Cited by 376Schizophrenia research and treatmentAdvanced Neuroimaging Techniques and ApplicationsMental Health and Psychiatry

Cingulate fasciculus integrity disruption in schizophrenia: a magnetic resonance diffusion tensor imaging study

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Kubicki, Marek, Westin, Carl-Fredrik, Nestor, Paul G, Wible, Cynthia G, Frumin, Melissa, Maier, Stephan E, Kikinis, Ron, Jolesz, Ferenc A +2 more·2003·Biological Psychiatry

Abstract

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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Crossref · 10.1016/s0006-3223(03)00419-0

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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”

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Research works printed but not linked: 2

  1. First MB, Spitzer RL, Gibbon M, Williams JB. Structured Clinical Interview for DSM-IV-TR Axis I Disorders. New York: Biometrics Research Department, New York State Psychiatric Institute; 2001. pp. 67–71. Research Version, Nonpatient Edition. [Google Scholar]
  2. Wilkinson GS. Wide Achievement Test. 3. Wilmington, DE: Wide Range Inc; 1993. [Google Scholar]

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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
Venue
Biological Psychiatry
Publisher
Elsevier BV
Published
2003-12
Volume
54
Issue
11
Pages
1171-1180
ISSN
0006-3223 (ISSN-L)
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
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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