## Abstract

Effects of the size of corpus callosum measured from in vivo magnetic resonance imaging (MRI) recordings on cortical activa- tions evaluated using functional MRI (fMRI) were analyzed during motor tasks. Twelve right-handed men performed unilateral finger movements and bilateral movements either with or without a temporal delay between left and right fingers. The size of the rostral part of corpus callosum and the anterior and posterior callosal truncus explained 11.9 and 15.2% of activation in the mesial frontal cortex in unimanual left and right finger movements, respectively. In bimanual simultaneous movements, 34.2% of the activated voxels in the mesial frontal cortex were related to the size of corpus callosum. In bimanual movements in which left finger movement preceded the onset of the right finger movement, the callosal size accounted for 88.7% of activation in the mesial frontal cortex. In contrast, when the right finger movement preceded the left, callosal size accounted for only 31.3% of the mesial frontal cortex activation. The correlations between callosal parameters and activation over the lateral cortex were sparse and occurred only in bimanual move- ments. The results suggest that corpus callosum modulates the activity of the supplementary motor and cingulate cortical areas depending on temporal complexity of bimanual movements.

## Introduction

Corpus callosum (CC) represents the major cerebral commissure connecting the homotopic and heterotopic cortical regions of both hemispheres (Pandya and Seltzer, 1986; Lent and Schmidt, 1993). Lesions of CC are accompanied by apraxia (Geschwind, 1965) and a diminished temporal (Preilowski, 1972; Kennerly et al., 2002) and spatial (Zaidel and Sperry, 1977; Degos et al., 1987; Eliassen et al., 1999) coordination of bimanual movements. The callosal connections between M1 areas are sparse (Gould et al., 1986; Rouiller et al., 1994). In contrast, the callosal connections between the left and right SMA are dense (Rouiller et al., 1994) and contribute to bimanual coordination (Brinkman, 1980). Thus, it is expected that the size of CC is an important factor for bilateral motor control.

The relationship between size of CC and motor activity has been investigated in neurologically healthy subjects. It has been shown that the size of CC is correlated with performance in cognitive and motor tasks (Yazgan et al., 1995) and with electroencephalographic measures during finger movements (Stanïák et al., 2000, 2002a) and following a somatosensory stimulation of the digit (Stanïák et al., 2002b). A larger rostral part of CC was found in musicians with early commencement of musical training compared to musicians with later commence- ment or to non-musicians (Schlaug et al., 1995). Since the size of CC is related to the number of myelinated and non-myelinated fibers needed for transmission of neuronal impulses and facilitation of temporal summation (Aboitiz et al., 1992), the size of CC may provide information about the total capacity of the transcallosal fiber system for transmission of neuronal impulses between the homotopic motor cortical regions. We therefore hypothesized that strength of activity in the mesial motor cortex including SMA would be correlated to the size of CC. We predicted that the relationship between functional activity in motor areas and size of CC would be dependent on movement type, which is likely to be strong if movements involve temporal coordination of the left- and right-finger movements (Preilowski, 1972).

To test this hypothesis, anatomical magnetic resonance imaging (MRI) was used to measure the size of CC and functional MRI (fMRI) was used to detect increased neural activity in motor areas associated with unilateral and bilateral movements in twelve normal volunteers. Five movement tasks differing in demands on inter-hemispheric cooperation were evaluated. The correlations between the size of CC and strength of cortical activation was analyzed in primary and non-primary motor cortices.

## Materials and Methods

### Subjects and Procedure

Twelve healthy right-handed men (33.2 ± 11.6 years, mean ± SD) participated in the study following written consent in accordance with institution guidelines. The selection of men into our sample was justified by gender differences in the size (Allen et al., 1991; Steinmetz et al., 1992) and fiber composition of CC (Aboitiz et al., 1996).

The Hand-Dominanztest (Steingrüber and Lienert, 1976) was adminis- tered to verify the self-reported right-handedness. The test consisted of three motor tasks (two precision dot tapping tasks and labyrinth passing) that were performed first with the right and then with the left hand for a 15 s period. To quantify the relative performance of the right and left hand, an asymmetry index of the following form was used:

$asymmetry\ =\ (\mathit{P}_{right}\ {-}\ \mathit{P}_{left})/(\mathit{P}_{right}\ +\ \mathit{P}_{left})\ {\times}100$

where Pright and Pleft are the cumulative performance scores of the right and left hands, respectively. Handedness in our sample evaluated by the above method was 17.5 ± 6.3.

The finger movement was always a brisk index finger flexion from the initial resting, semi-stretched finger position until the index finger touched the thumb. The index finger was returned immediately to its resting position. Movements were repeated at each onset of a red light stimulus applied through LED goggles (S10VS model; Grass Instruments, Warwick, Rhode Island) that were mounted on the window of the head coil. The frequency of the light stimulus was 1 Hz. In right-finger-lead movements, the left-finger movement was started during movement of the right finger. In left-finger-lead movements, the right finger started to move during movement of the left finger. In simultaneous bimanual movements, the onsets and offsets of the right- and left-finger movements were synchronized.

The subjects were trained on the motor tasks and movements outside the magnet. Subjects practiced the conditions until the investigator was satisfied that they could follow the task instructions. This resulted in ~30 s of practice for all conditions except for the two asynchronous tapping conditions. Subjects spent 1–2 min practicing these latter two conditions. The unilateral finger movements were performed in the first MRI recording which consisted of six 1 min blocks of rest (30 s) and movements (30 s). The right- and left-finger movements alternated (e.g. rest-right–rest-left, etc.). Half of the subjects started with the right finger movements and the other half of subjects with left finger movements. One resting period (30 s) was appended to the end of the last block, thus the total recording time was 6.5 min. Two identical recordings were performed for the bimanual movements. In each of the two recordings, three types of movements alternated twice in six blocks (30 s rest, 30 s movements), e.g. simultaneous, right-finger-lead, left-finger-lead. The order of the movement types was constant for a given subject, but randomized across the 12 subjects in such a manner that each of six combinations of three types of movements occurred twice. The two recordings with bimanual movements were performed one after another with ~2 min breaks in between, during which the experimenter briefly reviewed the instructions relevant to the next recording. The hands of the subjects were continuously monitored for correct timing and side of movements. To check the subject’s movements visually, the scanner room was illuminated and the subject’s hands were supported by pillows. In three subjects, the first bimanual session was interrupted and re-started because the subjects performed the bimanual asynchronous movements as two separate movements or did not follow the correct order of movement tasks. In two subjects, the first recording with unimanual movements was interrupted and re-started due to spontaneous leg movements during the resting periods.

### Functional and Anatomical MRI

The MR recordings were performed using a 4-T Sonata system (Siemens, Erlangen, Germany) and an open-faced head coil (Vaughan et al., 2001) controlled by an UnityInova console (Varian, Palo Alto, CA). The magnetic field homogeneity was optimized by manual shimming.

Two different anatomical sets were also acquired to determine the callosal size and to obtain the three-dimensional renderings of the cortical surface, respectively. At the beginning of each session, the head position was carefully adjusted using axial scout images so that the mid-sagittal plane of the head corresponded to the median plane of the MR system. For CC determination, five or six sagittal slices of 2.5 mm thickness each (field of view 25.6 × 25.6 cm2 and matrix size 256 × 256) were recorded using a fast-low-angle-shot sequence (FLASH; TR = 20 ms, TE = 5 ms, flip angle = 20°). For coregistration of functional and anatomical images, whole-head structural MRI was acquired using a FLASH sequence with TR = 10 ms, TE = 6 ms and flip angle = 20°. The field of view was 22 × 22 cm2 and the matrix size was 128 × 128, yielding an in-plane resolution of 1.7 × 1.7 mm2. Thirty-three axial slices of 5 mm thickness covering the whole brain were acquired. For presentation purposes (Fig. 7), anatomical images of 1 mm3 voxel size were also acquired in one subject on a 1.5 T Siemens Magnetom Vision (Siemens, Erlangen, Germany) using a FLASH sequence (TR = 25 ms, TE = 6 ms, flip angle = 20°, slab of 18.0 cm, 180 sagittal slices, field of view 25.6 × 25.6 cm2, matrix size 256 × 256).

The parameters of the single-shot, gradient echo-planar imaging sequence in functional recordings were TR = 5 s, TE = 30 ms and flip angle = 90°. The field of view was 22 × 22 cm2 and the matrix size was 64 × 64, yielding an in-plane resolution of 3.4 × 3.4 mm2. Twenty axial slices of 5 mm thickness were acquired during each TR. Images acquired during the first 10 s (2 TRs) were discarded because magnetization had not yet reached steady state. Each of the recordings consisted of 78 volumes representing 6.5 min of recording time.

### Size of CC

From the five sagittal MR images, the slice containing a clear view of fornix and anterior commissure was selected. The contrast of the image was enhanced using PaintShop4 software (JASC, Eden Prairie, MN) and the CC exported using the magic wand procedure of the same program. To quantify the cross-sectional mid-sagittal surface areas of particular callosal regions, such as genu, rostrum, truncus, isthmus and splenium, the method of Witelson (Witelson, 1989) was used (Fig. 1). This method has been previously implemented for measurement of the callosal size from in vivo MRI recordings (Steinmetz et al., 1992; Jäncke and Steinmetz, 1994; Stanïák et al., 2000, 2002a, Stanïák et al., b). The surface areas of each of the seven callosal regions and of the total transectional callosal area were computed and used in the covariance analyses.

### Statistical Parametric Mapping

SPM99 software (Department of Cognitive Neurology, Welcome Hospital, London, UK) was used for the analysis of functional brain images. The functional images were realigned and coregistered to the first image using a robust six-body affine transformation evaluating displacements of the center-of-mass and providing a correction of motion artifacts. The time courses of the center-of-mass displacements were inspected to check for the presence of large movement artifacts. The ranges of x, y and z displacements over time in all recordings were <1 mm, except for one recording in which the displacement of the center of mass in the x-axis was 1.2 mm. The functional and anatomical brain images were normalized into the standardized three-dimensional space using the MNI template, approximating the Talairach and Tournoux (Talairach and Tournoux, 1988) coordinate system. To report the cluster maxima in the Talairach coordinates, the MNI coordinates were converted to the Talairach coordinates using a conversion utility (http://www.mrccbu.cam.ac.uk/imaging/mnispace.html). The normalized anatomical images were used for segmentation of brain into gray and white matter and cerebrospinal fluid, and volume renderings of the cortical surface were extracted using segmented data. In the normalization step, the data were mildly smoothed to improve isotropy (3 × 3 kernel function) and in the next step the functional images were smoothed by a Gaussian kernel (7 × 7 × 10 mm full width at half maximum). The normalized and smoothed images were analyzed using the general linear model (GLM) (Friston et al., 1995). The GLM analysis applies the theory of Gaussian fields to build the statistical parametric maps SPM(t), enabling evaluation of the effects of various independent variables on each and every voxel of the normalized and smoothed functional volume data. The functional volume data of each subject were scaled by the average signal intensity. Slow signal variations >2.5 cycles of activation and rest were removed using linear regression. The activations related to right-finger, left-finger, simultaneous, right-finger-leads and left-finger-leads movements were evaluated using the fixed-effect model, which is often adopted in explorations of generic aspects of functional brain architecture (Friston et al., 1999). The fixed-effect, subject-separable analysis was given advantage over the random-effect analysis since only one condition at a time and one group of subjects was evaluated, which avoided statistical problems with unequal variance encountered in between-group or between-conditions comparisons. Due to large degrees of freedom, the fixed-effect analysis was combined with conservative statistical thresholding. The activations related to right and left unimanual movements were evaluated using a single contrast design. For bimanual movements, the data from two identical recordings were analyzed conjointly using single contrasts representing simultaneous bimanual, right-finger-lead and left-finger-lead conditions. The evaluation of single effects using GLM accounted for the delay of the hemodynamic response, which was modeled by a box-car vector. In the group analysis, the P-value of 0.05 (corrected for multiple comparisons) and the spatial extent of 33 contiguous voxels were used to threshold significant activations. To analyze the influence of callosal parameters on brain activations, an analysis of covariance was applied. In the SPM covariance analysis, the mean value was subtracted from the particular callosal parameter and the contrasts in the design matrix were weighted by the centered callosal parameters. The resulting contrast image was masked by the corresponding main effect (P = 0.05, corrected for multiple comparisons). Since we restricted the search volume to the brain areas showing significant movement-related increase of blood oxygen level dependent (BOLD) signal, an uncorrected P-value of 0.001 and a cluster size of 33 voxels were used to threshold the covariate effects of the callosal parameters. To avoid spurious correlations due to possible outlying values in the fMRI data, the scatter plots of the individual callosal sizes and t-values were analyzed in detail. The individual t-values were measured in the spherical volumes centered at the maxima of significant covariance clusters. The diameter of the sphere varied from 6 to 12 mm for different clusters, depending on the size of the covariance maximum and on the distance of two neighboring clusters in a particular region. The normality of distributions of the t-values and of the callosal parameters was tested using the Shapiro–Wilk’s W-test (Royston, 1992) controlling for extreme values. The covariance effects based on distribution of t-values deviating significantly (P < 0.05) from the Gaussian distribution were cancelled. The Pearson’s correlation coefficients were computed between the individual callosal sizes and t-values for each covariance cluster. The covariance effects not yielding a significant Pearson’s correlation coefficient at 95% confidence level were not considered further. More than one-third of the significant SPM covariance clusters were discarded due to deviation from the Gaussian distribution and/or due to non-significant Pearson’s correlation coefficient. These criteria are extremely conservative.

The cerebral cortex was segmented from the skull and liquor in the original anatomical MR images under visual control of the operator using adjustable amplitude criterion. The total forebrain volume without brain stem and cerebellum was measured from the segmented anatomical data. To rule out a confounding effect of the brain volume on the callosal- size-related covariance clusters, the Pearson’s correlation coefficients between the brain volume and the t-values of the fMRI clusters were computed.

## Results

### Right-finger Movements

The fMRI activations were found in the contralateral M1, S1 and premotor cortex (PMC), with a major cluster maximum in the central sulcus (Fig. 2A). In the ipsilateral hemisphere, the inferior frontal gyrus involving the dorsal PMC showed significant activation. In the medial wall, one large cluster of activation was found with a maximum in SMA and protruding into the caudal cingulate zone (Fig. 7A). In addition, both ventral posterolateral nuclei of thalamus and the right superior temporal gyrus were activated (Figs 2A and 7A).

### Left-finger Movements

Together, the results of the left- and right-finger tasks suggest that correlations between the size of CC and fMRI activation in unimanual movements occur only in the mesial frontal cortex.

### Bimanual Simultaneous Movements

The covariate effects over the lateral cortex (Table 2C and Fig. 4B) were found between the size of the rostral CC and fMRI activity in the right anterior bank of the central sulcus and over the omega-shaped portion of the precentral gyrus correspond- ing to hand M1 (Yousry et al., 1997). The volume of activation in the lateral cortex showing correlation with callosal size was only 1.2% of the total activation.

### Bimanual Right-finger-lead Movements

The activation patterns observed during the right-finger-lead movements were similar to simultaneous movements and involved both M1 and PMC, anterior parietal cortex and the right prefrontal cortex (Fig. 5A). In the medial walls of hemispheres, SMA showed the largest activation, but two additional cluster maxima were observed in the cingulate cortex rostral to the vertical plane crossing the anterior commissure (Fig. 7D). Additional activations were found in the right thalamic ventral posterolateral nucleus and both parahippocampal gyri.

### Bimanual Left-finger-lead Movements

The Pearson’s correlations between the brain volume and the t-values of the clusters showing correlations with callosal size were not significant in any of the five types of movements (P > 0.05). The correlation coefficients were mild and negative (~r = –0.2) for most of the clusters. Thus, the correlations between the size of CC and fMRI activation could not be attributed to the brain volume.

## Discussion

### Mesial Frontal Cortex and the Size of CC

Bimanual movements are associated with enhanced activation of SMA (Toyokura et al., 1999; Jäncke et al., 2000), especially if a motor task requires bimanual coordination (Sadato et al., 1997; Goerres et al., 1998; Toyokura et al., 1999). Electrical stimulation of SMA neurons produces bilateral limb movements (Tanji et al., 1988; Wiesendanger et al., 1996). Other studies have questioned the role of SMA in bimanual coordination (Kermadi et al., 1997; Kazennikov et al., 1999). SMA of both hemispheres show dense callosal connections (McGuire et al., 1991; Rouiller et al., 1994), which may contribute to bimanual coordination. A unilateral SMA lesion in monkeys impairs coordination of bimanual movements (Brinkman, 1980). During bimanual movements performed by the monkey, the hands moved in parallel rather than in a complementary and supportive fashion. This deficit is eliminated by subsequent callosal section, indicating that the intact SMA controlled the lesioned SMA via callosal fibers. The correlations between callosal size and SMA activation observed in the present study fit with the callosotomy findings in monkey (Brinkman, 1980).

The callosum size correlations were observed also in the cingulate cortex in unimanual right-finger movements and in all types of bimanual movements. Callosal connections between the left and right cingulate cortex have been reported in the rat (Jacobson, 1970), cat (Matsunami et al., 1994), monkey (Pandya and Seltzer, 1986) and human (Locke and Yakovlev, 1965), suggesting biological value of the callosal connections for the cingulate cortex functions. Stephan et al. (Stephan et al., 1999) found that a patient with a lesion in the anterior cingulate cortex had impaired bimanual coordination and diminished fMRI activation of the anterior cingulate cortex, especially during bimanual movements involving temporal asynchrony of left- and right-hand movements. In spite of anatomical and functional differences of various motor areas in the mesial frontal cortex (Vogt et al., 1995; Zilles et al., 1995; Picard and Strick, 1996), the mesial frontal cortex appears to represent a functional unity which allows flexible participation of various mesial motor areas in the motor task. The recruitment of callosal fibers obviously contributes to the integration of the left and right mesial frontal cortex capable of eliciting right or left unilateral or bilateral movements (Tanji et al., 1988).

Two correlation clusters in the cingulate cortex observed in bimanual left-finger-lead movements were located in the rostro- caudal axis, roughly paralleling the course of the cingulate sulcus (Fig. 7E). The more rostral of the two correlation clusters was related to the size of the anterior truncus and the caudal cluster referred to the size of posterior truncus. Since the corticotopy of the callosal fibers follows the rostro-caudal order of various cortical regions, including the cingulate cortex (Pandya and Seltzer, 1986; Matsunami et al., 1994), the pattern of correlations in the cingulate cortex can be attributed to the rostro-caudal arrangement of callosal fibers.

The large extent of callosal activity in the mesial frontal cortex during left-finger-lead movements compared to simultaneous or right-finger-lead movements may refer to additional effort to overcome hand dominance manifesting, for instance, in the right-hand lead during simultaneous bimanual movements (Viviani et al., 1998). Although the right-finger lead might be smaller in bimanual stereotyped repetitive finger movements compared to a trajectory drawing movement task, the prominent callosal-size-related activation in left-lead movements is likely to be attributed to hand dominance effects. Interestingly, tasks involving a cognitive conflict, such as the Stroop word–color test, strongly activate the anterior cingulate cortex (Pardo et al., 1990).

A relatively weak callosal size correlation in the mesial frontal cortex activation was observed in unimanual movements. SMA (Tanji et al., 1988; Ball et al., 1999; Erdler et al., 2000) and the anterior cingulate cortex (Shima et al., 1991; Ball et al., 1999) are activated during the preparatory period preceding a simple unimanual movement. The coupling of cortical oscillations between SMA and M1/S1 increases during movement (Ohara et al., 2001) and the strength of M1/S1-to-SMA coupling is proportional to the size of callosal truncus (Stanïák et al., 2002a). It is thus likely that the callosal-size-related activation in the mesial frontal cortex contributes to the balance of the background activation in the left and right M1.

### Lateral Cortex Activation and the Size of CC

Under the adopted statistical criteria, there were no correlation clusters in lateral cortex in unimanual movements and the volume of total activation represented by the clusters correlated with the callosal size was only 1–4% in bimanual movements. Since the statistical evaluation of correlation clusters was identical in all cortical regions, the sparse occurrence of correlations in the lateral as compared to medial cortex cannot be explained by statistical thresholds. The sparse occurrence of correlation clusters in M1 and premotor cortex during unimanual movements fits with the lack of differences between acallosal and normal subjects in fMRI activation over the primary motor areas (Reddy et al., 2000).

The correlation clusters occurred in M1, premotor cortex, prefrontal cortex, S2 and temporal cortex and in inferior parietal lobule in bimanual movements. The present study cannot fully explain the precise neurophysiological origin of the correlation clusters in the lateral cortex. Two alternative mechanisms could be considered.

First, the neuronal impulses originating in M1 are relayed through the homotopic and non-homotopic (Pandya and Vignolo, 1969; Jenny, 1979) callosal fibers to the motor, pre- motor and prefrontal cortical regions of the opposite hemi- sphere. This explanation is supported by transcranial magnetic stimulation studies showing activation of the frontal cortex contralateral to the stimulated M1 (Fox et al., 1997; Siebner et al., 2001; Komssi et al., 2002). The spread of neuronal impulses through the callosal fiber system would be proportional to the size of CC, especially of the callosal truncus which contains the large-diameter callosal fibers (Aboitiz et al., 1996) connecting M1 and SMA regions of both hemispheres. Via direct homotopic and heterotopic callosal connections with M1, the motor areas over the lateral surface of cerebral hemisphere can be tuned.

An alternative explanation would be that the activation which originates in the mesial frontal cortex prior to voluntary movement is built up on the basis of the callosal connections. The strength and spatial extent of the mesial frontal cortex activation would be proportional to the size of CC, as shown in the present study. Since SMA radiate to multiple areas of the lateral cortex involving M1, PMC and prefrontal cortex (Pandya and Kuypers, 1969; Wang et al., 2001), the size of CC would indirectly contribute to the activation of the lateral cortex. The cingulate cortex has neuronal connections with the motor regions on the medial and lateral surfaces of the hemispheres and with the prefrontal cortex (Devinski et al., 1995; Paus, 2001). The anterior cingulate region close to the vertical plane transversing the anterior cerebral commissure, which showed the most intense callosal size correlations, corresponds to the motor zone in Brodmann’s area 24c′g and contains large pyramidal cells in layer V projecting to the spinal cord (Braak, 1976). The correlations between the size of CC and activations in the cingulate and in the prefrontal cortex are likely due to callosally mediated activation in the cingulate cortex and subsequent activation of the prefrontal cortex on the basis of association fibers between the cingulate and prefrontal cortices (Barbas and Pandya, 1989; Bates and Goldman-Rakic, 1993). Koski and Paus (Koski and Paus, 2000), in their meta-analysis of positron emission tomography (PET) studies, reported frequent co-occurrence of activations in the cingulate and prefrontal cortex. Hypothetically, since the cingulate cortex radiates to the prefrontal cortex (Barbas and Pandya, 1989; Bates and Goldman-Rakic, 1993) and to M1 (Muakkasa and Strick, 1979), the activation in the prefrontal cortex and M1 may first arise in the cingulate cortex of one hemisphere and spread further through the callosal fibers to the opposite cingulate cortex and, subsequently, to the prefrontal cortex and M1.

The hypothesis stressing the role of the callosal connections between the mesial frontal cortex regions of both hemispheres is favored by the findings of an early premotor activation in these cortical regions, preceding the M1 activation (Tanji et al., 1988; Shima et al., 1991; Ball et al., 1999; Erdler et al., 2000). The preparatory neuronal activation might be decisive for elaboration of a motor plan of bimanual coordination, especially if movements involve precise temporal matching of the left- and right-hand movements. Future studies combining the trans- cranial magnetic stimulation of M1 or SMA with an analysis of the callosum size correlations could shed more light on the role of CC in activation of motor cortical areas.

From a neurobehavioral perspective, CC appears to possess a large residual capacity for tuning the medial and lateral motor cortical regions, which is only slightly used during unimanual movements. However, if bimanual movements involve temporal complexity and are led by the non-dominant hand, the callosal fiber system is switched on to coordinate especially the activation of the right and left SMA and cingulate cortex. Our study emphasizes the role of the mesial frontal cortex in bimanual coordination and provides an empirical basis for neurophysiological interpretation of impaired bimanual co- ordination in patients with callosal dysfunctions. The size of the anterior CC and callosal truncus showed correlations with functional activation in the present study. Lesions of posterior CC are associated with impaired spatial coordination of bimanual movements (Degos et al., 1987; Eliassen et al., 1999). It can be conjectured that anterior regions of CC are related to temporal coordination and posterior callosal regions to spatial coordination of bimanual movements. Future studies should address the role of callosal size in functional activation during motor tasks necessitating spatial coordination of bimanual movements.

The correlations between cerebral activation and size of CC point to the activation of commissural pathways during motor tasks. However, since the results are based on the correlation analysis, it is difficult to infer the causal relationships in the sense that a particular cortical activation is mediated solely by the callosal connections. The results should apply to all tasks requiring interhemispheric communication. This could include bimanual movements, unimanual movements (due to ipsilateral cortex activation) and potentially tasks such as a left-handed response to a stimulus presented in the right visual field.

## Notes

The study was supported by the National Institutes of Health (NIH RR08079, MH57180), a Fulbright fellowship to A.S., the Grant Agency of the Czech Republic (309/01/0665) and Research Goals (J13/98 111 200005). We are grateful to Professor K. Ugurbil for his continuing support of our research.

Address correspondence to Andrej Stanïák, Department of Normal, Pathological and Clinical Physiology, Third Faculty of Medicine, Charles University Prague, Ke Karlovu 4, 120 00 Prague 2, Czech Republic. Email: stancak@lf3.cuni.cz.

Table 1

Mean values ± SDs of the cross-sectional mid-saggital surface area of seven callosal regions and of the total corpus callosum (n = 12)

Callosal region Mean ± SD (mm2
The callosal regions are numbered from 1 to 7 according to the division of CC in Figure 1
Region 1 26.6 ± 8.5
Region 2 170.0 ± 34.7
Region 3 97.7 ± 11.2
Region 4 81.9 ± 14.9
Region 5 79.5 ± 15.1
Region 6 66.7 ± 13.8
Region 7 225.7 ± 32.1
Total CC 748.0 ± 82.7
Callosal region Mean ± SD (mm2
The callosal regions are numbered from 1 to 7 according to the division of CC in Figure 1
Region 1 26.6 ± 8.5
Region 2 170.0 ± 34.7
Region 3 97.7 ± 11.2
Region 4 81.9 ± 14.9
Region 5 79.5 ± 15.1
Region 6 66.7 ± 13.8
Region 7 225.7 ± 32.1
Total CC 748.0 ± 82.7
Table 2

The anatomical descriptions, the Talairach x,y,z (mm) coordinates, Z-values of significant cluster maxima and numbers of activated voxels of callosum-related activation in (A) right-finger, (B) left-finger, (C) simultaneous, (D) right-finger-lead and (E) left-finger-lead movements

Anatomical description x y z Z/ta Voxels
The clusters of correlated activations are grouped according to callosal regions (rostral CC, anterior truncus, posterior truncus). In the Talairach coordinate system, negative values of the left-right axis (x) indicate left hemisphere and negative values of the antero-posterior axis (y) indicate locations caudal to the vertical plane crossing the anterior commissure. The values of the vertical z-axis in millimeters increase from the base to the top of the cerebrum.
*If the Z-value attained was infinite, the t-value was applied.
aFor A and B, t = t(799.5); for C–E, t = t(1599).
A. Callosum-related activations in right finger movements
Rostral CC
Medial frontal gyrus (SMA) −7 54 4.8 77
Posterior truncus
Left cingulate sulcus −4 −13 43 4.5 99
B. Callosum-related activations in left finger movements
Posterior truncus
Left cingulate gyrus −2 −14 41 5.0 184
C. Callosum-related activations in simultaneous bimanual movements
Rostral CC
Right medial frontal gyrus (SMA) −7 54 7.0 239
Right precentral gyrus 48 −12 37 4.4 81
Anterior truncus
Right cingulate sulcus 47 4.0 58
Posterior truncus
Right medial frontal gyrus −15 50 5.6 246
D. Callosum-related activations in right-finger-lead bimanual movements
Rostral CC
Right medial frontal gyrus (SMA) −9 54 8.8* 307
Anterior truncus
Cingulate gyrus −7 41 6.7 517
Left precentral gyrus −42 −4 37 6.0 159
Posterior truncus
Right inferior frontal gyrus 44 31 −11 7.3 59
E. Callosum-related activations in left-finger-lead bimanual movements
Rostral CC
Right medial frontal gyrus (SMA) −7 49 10.3* 832
Right inferior frontal gyrus 40 29 −1 5.8 134
Left inferior parietal lobule −48 −27 43 4.4 145
Anterior truncus
Cingulate gyrus −8 37 6.8 725
Left superior temporal gyrus −54 −10 5.7 161
Posterior truncus
Right cingulate sulcus −15 41 8.2* 432
Left intermediate frontal gyrus −32 43 4.7 45
Left Sylvian fissure (S2) −50 −7 6.5 135
Anatomical description x y z Z/ta Voxels
The clusters of correlated activations are grouped according to callosal regions (rostral CC, anterior truncus, posterior truncus). In the Talairach coordinate system, negative values of the left-right axis (x) indicate left hemisphere and negative values of the antero-posterior axis (y) indicate locations caudal to the vertical plane crossing the anterior commissure. The values of the vertical z-axis in millimeters increase from the base to the top of the cerebrum.
*If the Z-value attained was infinite, the t-value was applied.
aFor A and B, t = t(799.5); for C–E, t = t(1599).
A. Callosum-related activations in right finger movements
Rostral CC
Medial frontal gyrus (SMA) −7 54 4.8 77
Posterior truncus
Left cingulate sulcus −4 −13 43 4.5 99
B. Callosum-related activations in left finger movements
Posterior truncus
Left cingulate gyrus −2 −14 41 5.0 184
C. Callosum-related activations in simultaneous bimanual movements
Rostral CC
Right medial frontal gyrus (SMA) −7 54 7.0 239
Right precentral gyrus 48 −12 37 4.4 81
Anterior truncus
Right cingulate sulcus 47 4.0 58
Posterior truncus
Right medial frontal gyrus −15 50 5.6 246
D. Callosum-related activations in right-finger-lead bimanual movements
Rostral CC
Right medial frontal gyrus (SMA) −9 54 8.8* 307
Anterior truncus
Cingulate gyrus −7 41 6.7 517
Left precentral gyrus −42 −4 37 6.0 159
Posterior truncus
Right inferior frontal gyrus 44 31 −11 7.3 59
E. Callosum-related activations in left-finger-lead bimanual movements
Rostral CC
Right medial frontal gyrus (SMA) −7 49 10.3* 832
Right inferior frontal gyrus 40 29 −1 5.8 134
Left inferior parietal lobule −48 −27 43 4.4 145
Anterior truncus
Cingulate gyrus −8 37 6.8 725
Left superior temporal gyrus −54 −10 5.7 161
Posterior truncus
Right cingulate sulcus −15 41 8.2* 432
Left intermediate frontal gyrus −32 43 4.7 45
Left Sylvian fissure (S2) −50 −7 6.5 135
Figure 1.

Evaluation of the callosal parameters according to Witelson (Witelson, 1989). Anterior border (ACC) and posterior border (PCC) define the length of the CC. The point G represents the anteriormost point of the inner convexity of the anterior CC. The line perpendicular to the ACC–PCC line which crosses the point G defines regions 1 and 2. The regions 3–7 are delineated by the vertical lines corresponding to the halves, thirds and fifths of the ACC–PCC line. The seven regions roughly correspond to the rostrum (1), genu (2), rostral truncus (3), anterior intermediate truncus (4), posterior intermediate truncus (5), isthmus (6) and splenium (7) of the CC.

Figure 1.

Evaluation of the callosal parameters according to Witelson (Witelson, 1989). Anterior border (ACC) and posterior border (PCC) define the length of the CC. The point G represents the anteriormost point of the inner convexity of the anterior CC. The line perpendicular to the ACC–PCC line which crosses the point G defines regions 1 and 2. The regions 3–7 are delineated by the vertical lines corresponding to the halves, thirds and fifths of the ACC–PCC line. The seven regions roughly correspond to the rostrum (1), genu (2), rostral truncus (3), anterior intermediate truncus (4), posterior intermediate truncus (5), isthmus (6) and splenium (7) of the CC.

Figure 2.

The fMRI activation and correlations with callosal parameters in right-finger movements. (A) The total fMRI activation obtained from the GLM analysis of 12 subjects. The activations are projected on the transparent ‘glass’ brains in three orthogonal views. The vertical and horizontal lines correspond to the two-dimensional projection of the medial plane and of the vertical plane crossing the anterior commissure. L, left; R, right; A, anterior; P, posterior. (B) The covariance cluster of the size of the rostral CC in SMA. The covariance cluster is shown on the transparent ‘glass’ brain (left panel) and as the scatter plot (right panel) of the size of rostral CC (x-axis) and t-values (y-axis) representing strength of activation in the volume centered at the respective cluster maximum. The Talairach coordinates of the covariance cluster are given in brackets. In the scatter plot, the linear regression line, the 95% confidence lines of the regression fit, the Pearson’s correlation coefficient and P-value are shown. (C) The covariance cluster of the size of the posterior truncus in the cingulate cortex.

Figure 2.

The fMRI activation and correlations with callosal parameters in right-finger movements. (A) The total fMRI activation obtained from the GLM analysis of 12 subjects. The activations are projected on the transparent ‘glass’ brains in three orthogonal views. The vertical and horizontal lines correspond to the two-dimensional projection of the medial plane and of the vertical plane crossing the anterior commissure. L, left; R, right; A, anterior; P, posterior. (B) The covariance cluster of the size of the rostral CC in SMA. The covariance cluster is shown on the transparent ‘glass’ brain (left panel) and as the scatter plot (right panel) of the size of rostral CC (x-axis) and t-values (y-axis) representing strength of activation in the volume centered at the respective cluster maximum. The Talairach coordinates of the covariance cluster are given in brackets. In the scatter plot, the linear regression line, the 95% confidence lines of the regression fit, the Pearson’s correlation coefficient and P-value are shown. (C) The covariance cluster of the size of the posterior truncus in the cingulate cortex.

Figure 6.

The fMRI activation and correlations with callosal parameters in bimanual left-finger-lead movements. (A) The total fMRI activation obtained from the GLM analysis. (B) The covariance clusters of the size of the rostral CC in SMA (1), right prefrontal cortex (2) and left inferior parietal lobule (3). (C) The covariance effects of the size of the anterior truncus of CC in the cingulate cortex (1) and left temporal cortex (2). (D) The covariance effects of the size of the posterior callosal truncus in the cingulate cortex (1), premotor cortex (2) and S2 (3).

Figure 6.

The fMRI activation and correlations with callosal parameters in bimanual left-finger-lead movements. (A) The total fMRI activation obtained from the GLM analysis. (B) The covariance clusters of the size of the rostral CC in SMA (1), right prefrontal cortex (2) and left inferior parietal lobule (3). (C) The covariance effects of the size of the anterior truncus of CC in the cingulate cortex (1) and left temporal cortex (2). (D) The covariance effects of the size of the posterior callosal truncus in the cingulate cortex (1), premotor cortex (2) and S2 (3).

Figure 7.

The total mesial cortical activation (yellow) and the activations showing significant covariation with the rostral CC (red), anterior truncus (green) and posterior truncus (blue) in (A) right finger, (B) left finger, (C) bimanual simultaneous, (D) bimanual right-finger-lead and (E) bimanual left-finger-lead movements. The sagittal and coronal slices are shown. (F) Illustration of the medial cortical surface and vertical planes crossing anterior commissure (Vac) and posterior commissure (Vpc). The callosal regions corresponding to the rostral CC, anterior and posterior truncus are filled with red, green and blue colors, respectively. L, left; R, right. The coronal sections in panels (AE) correspond to the plane y = –14 mm; the lateral views correspond to the paramedian plane of x = 2 mm.

Figure 7.

The total mesial cortical activation (yellow) and the activations showing significant covariation with the rostral CC (red), anterior truncus (green) and posterior truncus (blue) in (A) right finger, (B) left finger, (C) bimanual simultaneous, (D) bimanual right-finger-lead and (E) bimanual left-finger-lead movements. The sagittal and coronal slices are shown. (F) Illustration of the medial cortical surface and vertical planes crossing anterior commissure (Vac) and posterior commissure (Vpc). The callosal regions corresponding to the rostral CC, anterior and posterior truncus are filled with red, green and blue colors, respectively. L, left; R, right. The coronal sections in panels (AE) correspond to the plane y = –14 mm; the lateral views correspond to the paramedian plane of x = 2 mm.

4
Current addresses: University of Michigan Division of Kinesiology, Ann Arbor, MI,
5
Center for Comparative Neuroimaging, Department of Psychiatry, Biomedical Engineering and Medical Physics, University of Massachusetts Medical School, Worcester, MA and
6
University of Pittsburgh, Department of Neurobiology, Pittsburgh, Philadelphia, PA, USA

## References

Aboitiz F, Scheibel AB, Fisher RS, Zaidel E (
1992
) Fiber composition of the human corpus callosum.
Brain Res

598
:
143
–153.
Aboitiz F, Rodriguey E, Olivares R, Zaidel E (
1996
) Age-related changes in fibre composition of the human corpus callosum: sex differences.
Neuroreport

7
:
1761
–1764.
Allen LS, Richey MF, Chai YM, Gorski RA (
1991
) Sex differences in the corpus callosum of the living human being.
J Neurosci

11
:
933
–992.
Ball T, Schreiber A, Feige B, Wagner M, Lücking CH, Kristeva-Feige R (
1999
) The role of higher-order motor areas in voluntary movement as revealed by high-resolution EEG and fMRI.
Neuroimage

10
:
689
–694.
Barbas H, Pandya DN (
1989
) Architecture and intrinsic connections of the prefrontal cortex in the rhesus monkey.
J Comp Neurol

286
:
353
–375.
Bates JF, Goldman-Rakic PS (
1993
) Prefrontal connections of medial motor areas in the rhesus monkey.
J Comp Neurol

335
:
211
–228.
Braak H (
1976
) A primitive gigantopyramidal field buried in the depth of the cingulate sulcus of the human brain.
Brain Res

109
:
219
–223.
Brinkman C (
1980
) Supplementary motor area of the monkey’s cerebral cortex: short- and long-term deficits after unilateral ablation and the effects of subsequent callosal section.
J Neurosci

4
:
918
–929.
Degos JD, Gray F, Louran F, Ansquer JC, Poirer J, Brabizet J (
1987
) Posterior callosal infarction.
Brain

110
:
1155
–1171.
Devinski O, Morrell MJ, Vogt BA (
1995
) Contributions of anterior cingulate cortex to behaviour.
Brain

118
:
279
–306.
Eliassen JC, Bayness K, Gazzaniga M (
1999
) Direction information coordinated via the posterior third of the corpus callosum during bimanual movements.
Exp Brain Res

128
:
573
–577.
Erdler M, Beisteiner R, Mayer D, Kaindl D, Edward V, Windischberger C, Lindinger G, Deecke L (
2000
) Supplementary motor area activation preceding voluntary movement is detectable with a whole-scalp magnetoencephalography system.
Neuroimage

11
:
697
–707.
Fox P, Ingham R, George MS, Mayberg H, Ingham J, Roby J, Martin C, Jerabek P (
1997
) Imaging human intra-cerebral connectivity by PET during TMS.
Neuroreport

8
:
2787
–2791.
Friston KJ, Holmes AP, Worsley KJ, Poline JB, Frith FD, Frackowiak RSJ (
1995
) Statistical parametric maps in functional imaging: a general linear approach.
Hum Brain Mapp

1
:
221
–234.
Friston KJ, Holmes A, Worsley KJ (
1999
) How many subjects constitute a study.
Neuroimage

10
:
1
–5.
Geschwind N (
1965
) The apraxias: neural mechanisms of disorders of learned movements.
Brain

63
:
188
–195.
Gould HJ III, Cusick CG, Pons TP, Kaas JH (
1986
) The relationship of corpus callosum connections to electrical stimulation maps of motor, supplementary motor, and the frontal eye fields in owl monkeys.
J Comp Neurol

15
:
297
–325.
Goerres GW, Samuel M, Jenkins IH, Brooks DJ (
1998
) Cerebral control of unimanual and bimanual movements: an H2 15O PET study.
Neuroreport

9
:
3631
–3638.
Jacobson S (
1970
) Distribution of commissural axon terminals in the rat neocortex.
Exp Neurol

28
:
193
–205.
Jäncke L, Steinmetz H (
1994
) Interhemispheric transfer time and corpus callosum size.
Neuroreport

5
:
2385
–2388.
Jäncke L, Staiger JF, Schlaug G, Huang Y, Steinmetz H (
1997
) The relationship between corpus callosum size and forebrain volume.
Cereb Cortex

7
:
48
–56.
Jäncke L, Peters M, Himmelbach M, Nosselt T, Shah J, Steinmetz H (
2000
) fMRI study of bimanual coordination.
Neuropsychologia

38
:
164
–174.
Jenny AB (
1979
) Commissural projections of the cortical hand motor area in monkeys.
J Comp Neurol

188
:
137
–146.
Kazennikov O, Hyland B, Corboz M, Babalian A, Rouiller EM, Wiesendanger M (
1999
) Neural activity of supplementary motor areas in monkeys and its relation to bimanual and unimanual movement sequences.
Neuroscience

89
:
661
–674.
Kennerly SW, Diedrichsen J, Hazeltine E, Semjen A, Ivry RB (
2002
) Callosotomy patients exhibit temporal uncoupling during continuous bimanual movements.
Nat Neurosci

5
:
376
–381.
Kermadi I, Liu Y, Tempini A, Rouiller EM (
1997
) Effects of reversible inactivation of the supplementary motor area (SMA) on unimanual grasp and bimanual pull and grasp performance in monkeys.
Somatosens Mot Res

14
:
268
–280.
Komssi S, Aronen HJ, Huttunen J, Kesäniemi M, Soinne L, Nikouline VV, Ollikainen M, Roine RO, Karhu J, Savolainen S, Ilmoniemi RJ (
2002
) Ipsi- and contralateral EEG reactions to transcranial magnetic stimulation.
Clin Neurophysiol

113
:
175
–184.
Koski L, Paus T (
2000
) Functional connectivity of the anterior cingulate cortex within the human frontal lobe: a brain-mapping meta-analysis.
Exp Brain Res

133
:
55
–65.
Lent R, Schmidt SL (
1993
) The ontogenesis of the forebrain commissures and the determination of brain asymmetries.
Prog Neurobiol

40
:
249
–276.
Locke S, Yakovlev PI (
1965
) Transcallosal connections of the cingulum of man.
Arch Neurol

13
:
471
–476.
McGuire PK, Bates JF, Goldman-Rakic PS (
1991
) Interhemispheric integration: I. Symmetry and convergence of the corticocortical connections of the left and right principal sulcus (PS) and the left and right supplementary motor area (SMA) in rhesus monkey.
Cereb Cortex

1
:
390
–407.
Matsunami K, Kawashima T, Ueki S, Fujita M, Konishi T (
1994
) Topography of commissural fibers in the corpus callosum of the cat: a study using WGA-HRP method.
Neurosci Res

20
:
137
–148.
Muakkasa KF, Strick PL (
1979
) Frontal lobe inputs to primate cortex: evidence for four somatotopically organized ‘premotor areas’.
Brain Res

177
:
176
–182.
Ohara S, Mima T, Baba K, Ikeda A, Kunieda T, Matsumoto R, Yamamoto J, Matsuhashi M, Nagamine T, Hirasawa K, Hori T, Mihara T, Hashimoto N, Salenius S, Shibasaki H (
2001
) Increased synchronization of cortical oscillatory activities between human supplementary motor and primary sensorimotor areas during voluntary movements.
J Neurosci

21
:
9377
–9386.
Ono M, Kubik S, Abernathey CD (
1990
) Atlas of cerebral sulci. Stuttgart: Thieme.
Pandya DN, Kuypers GJM (
1969
) Cortico-cortical connections in the rhesus monkey.
Brain Res

13
:
13
–36.
Pandya DN, Seltzer B (
1986
) The topography of commisural fibers. In: Two hemispheres—one brain: functions of the corpus callosum (Leporé F, Ptito M, Jasper HH, eds), pp. 47–63. New York: Alan R. Liss.
Pandya DN, Vignolo LA (
1969
) Interhemispheric projections of the parietal lobe in the rhesus monkey.
Brain Res

15
:
49
–65.
Pardo JP, Pardo PJ, Janer KW, Raichle ME (
1990
) The anterior cingulate cortex mediates processing selection in the Stroop attentional conflict paradigm.
Proc Natl Acad Sci USA

87
:
256
–259.
Paus T (
2001
) Primate anterior cingulate cortex: where motor control, drive and cognition interface.
Nat Rev

2
:
417
–424.
Picard N, Strick PL (
1996
) Motor areas of medial wall: a review of their location and functional activation.
Cereb Cortex

6
:
342
–353.
Preilowski BFB (
1972
) Possible contribution of the anterior forebrain commissures to bilateral motor coordination.
Neuropsychologia

10
:
267
–277.
Reddy H, Lassonde M, Bernasconi N, Bernasconi A, Matthews PM, Andermann F, Amold DL (
2000
) An fMRI study of the lateralization of motor cortex activation in acallosal patients.
Neuroreport

11
:
2409
–2413.
Rouiller EM, Babalian A., Kazennikov O, Moret V, Yu XH, Wiesendanger M (
1994
) Transcallosal connections of the distal forelimb representa- tions of the primary and supplementary motor cortical areas in macaque monkeys.
Exp Brain Res

102
:
227
–243.
Royston P (
1992
) Approximating the Shapiro–Wilk W test for non- normality.
Stat Comp

2
:
117
–119.
Sadato N, Yonekura Y, Waki A, Yamada H, Ishii Y (
1997
) Role of the supplementary motor area and the right premotor cortex in the coordination of bimanual finger movements.
J Neurosci

17
:
9667
–9674.
Schlaug G, Jäncke L, Huang Y, Staiger JF, Steinmetz H (
1995
) Increased corpus callosum size in musicians.
Neuropsychologia

33
:
1047
–1055.
Shima K, Aya K, Mushiake H, Inase M, Aizawa H, Tanki J (
1991
) Two movement-related foci in the primate cingulate cortex observed in signal-triggered and self-paced forelimb movements.
J Neurophysiol

65
:
188
–202.
Siebner HR, Peller M, Bartenstein P, Willoch F, Rossmeier C, Schwaiger M, Conrad B (
2001
) Activation of frontal premotor areas during suprathreshold transcranial magnetic stimulation of the left primary sensorimotor cortex: a glucose metabolic PET study.
Hum Brain Mapp

12
:
157
–167.
Stanïák A, Lücking CH, Kristeva-Feige R (
2000
) Lateralization of movement-related potentials and the size of corpus callosum.
Neuroreport

11
:
329
–332.
Stanïák A, Lücking CH, Kristeva-Feige R (
2002
) Functional con- nectivities of cortical regions and the size of corpus callosum in finger and shoulder movements.
Cogn Brain Res

13
:
61
–74.
Stanïák A, Hoechstetter K, Tintìra J, Vrána J, Rachmanová R, Králík J, Scherg M (
2002
) The size of the human corpus callosum correlates with source activity in the secondary somatosensory cortex.
Brain Res

936
:
47
–57.
Steinmetz H, Jäncke L, Kleinschmidt A, Schlaug G, Volkmann J, Huang Y (
1992
) Sex but no hand difference in the isthmus of the corpus callosum.
Neurology

42
:
749
–752.
Steingrüber HJ, Lienert GA (
1976
) Hand-Dominanztest. Göttingen: Hogrefe.
Stephan KM, Binkofski F, Halsband U, Dohle C, Wunderlich G, Schnitzler A, Tass P, Posse S, Herzog H, Sturm V, Zilles K, Seitz RJ, Freund HJ (
1999
) The role of ventral medial wall motor areas in bimanual co-ordination.
Brain

122
:
351
–368.
Talairach J, Tournoux P (
1988
) Co-planar sterotaxic atlas of the human brain. Stuttgart: Thieme.
Tanji J, Okano K, Sato KC (
1988
) Neuronal activity in cortical motor areas related to ipsilateral, contralateral, and bilateral digit movements of the monkey.
J Neurophysiol

60
:
325
–340.
Toyokura M, Muro I, Komiya T, Obara M (
1999
) Relation of bimanual coordination to activation in the sensorimotor cortex and supple- mentary motor area: analysis using functional magnetic resonance imaging.
Brain Res Bull

48
:
211
–217.
Vaughan JT, Adriany G, Garwood M, Andersen P, Ugurbil K (
2001
) The head cradle: an open faced, high performance TEM coil. Proceedings of the 9th Congress of ISMRM, Glasgow, p. 15.
Viviani P, Perani D, Grassi F, Bettinardi V, Fazio F (
1998
) Hemispheric asymmetries and bimanual asynchrony in left- and right-handers.
Exp Brain Res

120
:
531
–536.
Vogt BA, Nimchinsky EA, Vogt LJ, Hof PR (
1995
) Human cingulate cortex: surface features, flat maps, and cytoarchitecture.
J Comp Neurol

359
:
490
–506.
Wang Y, Shima K, Sawamura H, Tanji J (
2001
) Spatial distribution of cingulate cells projecting to the primary, supplementary, and pre-supplementary motor areas: a retrograde multiple labeling study in the macaque monkey.
Neurosci Res

39
:
39
–49.
Wiesendanger M, Rouiller EM, Kazennikov O, Perrig S (
1996
) Is the supplementary motor area a bilaterally organized system?
Adv Neurol

70
:
85
–93.
Witelson SF (
1989
) Hand and sex differences in the isthmus and genu of the human corpus callosum.
Brain

112
:
799
–835.
Yazgan MY, Wexler BE, Kinsbourne M, Peterson B, Leckman JF (
1995
) Functional significance of individual variations in callosal area.
Neuropsychologia

33
:
769
–779.
Yousry TA, Schmid UD, Alkadhi H, Schmidt D, Peraud A, Buettner A, Winkler P (
1997
) Localization of the motor hand area to a knob on the precentral gyrus. A new landmark.
Brain

120
:
141
–157.
Zaidel D, Sperry RW (
1977
) Some long-term motor effects of cerebral commissurotomy in man.
Neuropsychologia

15
:
193
–204.
Zilles K, Schlaug G, Matelli M, Luppino G, Schleicher A, Qu M, Dabringhaus A, Seitz R, Roland PE (
1995
) Mapping of human and macaque sensorimotor areas by integrating architectonic, transmitter receptor, MRI and PET data.
J Anat

187
:
515
–537.