{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:45:24Z","timestamp":1792622724131,"version":"4.5.0"},"reference-count":80,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Recent advancements in computational approaches and neuroimaging techniques have refined our understanding of the precuneus. While previously believed to be largely a visual processing region, the importance of the precuneus in complex cognitive functions has been previously less familiar due to a lack of focal lesions in this deeply seated region, but also a poor understanding of its true underlying anatomy. Fortunately, recent studies have revealed significant information on the structural and functional connectivity of this region, and this data has provided a more detailed mechanistic understanding of the importance of the precuneus in healthy and pathologic states. Through improved resting-state functional MRI analyses, it has become clear that the function of the precuneus can be better understood based on its functional association with large scale brain networks. Dual default mode network systems have been well explained in recent years in supporting episodic memory and theory of mind; however, a novel \u2018para-cingulate\u2019 network, which is a subnetwork of the larger central executive network, with likely significant roles in self-referential processes and related psychiatric symptoms is introduced here and requires further clarification. Importantly, detailed anatomic studies on the precuneus structural connectivity inside and beyond the cingulate cortex has demonstrated the presence of large structural white matter connections, which provide an additional layer of meaning to the structural-functional significance of this region and its association with large scale brain networks. Together, the structural-functional connectivity of the precuneus has provided central elements which can model various neurodegenerative diseases and psychiatric disorders, such as Alzheimer\u2019s disease and depression.<\/jats:p>","DOI":"10.1093\/brain\/awad181","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T05:12:22Z","timestamp":1685509942000},"page":"3598-3607","source":"Crossref","is-referenced-by-count":343,"title":["The functional role of the precuneus"],"prefix":"10.1093","volume":"146","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8657-187X","authenticated-orcid":false,"given":"Nicholas B","family":"Dadario","sequence":"first","affiliation":[{"name":"Robert Wood Johnson Medical School, Rutgers University , New Brunswick, NJ 07102 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E","family":"Sughrue","sequence":"additional","affiliation":[{"name":"Omniscient Neurotechnology , Sydney 2000 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"key":"2023090117352748900_awad181-B1","doi-asserted-by":"crossref","first-page":"e426","DOI":"10.1016\/j.wneu.2021.04.050","article-title":"Anatomy and white matter connections of the lingual gyrus and cuneus","volume":"151","author":"Palejwala","year":"2021","journal-title":"World Neurosurg"},{"key":"2023090117352748900_awad181-B2","article-title":"Impact of childhood cerebellar tumor surgery on cognition revealed by precuneus hyperconnectivity","volume":"4","author":"Dorfer","year":"2022","journal-title":"Neurooncol Adv"},{"key":"2023090117352748900_awad181-B3","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s11060-022-03945-5","article-title":"Endoscopic-assisted surgical approach for butterfly glioma surgery","volume":"156","author":"Dadario","year":"2022","journal-title":"J Neurooncol."},{"key":"2023090117352748900_awad181-B4","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.3171\/2015.3.JNS14847","article-title":"Posterior interhemispheric transfalcine transprecuneus approach for microsurgical resection of periatrial lesions: indications, technique, and outcomes","volume":"123","author":"Bohnstedt","year":"2015","journal-title":"J Neurosurg"},{"key":"2023090117352748900_awad181-B5","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1038\/nature18933","article-title":"A multi-modal parcellation of human cerebral cortex","volume":"536","author":"Glasser","year":"2016","journal-title":"Nature"},{"key":"2023090117352748900_awad181-B6","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1007\/s11682-021-00529-1","article-title":"Anatomy and white-matter connections of the precuneus","volume":"16","author":"Tanglay","year":"2022","journal-title":"Brain Imaging Behav."},{"key":"2023090117352748900_awad181-B7","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1016\/j.neuroimage.2010.01.087","article-title":"Delineating self-referential processing from episodic memory retrieval: common and dissociable networks","volume":"50","author":"Sajonz","year":"2010","journal-title":"Neuroimage"},{"key":"2023090117352748900_awad181-B8","doi-asserted-by":"crossref","first-page":"14899","DOI":"10.1038\/s41598-018-32879-0","article-title":"The experience of vivid autobiographical reminiscence is supported by subjective content representations in the precuneus","volume":"8","author":"Sreekumar","year":"2018","journal-title":"Sci Rep."},{"key":"2023090117352748900_awad181-B9","doi-asserted-by":"crossref","DOI":"10.1155\/2017\/6875850","article-title":"Systematic comparison of brain imaging meta-analyses of ToM with vPT","volume":"2017","author":"Arora","year":"2017","journal-title":"Biomed Res Int"},{"key":"2023090117352748900_awad181-B10","doi-asserted-by":"crossref","first-page":"587","DOI":"10.3390\/jpm12040587","article-title":"Should neurosurgeons try to preserve non-traditional brain networks? 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