Pre-experimental Familiarization Increases Hippocampal Activity for Both Targets and Lures in Recognition Memory: An fMRI Study

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Pre-experimental Familiarization Increases Hippocampal Activity for Both Targets and Lures in Recognition Memory: An fMRI Study
Pre-experimental Familiarization Increases Hippocampal
                        Activity for Both Targets and Lures in Recognition
                                      Memory: An fMRI Study

                                                             Greig I. de Zubicaray1, Katie L. McMahon1,
                                                                Lydia Hayward1, and John C. Dunn2

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                 Abstract
                 ■ In the present study, items pre-exposed in a familiarization                             equivalent increases compared with missed items. This remained
                 series were included in a list discrimination task to manipulate                           the case when analyses were restricted to high-confidence re-
                 memory strength. At test, participants were required to discrim-                           sponses considered by the DPSD model to reflect predominantly
                 inate strong targets and strong lures from weak targets and new                            recollection. A similar pattern of activity was observed in para-
                 lures. This resulted in a concordant pattern of increased “old”                            hippocampal cortex for high-confidence responses. The present
                 responses to strong targets and lures. Model estimates attributed                          results are incompatible with “noncriterial” or “false” recollection
                 this pattern to either equivalent increases in memory strength                             being reflected solely in inflated DPSD familiarity estimates and
                 across the two types of items (unequal variance signal detection                           support a positive correlation between hippocampal activity and
                 model) or equivalent increases in both familiarity and recollec-                           memory strength irrespective of the accuracy of list discrimi-
                 tion (dual process signal detection [DPSD] model). Hippocam-                               nation, consistent with the unequal variance signal detection
                 pal activity associated with strong targets and lures showed                               model account. ■

                 INTRODUCTION
                                                                                                            Squire et al., 2007). To test this hypothesis, Wais et al.
                 Recent fMRI studies investigating recognition memory                                       (2010) restricted an analysis of source memory judgments
                 have offered opposing interpretations of the differential                                  to high-confidence old responses, finding increased hip-
                 hippocampal activity elicited by studied information. One                                  pocampal activity for both source correct and incorrect
                 interpretation proposed by dual process (DP) theorists is                                  decisions relative to missed or forgotten items. They in-
                 that hippocampal activity primarily reflects retrieval of con-                             terpreted these results as indicating the hippocampus con-
                 textual information associated with a study episode, a qual-                               tributes to strong memories rather than to a qualitatively
                 itatively distinct process termed “recollection” (Mandler,                                 distinct process of recollection (see also Wais, 2011, for a
                 1980). Evidence cited in favor of this interpretation comes                                similar demonstration with respect to hippocampal activ-
                 from experiments comparing high confidence “old” or “re-                                   ity during associative recognition).
                 member” responses with correct rejections (CRs) of new                                        In discussing their findings, Wais et al. (2010) acknowl-
                 items or misses/forgotten items (e.g., Diana, Yonelinas, &                                 edged the possibility that high-confidence incorrect source
                 Ranganath, 2007; Brown & Aggleton, 2001). However, an                                      decisions might also reflect “false” recollection. However,
                 alternate view attributes this activity simply to strong mem-                              the authors considered this explanation less likely because
                 ories, with confidence ratings presumed to be a proxy                                      of the increased activity they had also observed in peri-
                 for memory strength (e.g., Wais, Squire, & Wixted, 2010;                                   rhinal cortex for high-confidence incorrect source deci-
                 Squire, Wixted, & Clark, 2007).                                                            sions. According to DP theorists, perirhinal cortex has a
                    Source memory tasks have also been employed to elicit                                   selective role in a process termed “familiarity,” described
                 hippocampal activity in fMRI studies via contrasts of cor-                                 as knowing that an item has been encountered beforehand
                 rect versus incorrect source judgments for items identified                                in the absence of contextual information (Eichenbaum
                 successfully as old, the activity typically being attributed to                            et al., 2007; Brown & Aggleton, 2001). If the increased
                 recollection (e.g., Eichenbaum, Yonelinas, & Ranganath,                                    activity reflected false recollection, Wais et al. reasoned
                 2007). However, confidence ratings are invariably higher                                   this would not be consistent with a selective role for peri-
                 for old items that are accompanied by retrieval of cor-                                    rhinal cortex in familiarity. However, it is worth noting that
                 rect source information; hence, the hippocampal activity                                   Yonelinas and Jacoby (1996) demonstrated that false or
                 observed may reflect a memory strength confound (see                                       “noncriterial” recollection may be reflected in inflated
                                                                                                            familiarity estimates according to the dual process signal
                 1
                     University of Queensland, 2University of Adelaide                                      detection (DPSD) model.

                 © 2011 Massachusetts Institute of Technology                                                     Journal of Cognitive Neuroscience 23:12, pp. 4164–4173
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Pre-experimental Familiarization Increases Hippocampal Activity for Both Targets and Lures in Recognition Memory: An fMRI Study
We obtained results supporting a memory strength                                         adopted in the previous fMRI studies. In addition, we ex-
                    account of hippocampal activity in a recent fMRI study                                       amined activity in the perirhinal and parahippocampal
                    of item repetition in recognition memory (de Zubicaray,                                      cortices following previous reports of activity in these medial-
                    McMahon, Dennis, & Dunn, 2011). According to DP the-                                         temporal lobe regions attributed to familiarity and/or recol-
                    ory, contrasts of correctly identified old items encoded                                     lection (e.g., Wais et al., 2010; Kirwan, Wixted, & Squire,
                    during focussed versus divided attention conditions                                          2008; Diana et al., 2007).
                    should be analogous to contrasts of correct versus incor-
                    rect source decisions in terms of engaging recollection
                    (e.g., Eichenbaum et al., 2007; Yonelinas, 2002). Retrieval-                                 METHODS
                    related activity in the posterior hippocampus was ele-

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                    vated for high-confidence old responses compared with                                        Participants
                    misses, although this did not differ between attention                                       Sixteen volunteers were recruited from among University
                    conditions. Furthermore, retrieval-related hippocampal ac-                                   of Queensland students and staff (11 women; mean age =
                    tivity increased in a graded manner across correctly iden-                                   23 years, range = 20–33 years). All were right-handed na-
                    tified old items that had been presented once, twice,                                        tive English speakers, with no history of neurological or
                    or four times at study during focussed versus divided at-                                    psychiatric disorder, substance dependence, or known
                    tention conditions. Critically, the pattern of activity was                                  hearing deficits. All had normal or corrected-to-normal vi-
                    consistent with estimates derived from the unequal vari-                                     sion. Written informed consent was obtained for all par-
                    ance signal detection model (UVSD) model (Dunn, 2004;                                        ticipants before participating, and the university medical
                    Donaldson, 1996), and inconsistent with estimates of fa-                                     research ethics committee approved the experimental
                    miliarity and recollection derived from the DPSD model                                       protocol.
                    (Yonelinas, 1994).
                        The aim of the present fMRI study was to further investi-
                                                                                                                 Materials
                    gate memory strength effects in relation to hippocampal
                    activity by using a list discrimination task in conjunction                                  The critical stimuli comprised 160 high-frequency con-
                    with item repetition. To this end, we employed an experi-                                    crete nouns, all five letters in length, selected from the
                    mental paradigm that produces a concordant pattern of                                        British National Corpus (Leech, Rayson, & Wilson, 2001;
                    positive responses to targets and lures on the basis of a                                    mean frequency per million = 120.60; SD = 93.92).
                    manipulation of items learned in different list contexts.                                    These were assigned randomly to familiarization, study,
                    The paradigm involves three phases; familiarization, study,                                  and test lists across participants following previous stud-
                    and test. In the first pre-exposure phase, participants are                                  ies (e.g., Greene, 1999; Chalmers & Humphreys, 1998;
                    presented with a list of items presented multiple times                                      Dobbins et al., 1998; Maddox & Estes, 1997).
                    (the familiarization series). In the second phase, they learn
                    a study list that contains items from the familiarization se-
                                                                                                                 Procedure
                    ries in addition to novel items. In the third phase, they are
                    required to endorse only items learned in the study list.                                    Participants were instructed in both familiarization and
                    A number of behavioral studies have shown that “old” re-                                     study phases to study lists of words for an unspecified
                    sponses to targets and lures increase as a function of famil-                                memory test (e.g., Greene, 1999; Chalmers & Humphreys,
                    iarization frequency in this type of design (e.g., McCabe &                                  1998, Experiments 1 and 2; Maddox & Estes, 1997). In the
                    Geraci, 2009; Greene, 1999; Chalmers & Humphreys,                                            first (familiarization) phase before being positioned in the
                    1998; Dobbins, Kroll, Yonelinas, & Liu, 1998; Maddox &                                       MRI system for scanning, participants were presented with
                    Estes, 1997).                                                                                a set of 80 words on a computer monitor, each presented
                        We focused our investigation of hippocampal activity                                     four times. The participants were then positioned in the
                    on pre-exposed, familiar (i.e., strong memory) items. If                                     bore of the MRI system and, before scanning, presented
                    “old” responses involving correct versus incorrect attribu-                                  with a set of 80 words, all presented once. Of these words,
                    tions of a familiar item to the study list show differentially                               40 (i.e., half ) had been presented in the familiarization set
                    increased activity, then this result may be interpreted as                                   outside the MRI system. All study words were presented
                    supporting the operation of a qualitatively distinct pro-                                    for 800 msec followed by a blank screen with a SOA of
                    cess such as recollection, as memory strength should be                                      3000 msec. Words were presented in black font on a white
                    equivalent for both targets and lures. However, if hippo-                                    background and projected using a BenQ SL705X projector
                    campal activity is also elevated for old responses with in-                                  (BenQ, Taipei, Taiwan) onto a screen at the foot of the
                    correct attributions of familiar items to the study list, then                               bore of the MRI system that participants viewed through
                    this may be considered evidence in favor of a memory                                         a mirror mounted on the head coil, subtending approxi-
                    strength account or potentially false recollection (e.g.,                                    mately 10° of visual arc.
                    Wais et al., 2010; Yonelinas & Jacoby, 1996). If so, UVSD                                       Next, participants were administered an old/new recog-
                    and DPSD model estimates should assist in clarifying which                                   nition memory test for the fMRI experiment. Each test list-
                    of these explanations is the more viable, an approach not                                    comprised 160 words consisting of 40 words presented

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in both the familiarization and study sets, 40 solely in the                               toolbox (Freire, Roche, & Mangin, 2002). A mean image
                 familiarization set, 40 solely in the study set, and 40 new                                was generated from the realigned series, and coregistered
                 (i.e., unstudied, unfamiliarized) words not presented                                      to the T1-weighted image. The T1-weighted image was
                 previously in the experiment, all presented in pseudo-                                     subsequently segmented using the “New Segment” proce-
                 random order. To minimize study–test repetition lag                                        dure in SPM8. The “DARTEL” toolbox (Ashburner, 2007)
                 variability, all studied words were presented in the same                                  was then employed to create a custom group template
                 quarter of the test list as at study. Participants were in-                                from the gray and white matter images and individual
                 structed to respond “old” only to those words presented                                    flow fields that were used to normalize the realigned fMRI
                 in the list they had studied in the bore of the MRI system.                                volumes to the Montreal Neurological Institute (MNI) atlas
                 During each trial, a fixation point appeared on the screen                                 T1 template. The resulting images were resampled to

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                 for 600 msec, followed by the word for 2500 msec. Par-                                     3 mm3 voxels and smoothed with an 8-mm FWHM isotro-
                 ticipants were instructed to withhold their response until                                 pic Gaussian kernel. Global signal effects were then esti-
                 the word disappeared from the screen. Next the categories                                  mated and removed using a voxel-level linear model (Macey,
                 “certainly new,” “probably new,” “probably old,” and “cer-                                 Macey, Kumar, & Harper, 2004).
                 tainly old” were presented together, in a cross formation                                     Statistical analyses were conducted according to a two-
                 around the center of the screen for up to 2 sec, depending                                 stage, mixed effects model. Trial types corresponding to
                 on the speed of their response. This served both as a                                      hits (correct “old” responses), misses (incorrect “new” re-
                 prompt to respond and to indicate which button should                                      sponses), false alarms (FA; incorrect “old” responses, and
                 be pressed for a given response. Participants responded                                    CRs (“new” responses) were defined according to test con-
                 by pressing one of four buttons corresponding to their de-                                 dition (familiarization and/or study set), as well as CRs and
                 cision on a similarly arranged response pad using their                                    FAs to unstudied items (foils/lures) and trials on which a
                 right hand. They were instructed to adopt response criteria                                response was omitted. These were modeled as effects of
                 that enabled them to use each of the categories more or                                    interest with delta functions representing each onset,
                 less equally. The selected label changed color to red for                                  along with a nuisance regressor consisting of response
                 200 msec to provide response feedback, and a blank screen                                  onsets, and convolved with a synthetic hemodynamic re-
                 was presented for the remainder of the 2-sec period. Thus,                                 sponse function and accompanying temporal and dis-
                 each trial lasted for 5.1 sec.                                                             persion derivatives. Standard high (1/128 Hz) and low
                                                                                                            pass filtering with an autoregressive (AR1) model were
                                                                                                            applied. Parameter estimates were derived at the fixed ef-
                 Image Acquisition and Analysis
                                                                                                            fects level using the general linear model and tested using
                 Imaging was performed with a Bruker Medspec 4T MRI sys-                                    linear (t) contrasts. The relevant contrast images were next
                 tem (Bruker, Erlangan, Germany) equipped with a transverse                                 entered in group level repeated measures ANOVAs in
                 electromagnetic head coil for radiofrequency transmission and                              which covariance components were estimated using a re-
                 reception (Vaughan et al., 2002). Functional T2*-weighted                                  stricted maximum likelihood procedure to correct for non-
                 images depicting BOLD contrast were acquired using a                                       sphericity (Friston et al., 2002), and significant effects
                 gradient-echo EPI sequence optimized for both image quality                                subjected to planned voxel-wise t contrasts.
                 and noise reduction (matrix size = 64 × 64; voxels = 3.6 ×                                    A priori ROIs for the parahippocampal cortex and hippo-
                 3.6 mm; repetition time = 2.1 sec; echo time = 30 msec;                                    campus, and perirhinal cortex were defined in each hemi-
                 flip angle = 90°; McMahon, Pringle, Eastburn, & Maillet,                                   sphere as explicit masks for the analyses using labeled
                 2004). Each image volume comprised 36 axial 3.5-mm                                         probabilistic maps from the atlases provided by Shattuck
                 slices (0.1-mm gap) for 400 images. The first five volumes                                 et al. (2008) and Holdstock, Hocking, Notley, Devlin, and
                 were discarded to allow tissue magnetization to achieve                                    Price (2009), respectively. A height threshold of p < .005
                 steady state. Head movement was limited by foam padding                                    was adopted following previous studies (e.g., Suzuki,
                 within the head coil. A point-spread function mapping                                      Johnson, & Rugg, 2011; Diana, Yonelinas, & Ranganath,
                 sequence was acquired before the functional acquisition                                    2010) in conjunction with a corrected cluster (k) threshold
                 to correct geometric distortions (Zaitsev, Hennig, & Speck,                                of p < .05 estimated for each ROI using a Monte Carlo
                 2003). Following the functional acquisition, a 3-D T1-                                     estimation procedure with 10,000 simulations (AlphaSim,
                 weighted image was acquired using a magnetization pre-                                     implemented in Analysis of Functional Neuroimages toolkit,
                 pared rapid acquisition gradient-echo sequence (matrix =                                   National Institute of Mental Health, Bethesda, MD).
                 2563; voxels = 0.9 mm3).
                    Preprocessing and analysis were conducted with Statisti-
                 cal Parametric Mapping software (SPM8; Wellcome Depart-                                    RESULTS
                 ment of Imaging Neuroscience, Queen Square, London,
                 UK). Functional volumes were resampled using general-                                      Behavioral Data
                 ized interpolation to the acquisition of the middle slice in                               One participant scored below chance level for their list
                 time to correct for the interleaved acquisition sequence,                                  discriminations, and another failed to respond on ap-
                 then realigned to the initial volume using the INRIAlign                                   proximately 50% of trials. Their data were excluded from

                 4166        Journal of Cognitive Neuroscience                                                                                   Volume 23, Number 12
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subsequent analyses. The overall hit rates (old responses
                    involving correct attribution of an item to the study list)
                    and FA rates (old responses involving incorrect attribu-
                    tion of an item to the study list) are displayed according
                    to confidence rating in Table 1 as a function of familiariza-
                    tion and study.1 An ANOVA conducted on the mean old
                    responses as above revealed significant effects of Familiari-
                    zation, F(1, 13) = 27.34, MSE = .055, p < .001, η2 = .68,
                    and Study, F(1, 13) = 11.85, MSE = .006, p < .005, η2 =
                    .48, and no interaction F(1, 13) = 0.76, MSE = .008, p =

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                    >.05, η2 = .06.
                       Familiar targets attracted a higher percentage of high-
                    confidence “sure old” responses than targets presented
                    solely in the study list (70% vs. 53%). This is consistent
                    with both a memory strength account and a DP perspec-
                    tive, as recollection-based discrimination is considered to
                                                                                                                 Figure 1. ROC curves for targets and lures as a function of
                    be reflected almost exclusively in high-confidence ratings                                   familiarization.
                    ( Yonelinas, 2002). However, this was also the case for
                    high-confidence “sure old” responses for familiar relative
                    to novel lures (66% vs. 27%), a result inconsistent with                                     pared with novel targets (t[13] = 3.5, p < .005 and t[13] =
                    veridical recollection yet perhaps interpretable in terms                                    3.23, p < .05, respectively). A similar pattern was observed
                    of memory strength/familiarity. To address this issue, we                                    for the variance estimates, although only familiar and novel
                    first calculated receiver operating characteristic (ROC)                                     targets differed significantly (t[13] = 2.24, p < .05). The
                    curves (Figure 1). Inspection of the ROCs revealed them                                      DPSD familiarity estimates differed significantly between
                    to be relatively linear, indicating participants had consider-                               conditions F(1, 13) = 11.36, MSE = .07, p < .001, as did
                    able difficulty discriminating pre-exposed items presented                                   the recollection estimates F(1, 13) = 11.36, MSE = .03,
                    in the study list.                                                                           p < .001). Paired t tests indicated familiar targets and lures
                       We next fit both UVSD (Dunn, 2004) and DPSD (Yonelinas,                                   did not differ significantly in terms of familiarity (t[13] = .3,
                    1994) models to each participantʼs full set of responses                                     p = .8), although both estimates were elevated significantly
                    (across four response categories: certainly old, probably                                    relative to novel targets (t[13] = 4.28, p < .005 and t[13] =
                    old, certainly new, probably new) separately using maxi-                                     3.47, p < .005, respectively). This pattern was repeated for
                    mum likelihood estimation to estimate contributions of                                       the recollection estimates (t[13] = 1.11, p = .3; t[13] = 3.9,
                    either memory strength or familiarity and recollection in                                    p < .005 and t[13] = 3.1, p < .005, respectively).
                    the different memory conditions (Figure 2). A repeated                                          Overall, the model estimates can be interpreted as in-
                    measures ANOVA on the Memory Sensitivity (da)2 values                                        dicating the experimental manipulation involving pre-
                    derived from the UVSD model as within-subject variables                                      exposure of some study items increased source confusion,
                    revealed a significant main effect, F(1, 13) = 9.8, MSE =                                    evidenced by the failure to discriminate familiar targets
                    .88, p < .001. A similar ANOVA on the Variance Estimates                                     from familiar lures. Although the UVSD model estimates
                    (s) revealed a marginally significant effect, F(1, 13) = 2.84,                               indicate this is because of equivalent elevated mem-
                    MSE = .26, p = .077. Paired t tests on the da values in-                                     ory strength across the two conditions, the DPSD model
                    dicated there was no significant difference in memory                                        attributes this result to both familiarity and recollection
                    strength between familiar targets and lures (t[13] = 1.37,                                   being increased in an equivalent manner for familiar targets
                    p = .2), although both were significantly elevated com-                                      and lures.

                                                                                                                 Imaging Data
                    Table 1. Proportion of Test Items Judged To Be from the
                    Study List as a Function of Familiarization and Confidence                                   Our first analysis examined old responses involving correct
                    Rating                                                                                       versus incorrect attribution of familiar items to the study list
                                                                                                                 relative to misses. A repeated measures ANOVA revealed a
                                                            Familiarization
                                                                                                                 significant main effect in bilateral hippocampus (left peak
                                            Pre-exposed                               Novel                      maxima: −27, −27, −9; Z = 3.22; right peak maxima:
                                                                                                                 39, −24, −18, Z = 3.39). With these regions, a voxel-based
                    Type             Certain           Probable            Certain           Probable
                                                                                                                 t contrast revealed increased activity for correct old re-
                    Target          .49 (.05)          .21 (.03)          .21 (.03)          .19 (.03)           sponses relative to misses (left peak maxima: −27, −24,
                    Lure            .43 (.06)          .22 (.03)          .08 (.02)          .22 (.03)
                                                                                                                 −9; Z = 3.83, p < .001, k = 36; right peak maxima: 30,
                                                                                                                 −27, −9; Z = 3.47, p < .001, k = 8). A second t con-
                    Data are means with SEM in parentheses.                                                      trast of incorrect decisions versus misses revealed increased

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activity in identical regions of the hippocampus (left peak                                trasts in these regions revealed significantly increased ac-
                 maxima: −27, −24, −9; Z = 3.74, p < .001, k = 32; right                                    tivity bilaterally in the hippocampus (peak maxima: −33,
                 peak maxima: 30, −27, −9; Z = 3.35, p < .001; k = 8; Fig-                                  −21, −12; Z = 3.96, p < .001, k = 35 and 30, −27, −9;
                 ure 3). No suprathreshold activity was observed in parahip-                                Z = 3.16, p = .001, k = 13) and in the left posterior para-
                 pocampal or perirhinal cortices in either hemisphere for                                   hippocampal cortex (peak maxima: −9, −45, 0; Z = 3.96,
                 these contrasts. A direct contrast of correct and incorrect                                p < .001, k = 9) for correct old responses. No suprathresh-
                 old responses revealed no significant activity in the hippo-                               old activity was observed in the right parahippocampal
                 campus, parahippocampal, or perirhinal cortices. Together,                                 cortex or in perirhinal cortex in either hemisphere. A sec-
                 these results indicate that hippocampal activity is elevated                               ond t contrast of high-confidence incorrect old responses
                 for pre-exposed, familiar items and this activity does not                                 versus misses revealed significantly increased activity in

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                 differ according to the accuracy of list discrimination.                                   identical regions of left and right hippocampus (Z = 3.96,
                    The abovementioned analyses examined decisions for                                      p < .001, k = 34; 3.12, p = .001, k = 12) and left poste-
                 familiar items that were rated both high (i.e., “sure old”)                                rior parahippocampal cortex (Z = 3.29; p = .001, k = 8;
                 and low in confidence (i.e., “probably old”). However,                                     Figure 4). Again, no suprathreshold activity was observed
                 recollection-based discrimination is considered to be                                      in the right parahippocampal cortex or in perirhinal cor-
                 reflected almost exclusively in high-confidence ratings                                    tex in either hemisphere. Subsequently, a direct contrast
                 ( Yonelinas, 2002). We therefore examined activity asso-                                   of high-confidence old responses with correct versus in-
                 ciated only with the high-confidence old responses rela-                                   correct list/source attributions failed to reveal any signifi-
                 tive to misses. A repeated measures ANOVA revealed a                                       cant activity in the hippocampus, parahippocampal, or
                 significant main effect bilaterally in the hippocampus (left                               perirhinal cortices. In summary, the contrasts involving
                 peak maxima: −30, −24, 12; Z = 3.35, p < .001; right                                       high-confidence old responses indicate that activity in the
                 peak maxima: 36, −24, −1; Z = 3.16, p < .001) and in                                       hippocampus and parahippocampal cortex is increased for
                 the left posterior parahippocampal cortex (peak maxima:                                    familiar items and this activity does not differ according to
                 −9, −45, 0; Z = 3.96, p = .001). Planned voxelwise t con-                                  the accuracy of list/source attribution.

                 Figure 2. Plots showing UVSD
                 and DPSD model fits to the
                 behavioral data. (A) UVSD
                 sensitivity estimates (da) for
                 targets and lures as a function
                 of familiarization. (B) UVSD
                 variance estimates (s) as a
                 function of familiarization.
                 (C) DPSD recollection
                 estimates for targets and
                 lures as a function of
                 familiarization. (D) DPSD
                 familiarity estimates as a
                 function of familiarization.
                 Asterisk denotes a significant
                 difference relative to novel
                 studied items ( p < .05).

                 4168        Journal of Cognitive Neuroscience                                                                                    Volume 23, Number 12
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Figure 3. Activity in the left
                    and right hippocampus for “old”
                    responses to familiar targets
                    and lures relative to misses.
                    Significant activation is shown
                    at top superimposed on a
                    coronal slice from the group
                    average T1-weighted image
                    in MNI atlas space, with
                    accompanying beta values
                    plotted below. Error bars
                    represent SEM, and asterisks

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                    denote a significant difference
                    relative to missed items
                    (corrected p < .05).

                    Figure 4. Activity in left and right hippocampus and left posterior parahippocampal cortex for high confidence “old” responses to familiar targets
                    and lures relative to misses. Significant activation is shown at top superimposed on coronal slices from the group average T1-weighted image in
                    MNI atlas space, with accompanying beta values plotted below. Error bars represent SEM, and asterisks denote a significant difference relative
                    to missed items (corrected p < .05).

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DISCUSSION                                                                                 process dissociation in that it does not involve separate
                                                                                                            inclusion and exclusion conditions. In addition, as noncri-
                 In the present study, pre-exposed items were included in
                                                                                                            terial recollection is considered to be reflected in inflated
                 a list discrimination task to manipulate memory strength.
                                                                                                            familiarity estimates, it does not seem a valid explanation
                 At test, participants were asked to discriminate familiar
                                                                                                            for the inflation of the recollection estimate for familiar
                 and nonfamiliar targets from familiar and nonfamiliar
                                                                                                            lures and/or the concomitant increase in hippocampal ac-
                 lures. This resulted in a concordant pattern of increased
                                                                                                            tivity if the hippocampus has a selective role in recollec-
                 “old” responses to familiar targets and lures, indicating
                                                                                                            tion as proposed by DP theorists (e.g., Eichenbaum et al.,
                 participants had considerable difficulty discriminating fa-
                                                                                                            2007; Brown & Aggleton, 2001). Moreover, given the con-
                 miliar items included in the study list, consistent with prior
                                                                                                            cordant increases in DPSD model estimates of familiarity

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                 behavioral research (McCabe & Geraci, 2009; Greene,
                                                                                                            and recollection for both familiar targets and lures, it is
                 1999; Chalmers & Humphreys, 1998; Dobbins et al., 1998;
                                                                                                            unclear whether the accompanying increases in hippo-
                 Maddox & Estes, 1997). Model estimates indicated this
                                                                                                            campal activity are attributable to an increase in one of
                 was because of either equivalent increases in memory
                                                                                                            these processes or in some combination of the two. This
                 strength across the two types of items (UVSD model) or
                                                                                                            is difficult to reconcile with proposals regarding selective
                 equivalent increases in both familiarity and recollection
                                                                                                            roles for the hippocampus and perirhinal cortex in rec-
                 (DPSD model). Crucially, hippocampal activity was ele-
                                                                                                            ollection and familiarity, respectively, particularly as we
                 vated in an equivalent manner for both familiar targets
                                                                                                            failed to observe significant perirhinal cortex activity (e.g.,
                 and lures. This was also the case when analyses were re-
                                                                                                            Eichenbaum et al., 2007; Brown & Aggleton, 2001).
                 stricted to high-confidence responses, considered by the
                                                                                                               Another possible interpretation of the data in terms of
                 DPSD model to reflect the contribution of primarily recol-
                                                                                                            noncriterial recollection might involve acknowledging an
                 lection. Below, we discuss the extent to which these find-
                                                                                                            apparent absence of learning in the present study, as par-
                 ings may be considered consistent with a memory strength
                                                                                                            ticipants demonstrated considerable difficulty discrim-
                 account (e.g., Wais et al., 2010; Kirwan et al., 2008) or a
                                                                                                            inating items from familiarization and study lists. In this
                 DP account, including proposals of “false” or “noncriterial”
                                                                                                            account, the participantsʼ responses might simply reflect
                 recollection (e.g., Yonelinas & Jacoby, 1996). We also dis-
                                                                                                            recollection of an itemʼs appearance on the familiarization
                 cuss the apparent differential effects of item repetition
                                                                                                            list, with (poor) discriminations between pre-exposed and
                 in item versus continuous recognition procedures (cf.
                                                                                                            study list items relying on this noncriterial recollection,
                 Suzuki et al., 2011).
                                                                                                            although they were attempting to follow the task instruc-
                                                                                                            tions. This would predict equivalent elevations in activity
                                                                                                            for the familiar targets and familiar lures assuming both
                                                                                                            true and noncriterial recollection were mediated by the
                 Familiarity, Veridical, and False Recollection
                                                                                                            hippocampus.3 However, even if we acknowledge that
                 According to the DPSD model estimates, the concordant                                      participants might have been inadvertently responding
                 increases in old responses to familiar targets and lures                                   to familiarized items irrespective of their old or new status,
                 were because of equivalent increases in familiarity and                                    this explanation implies there could not have been any
                 recollection across the two types of items. As recollection                                “true” recollection, otherwise the participants would have
                 is usually characterized as veridical, involving retrieval of                              been able to discriminate the familiar lures from items pre-
                 contextual details associated with a studied item (e.g.,                                   sented in the study list. Put succinctly, if DPSD model rec-
                 Yonelinas, 2002), the result for familiar lures seems coun-                                ollection estimates can reflect either true or noncriterial
                 terintuitive. However, it might be interpretable in terms                                  recollection, without quantifying the relative contributions
                 of “false” or “noncriterial recollection,” a possibility that                              of either type, the model loses its explanatory power. This
                 was acknowledged by Wais et al. (2010) and Kirwan                                          is perhaps the reason why Yonelinas and Jacoby (1996) in-
                 et al. (2008) in their fMRI studies, although not addressed                                troduced their DPSD model explanation of noncriterial
                 explicitly with model estimates. Suzuki et al. (2011) also                                 recollection solely in terms of inflated familiarity estimates.
                 invoked noncriterial recollection ( Yonelinas & Jacoby,                                       Where participants have reported high-confidence old
                 1996) to explain source memory results interpreted as                                      responses to lures, DP theorists have sometimes assumed
                 supporting a memory strength account, although again                                       that task instructions were not being followed properly
                 no model estimates were provided.                                                          (e.g., Yonelinas & Parks, 2007). If we instead assume that
                    Yonelinas and Jacoby (1996) introduced the concept of                                   our participants failed to follow the task instructions for
                 noncriterial recollection to explain results for difficult dis-                            discriminating list context and were responding to words
                 criminations in the process dissociation procedure, dem-                                   solely on the basis of their having been presented in the
                 onstrating it was reflected solely in the inflation of DPSD                                familiarization list, then it is possible both recollection es-
                 model familiarity estimates. Inasmuch as the present task                                  timates could be interpreted as reflecting “true” recollec-
                 requires participants to use list membership as a basis for                                tion of the familiarization list items. Hence, according to
                 discriminative responding, and this was clearly difficult                                  this explanation, the lack of differential hippocampal activ-
                 for the pre-exposed items, it nevertheless differs from                                    ity reflects “true” recollection for both familiar targets and

                 4170        Journal of Cognitive Neuroscience                                                                                     Volume 23, Number 12
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lures as the participants were treating them identically.                                    strated to be a direct result of source confusion and are
                    Although we cannot exclude this possibility in the pres-                                     readily explained by the UVSD model (e.g., Slotnick &
                    ent study, a disadvantage of this explanation is that it is                                  Dodson, 2005), consistent with the experimental manipu-
                    necessarily bespoke, and our preferred view is that the                                      lation employed here, or have been assumed to be a result
                    increase in old responses to familiar lures is a result of                                   of impoverished encoding (Heathcote et al., 2006).
                    the experimental manipulation we employed, consistent                                           A memory strength account might also be able to ex-
                    with a number of prior studies (McCabe & Geraci, 2009;                                       plain the absence of perirhinal cortex activity in the pres-
                    Greene, 1999; Chalmers & Humphreys, 1998; Dobbins                                            ent study, as it proposes perirhinal cortex responses are
                    et al., 1998; Maddox & Estes, 1997). For example, McCabe                                     elicited primarily for weak memories (Squire et al., 2007).
                    and Geraci (2009) also demonstrated recently that pre-                                       Accordingly, the activity would be unlikely to be observable

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                    exposing some items in a study list results in a significantly                               for items familiarized via multiple repetitions. However,
                    higher proportion of Remember judgments to familiar                                          several fMRI studies have observed increased perirhinal
                    lures in the Remember–Know procedure. To accommo-                                            cortex activity for strong memories associated with either
                    date this finding, DPSD model theorists would likewise                                       high-confidence ratings ( Wais et al., 2010) or items re-
                    have to assume McCabe and Geraciʼs (2009) participants                                       peated at study (de Zubicaray et al., 2011), inconsistent
                    failed to follow task instructions.                                                          with this proposal.
                       An alternative perspective is that the above results re-
                    flect source confusion or source misattribution, in which
                    high-confidence responses to familiar lures represent rec-
                                                                                                                 Repetition in Item versus Continuous Recognition
                    ollection of details from an extralist context (e.g., McCabe
                    & Geraci, 2009). According to the source-monitoring frame-                                   The memory strength account of hippocampal activity has
                    work (e.g., Mitchell & Johnson, 2009), veridical and false                                   been challenged recently by the results of fMRI studies
                    recollection can arise from the same cognitive processes,                                    using the continuous recognition procedure (e.g., Suzuki
                    hence similar brain mechanisms. Here, recollection is used                                   et al., 2011; Johnson, Muftuler, & Rugg, 2008). According
                    as a descriptive label rather than denoting a distinct process.                              to these authors, if hippocampal activity reflects strong
                    Therefore, its precise relation to DPSD model estimates                                      memories rather than recollection of contextual details as-
                    is difficult to surmise. Source confusion or misattribution                                  sociated with an item, then it should demonstrate a posi-
                    is also compatible with a memory strength account, as we                                     tive correlation with item repetition during continuous
                    elaborate below.                                                                             recognition. Item repetition is a longstanding method
                                                                                                                 for manipulating recognition memory strength directly.
                                                                                                                 To test this alternate view, Suzuki et al. (2011) examined
                                                                                                                 judgments of temporal order for items presented up to
                    Memory Strength
                                                                                                                 four times, finding only reductions in hippocampal activity
                    The UVSD model sensitivity (da) estimates showed equiv-                                      for successive presentations. They interpreted these re-
                    alent increases across familiar targets and lures relative to                                sults as being inconsistent with a positive correlation be-
                    weak targets, a finding that may be interpreted as indicat-                                  tween retrieval-related hippocampal activity and memory
                    ing memory strength was equivalent across the two types                                      strength (e.g., Squire et al., 2007). In the present study,
                    of item. This provides a relatively straightforward expla-                                   familiar targets and lures were associated with increases
                    nation of the poor discrimination observed. The equiva-                                      in hippocampal activity. This result is consistent with the
                    lent hippocampal activity across familiar targets and lures,                                 findings of our prior fMRI study involving repetition in
                    including that observed for only high-confidence items,                                      item recognition memory (de Zubicaray et al., 2011). Conse-
                    may therefore be considered consistent with a memory                                         quently, it seems likely that different task demands might
                    strength account. This result corroborates findings using                                    explain the different results reported for item and con-
                    confidence ratings as a proxy for memory strength (Wais                                      tinuous recognition procedures.
                    et al., 2010; also Kirwan et al., 2008) and, importantly, ex-                                   The relative extent to which item and continuous rec-
                    tends them to items strengthened via repetition at study.                                    ognition tasks index encoding and retrieval related pro-
                       Linear ROC curves such as the ones observed for the fa-                                   cesses is difficult to quantify, although in the former case
                    miliar targets and lures have often been interpreted solely                                  an attempt is made to distinguish the two, at least opera-
                    in terms of the operation of recollection-based respond-                                     tionally (Yassa & Stark, 2008). A number of authors have
                    ing by DP theorists and have been considered inconsis-                                       noted the likelihood of concurrent encoding of new and re-
                    tent with the UVSD model prediction of a curvilinear ROC                                     peated items during continuous recognition (e.g., Johnson
                    (e.g., Yonelinas & Parks, 2007; Quamme, Frederick, Kroll,                                    et al., 2008; Yassa & Stark, 2008; Brozinsky, Yonelinas, Kroll,
                    Yonelinas, & Dobbins, 2002). However, it is worth noting                                     & Ranganath, 2005). Johnson et al. (2008) interpreted the
                    that linear source memory ROCs tend to be the exception                                      reductions in hippocampal activity observed with succes-
                    rather than the rule, with curvilinear ROCs being reported                                   sive item presentation in their study as reflecting “new item
                    more frequently across studies (see Heathcote, Raymond,                                      encoding” that “likely played a minimal (if any) role in sup-
                    & Dunn, 2006). In fact, linear ROCs have been demon-                                         porting recognition judgments.” To make judgments about

                                                                                                                                                  de Zubicaray et al.      4171
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serial order in continuous recognition (e.g., Suzuki et al.,                               Notes
                 2011), participants need to encode temporal information,                                   1. Following the behavioral literature, our analyses are confined
                 a requirement that is absent during typical retrieval tasks in                             to positive responses to items included in familiarization and
                 item recognition memory.                                                                   study lists (e.g., Greene, 1999; Dobbins et al., 1998; Maddox &
                    However, repetition during associate learning has been                                  Estes, 1997). As Dobbins et al. (1998) note, comparisons of con-
                 shown to result in hippocampal activity increasing in a                                    ditions that employ completely novel distractors to those in
                                                                                                            which the distractors have been seen in the experiment context
                 linear or graded fashion (Law et al., 2005). An alternate                                  one or more times are likely to introduce a confound, as the re-
                 explanation may be that, unlike item recognition, contin-                                  jection of the two distractor types may rely on different cognitive
                 uous recognition engenders a long-term shift in response                                   processes.
                 criteria according to the UVSD model, resulting in less evi-                               2. The da sensitivity measure from the UVSD model differs
                                                                                                            from the conventional d0 measure by permitting the variances

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                 dence being required to support an “old” decision for later
                                                                                                            of the old and new distributions to differ (Macmillan & Creelman,
                 presentations (see Dunn, 2008). Consequently, a memory                                     2005). The values can be interpreted similarly.
                 strength account would be consistent with a reduction in                                   3. We are indebted to an anonymous reviewer for suggesting
                 hippocampal activity with successive presentations in con-                                 this interpretation.
                 tinuous recognition, if the activity is assumed to reflect
                 the evidence needed to support a recognition decision
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