Bilateral cingulotomy
Neuroimaging also uncovered different sub-regions in the anterior cingulate cortex itself based on their function. These studies showed that the caudal part of the anterior cingulate cortex plays a more important function in cognitive activities that involve attention, salience, interference and response competition. These results combined with electrophysiological investigation of the function of neurons in the anterior cingulate cortex have provided insights that can be used in the improvement of cingulotomy performed on patients treated for OCD. The basis behind this idea is the fact that a variation of certain tasks, Emotional Stroop tasks (ES), which have been particularly identified as exerting effects in OCD patients activate neurons in the more rostral part of the anterior cingulate cortex. Thus, theoretically if bilateral cingulotomy is performed in such patient in the rostral anterior cingulate cortex, better results should be obtained.
Tip of the tongue
Not much is known about the exact function of these areas in the tip-of-the-tongue phenomenon. The areas activated during TOT may vary depending on the nature of the target word. For example, if the target word is a person's name, the fusiform face area will likely show activation as the rememberer processes the person's face. Problems like this make it difficult to determine what areas are specifically implicated in TOT states, and which are a byproduct of other cognitive functions. However, some inferences can be made about the roles of these structures based on theories of their functions derived from other studies of these structures, unrelated to TOT. It is hypothesized that the anterior cingulate cortex and the right dorsolateral prefrontal cortex operate as a circuit to detect conflict, and may perform this role in detecting the conflict between the feeling of knowing the target word and the recall failure. The anterior cingulate cortex is also implicated in emotion and may show activation because of the emotional response to the tip of the tongue state. The posterior medial parietal cortex, bilateral lateral parietal cortex, and the bilateral superior prefrontal cortex are involved in retrieval and evaluation, and therefore may play a role in the metacognitive processes involved in the tip of the tongue phenomenon such as the evaluation of one's own knowledge and the probability of retrieval.