support.

    Amnestic MCI is often considered a prodromal condition for AD.

    “Amnestic MCI is often considered a prodromal condition for AD.”
  • The paper relies on this without support.

    Both schizophrenia and autism spectrum disorders are seen as developmental in origin with overlapping features.

    “Both schizophrenia and ASDS are seen as developmental in origin with overlapping features.”
  • The paper relies on this without support.

    In none of the clinical conditions described is pathology restricted to the cingulum bundle.

    “It must also be remembered that in none of the clinical conditions described is pathology restricted to the cingulum bundle.”
8 of 8

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Reil, 1809, Untersuchungen über den Bau des grossen Gehirns im Menschen, Arch. Physiol., 9, 136
  2. Schmahmann, 2006, Oxford; OUP

Cited by

Sorted by citations

Authors
Bubb, E. J., Metzler-Baddeley, C., & Aggleton, J. P.
Affiliations
Cardiff University (GB)
Corresponding author
Aggleton, John P.
Venue
Neuroscience & Biobehavioral Reviews
Publisher
Elsevier BV
Published
2018-09
Volume
92
Pages
104-127
ISSN
0149-7634 (ISSN-L)
OpenAlex
W2804164821
Cited by
740
References
353
Citations by year
2026: 69 · 2025: 117 · 2024: 106 · 2023: 92 · 2022: 113 · 2021: 99 · 2020: 92 · 2019: 47 · 2018: 4
FWCI
38.04
Type
journal article
Language
en
Open access
Locations
  • Neuroscience & Biobehavioral Reviews (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
  • Europe PMC (PubMed Central) (submittedVersion, cc-by)
  • PubMed Central (submittedVersion, cc-by)
Funders
  • Wellcome Trust (103722/Z14/Z)
  • BBSRC (L021005/1)
  • Alzheimer’s Society and BRACE research fellowship (208/506818)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
Keywords
cingulum, white matter tracts, cingulate cortex, executive function, emotions, pain, episodic memory, schizophrenia, depression, post-traumatic stress disorder, obsessive-compulsive disorder, autism spectrum disorder, mild cognitive impairment, Alzheimer's disease
MeSH terms
Animals, Brain Injuries, Gyrus Cinguli, Humans, Nerve Fibers, Myelinated, Neuropsychological Tests, White Matter

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-18.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-18.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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