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The middle temporal gyrus (MTG) is understood to play a role in language-related tasks such as lexical comprehension and semantic cognition. However, a more specific understanding of its key white matter connections could promote the preservation of these functions during neurosurgery. To provide a detailed description of the underlying white matter tracts associated with the MTG to improve semantic preservation during neurosurgery. Tractography was performed using diffusion imaging obtained from 10 healthy adults from the Human Connect