Cingulate fasciculus integrity disruption in schizophrenia: a magnetic resonance diffusion tensor imaging study
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Evidence suggests that a disruption in limbic system network integrity and, in particular, the cingulate gyrus (CG), may play a role in the pathophysiology of schizophrenia; however, the cingulum bundle (CB), the white matter tract furnishing both input and output to CG, and the most prominent white matter fiber tract in the limbic system, has not been evaluated in schizophrenia using the new technology of diffusion tensor imaging (DTI). We used line scan DTI to evaluate diffusion in the CB in 16 male schizophrenia patients and 18 male control subjects, group-matched for age, parental socioeconomic status, and handedness. We acquired 4-mm-thick coronal slices through the entire brain. Maps of fractional anisotropy (FA) were generated to quantify diffusion within the left and right CB on eight slices that included the central portion of the CB. Results showed group differences, bilaterally, in area and mean FA for CB, where patients showed smaller area and less anisotropy than controls. For patients, decreased left CB correlated significantly with attention and working memory measures as assessed by the Wisconsin Card Sorting Test. These data provide strong evidence for CB disruptions in schizophrenia, which may be related to disease-related attention and working memory abnormalities.
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In schizophrenia, primary sensorimotor fasciculi appear comparatively unaffected, while structural abnormalities are consistently reported in frontal fasciculi connecting the frontal lobe with the rest of the brain, including the uncinate, arcuate, superior longitudinal, and cingulum bundle.
“Specifically, while the primary sensorimotor fasciculi appear to be comparatively unaffected in patients in schizophrenia, structural abnormalities have consistently been reported in the fasciculi connecting the frontal lobe with the rest of the brain, such as the uncinate fasciculus, 25,26 arcuate fasciculus, 27,28 superior longitudinal fasciculus, 29,30 and cingulum bundle.31,32”
From Schizophrenia, myelination, and delayed corollary discharges: a hypothesis (2012) · cites this paper as [29]
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Self-citationSpoletini, I., Cherubini, A., Di Paola, M., Banfi, G., Rüsch, N., Martinotti, G., Bria, P., Rubino, I. A., Siracusano, A., Caltagirone, C., et al. (2009) · Schizophrenia Research · doi:10.1016/j.schres.2008.11.011 · Cited by 62 · see citing works
Unique white matter microstructural patterns in ADHD presentations—a diffusion tensor imaging study
Svatkova, A., Nestrasil, I., Rudser, K., Goldenring Fine, J., Bledsoe, J., & Semrud‐Clikeman, M. (2016) · Human Brain Mapping · doi:10.1002/hbm.23243 · Cited by 44 · see citing works
“, 2012] and might represent a structural substrate of executive functions and sustained attention deficits [Chiang et al., 2015; Kubicki et al., 2003] in ADHD-C.”
BackgroundMethodVandenberg, A., Piekarski, D. J., Caporale, N., Munoz-Cuevas, F. J., & Wilbrecht, L. (2015) · Frontiers in Neural Circuits · doi:10.3389/fncir.2015.00005 · Cited by 22 · see citing works
Simultaneous fMRI-EEG-DTI recording of MMN in patients with schizophrenia
Kirino, E., Hayakawa, Y., Inami, R., Inoue, R., & Aoki, S. (2019) · PLoS ONE · doi:10.1371/journal.pone.0215023 · Cited by 22 · see citing works
- Authors
- Kubicki, M., Westin, C.-F., Nestor, P. G., Wible, C. G., Frumin, M., Maier, S. E., Kikinis, R., Jolesz, F. A., McCarley, R. W., & Shenton, M. E.
- Affiliations
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Corresponding author
- Shenton, Martha E
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2003-12
- Volume
- 54
- Issue
- 11
- Pages
- 1171-1180
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC2806222
- OpenAlex
- W2088060544
- Cited by
- 376
- References
- 72
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 8 · 2020: 9 · 2019: 8 · 2018: 4 · 2017: 10 · 2016: 16 · 2015: 17 · 2014: 12 · 2013: 18 · 2012: 15
- FWCI
- 13.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Funders
- U.S. Public Health Service (P41 1321, 11747)
- National Institute of Mental Health (R01 MH40799, K02MH001110, R01MH050740, R01MH040799, R01MH 50747, K02MH 01110)
- National Institute of Neurological Disorders and Stroke (R01NS039335, R01 NS 39335)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- schizophrenia, cingulum, white matter integrity, fractional anisotropy, limbic system, cingulate gyrus, attention, working memory, Wisconsin Card Sorting Test
- MeSH terms
- Adult, Brain Mapping, Chronic Disease, Gyrus Cinguli, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Neural Pathways, Neuropsychological Tests, Schizophrenia, Anisotropy
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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.
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