Examining the function of individual human hippocampal subfields remains challenging because of their small sizes and convoluted structures. Previous human fMRI studies at 3 T have successfully detected differences in activation between hippocampal cornu ammonis (CA) field CA1, combined CA2, CA3, and dentate gyrus (DG) region (CA23DG), and the subiculum during associative memory tasks. In this study, we investigated hippocampal subfield activity in healthy participants using an associative memory paradigm during high-resolution fMRI scanning at 7 T. We were able to localize fMRI activity to anterior CA2 and CA3 during learning and to the posterior CA2 field, the CA1, and the posterior subiculum during retrieval of novel associations. These results provide insight into more specific human hippocampal subfield functions underlying learning and memory and a unique opportunity for future investigations of hippocampal subfield function in healthy individuals as well as those suffering from neurodegenerative diseases.
Numerous studies have confirmed a crucial role for the hippocampus in declarative memory or the memory of previously experienced events and learned facts (Squire, Stark, & Clark, 2004; Squire, 1992). Subfields of the hippocampus (cornu ammonis [CA] fields 1–3, dentate gyrus [DG], and subiculum) differ in both structure and function (Boccara et al., 2010; Carr, Rissman, & Wagner, 2010; Leutgeb, Leutgeb, Moser, & Moser, 2007; Sharp, 2006; Duvernoy, 2005; Lee, Yoganarasimha, Rao, & Knierim, 2004; Taube, Muller, & Ranck, 1990). There have been numerous studies in humans and animal models suggesting different roles for these subfields, but the results are still not currently clear. Computational models suggest the hippocampal CA3 region is involved in the successful formation of new associations (Treves & Rolls, 1994; Marr, 1971). Specifically these models have posited that the recurrent collaterals in CA3 play a role in binding together elements from episodes or associations. Thus, one might predict that this region might be particularly active during learning new associations. Furthermore, rodent electrophysiological studies have found that both CA3 and DG regions may be involved in pattern separation processes (Leutgeb et al., 2007) or the orthogonalization of overlapping information, which may be necessary for accurate learning of similar items in memory. Neunuebel and Knierim (2014) have recently presented evidence that the CA3 performs pattern completion in that it showed relatively coherent activity in the face of distortions of the environment and variations in input from the DG.
Although DG and CA3 are thought to perform different functions based on computational models of the hippocampus (O'Reilly & McClelland, 1994; Marr, 1971), most work with humans has not been able to separate the DG and CA3 regions because of difficulty with defining borders between these regions using standard MRI techniques. Nevertheless, a number of studies have shown evidence of encoding-related activity and pattern separation in an ROI including DG, CA2, and CA3 (CA23DG; Suthana, Ekstrom, Moshirvaziri, Knowlton, & Bookheimer, 2011; Yassa & Stark, 2011; Bakker, Kirwan, Miller, & Stark, 2008; Eldridge, Engel, Zeineh, Bookheimer, & Knowlton, 2005; Zeineh, Engel, Thompson, & Bookheimer, 2003). However, there are some inconsistencies across studies with respect to hippocampal regions CA1 and CA23DG (Stokes, Kyle, & Ekstrom, 2015; Azab, Stark, & Stark, 2014; Lacy, Yassa, Stark, Muftuler, & Stark, 2011).
The limited number of available studies and possible species-specific differences (O'Keefe, 1999) both in terms of the memory tasks used in different species and inherent differences in circuitry illustrate the need for advances in human hippocampus subfield functional analyses in vivo. In humans, fMRI studies at 3 T have successfully detected differences in activation between CA1, CA23DG, and the subiculum during various memory tasks (for a review, see Carr, Rissman, et al., 2010). For example, Zeineh and colleagues (2003) demonstrated that encoding and retrieval processes are associated with distinct hippocampal subfields involved during a face–name association task. Specifically, the authors revealed an association between neural activity in the combined CA23DG region during learning and in the subiculum during recall. Although the CA23DG region has been consistently shown to be active during the learning of novel paired associates (Zeineh et al., 2003; Suthana et al., 2011; Eldridge et al., 2005), it remains unknown whether CA2, CA3, or the DG within the human hippocampus contribute to the increase in learning-related activity. Previous limitations of these studies only allowed for separation of the CA23DG area from neighboring CA1 and subiculum regions (Carr, Rissman, et al., 2010). Separating CA1 from the other hippocampal CA fields in the anterior hippocampus has also been challenging (Suthana et al., 2011; Suthana, Ekstrom, Moshirvaziri, Knowlton, & Bookheimer, 2009; Zeineh et al., 2003). More recently, using 3-T MRI scanning and multivoxel pattern analysis (MVPA), Bonnici and colleagues (2012) were able to identify differential hippocampal subfield contributions in a decision-making paradigm. The authors attempted to distinguish CA1, CA3, and the DG using structural and functional scanning with 0.52 × 0.52 mm and 1.5 × 1.5 mm in-plane resolution respectively. A potential strength of the approach by Bonnici and colleagues (2012) was the acquisition of isotropic voxels, although this in turn will typically reduce in-plane resolution somewhat. The method we use focuses on higher in-plane resolution on both functional and structural scans (0.35 × 0.35 structural and 1 × 1 mm functional) and uses a subsequent interpolation procedure to achieve isotropy. However, in contrast to our 7-T MRI data and specific analysis technique, Bonnici and colleagues (2012) acknowledge that 3-T MRI scanning does not allow the delineation of the hippocampal CA2 field, which would be part of CA3 in their segmentation approach. Another potential limitation with the Bonnici et al. study is that the lower signal-to-noise ratio (SNR) afforded at 3 T likely made accurate delineation of CA3 versus DG challenging and potentially more arbitrary. Consistent with this potential concern, even advanced high-resolution protocols at 3 T/4 T do not discriminate CA3 versus DG (i.e., Mueller et al., 2007; Zeineh, Engel, & Bookheimer, 2000). Although Yushkevich et al. (2010, 2014) were able to apply separate DG and CA3 labels using a fully automated segmentation technique, we believe that the higher field strength afforded at 7 T as well as our higher resolution structural and EPI scans likely made this discrimination more precise both anatomically and functionally.
Limited data on the functional significance of hippocampal area CA2 also illustrate the need for better resolution in the hippocampus in human fMRI. Once believed to be a transitional zone between CA1 and CA3, rodent data suggest unique molecular characteristics for the CA2 field that imply a functional distinction from other CA regions (Mercer, Botcher, Eastlake, & Thomson, 2012; Zhao, Choi, Obrietan, & Dudek, 2007). Although the CA2 region has been suggested to mediate hippocampal-dependent memory through its synaptic connections between CA1 and CA3 (Chevaleyre & Siegelbaum, 2010), there is evidence for disproportionate atrophy in CA2 in schizophrenia (Benes, Kwok, Vincent, & Todtenkopf, 1998) and relative sparing in temporal lobe epilepsy (Sloviter, 1983). Thus, localizing BOLD activation separately to the hippocampal regions CA2, CA3, or the DG would be an advance for in-vivo investigations of the human hippocampus with regards to understanding memory processes per se as well as the state and progression of neurological diseases.
In the current study, we combined 7-T MRI and fMRI with cortical unfolding analyses (Suthana et al., 2011; Zeineh et al., 2003; Zeineh, Engel, Thompson, & Bookheimer, 2001) to create 2-D maps yielding in-plane resolutions of 0.35 mm (structural) and 1.0 mm (functional). Additionally, in a complementary analysis, we created 3-D ROIs from which percent signal changes in BOLD activation were measured. These techniques enabled us to measure BOLD signal changes in separate subfields of the hippocampus (CA1, CA2, CA3, and DG) and adjacent medial-temporal lobe (MTL) regions during a hippocampal-dependent paired-associates memory task. We tested the hypothesis that learning-related activity would be localized to the anterior CA3 subfield based on computational models indicating engagement of CA3 in the successful formation of new associations (Treves & Rolls, 1994; Marr, 1971) and previous findings of encoding-related activity within the anterior hippocampus (Prince, Daselaar, & Cabeza, 2005; Schacter & Wagner, 1999), whereas we expected retrieval-related activity in the posterior subiculum based on previous data demonstrating activation in this area during memory retrieval (Eldridge et al., 2005; Zeineh et al., 2003).
Subjects in the current study were 14 (seven women) right-handed (mean age ± SE = 24.7 ± 0.73; range = 19–29) participants with no history of neurological disease. Six participants were excluded (out of a total of 20) from the analysis because of excessive relative head motion (four participants excluded) or failure to complete the behavioral task (two participants excluded). For calculating head motion in structural scans, we estimated, according to Gedamu, Collins, and Arnold (2008), the ratio of two ROIs (one in the phase encoding direction and one in the read direction) of the image. Participants with a ratio of greater than 2 for structural scans and a relative motion of greater than 3 mm in the fMRI data were excluded. The study was performed at the Max Planck Institute for Human Cognitive and Brain Sciences in Leipzig, Germany, under the Max Planck Institute and University of California, Los Angeles Institutional Review Board testing protocols and approved by the University of California, Los Angeles Human Subjects Protection Committee. All participants gave written informed consent to participate in this study.
Participants learned (encoded) and recalled (retrieved) unrelated novel pairs of face–name, word–word, and object–object associations during fMRI scanning (Figure 1A). The task consisted of six blocks of alternating encoding and retrieval separated by a control (baseline) condition (Figure 1). During the encoding blocks, participants saw the same 12 pairs of unrelated associations visually shown on the screen (4 face–name, 4 word–word, 4 object–object) and were instructed to learn the associated pairs. During encoding, face–name and object–object visual pairs were each presented on the screen for duration of 3 sec. Word–word pairs were also presented visually for a total of 3 sec with 1.5-sec duration for each word. During recall of pairs, the first item of the pair was presented visually as the cue for subsequent recall of the associated learned item. We used varying types of associations to look at MTL involvement during associative learning more generally. Previous studies examining specific types of associative learning separately (i.e., face–name, word–word, or object–object) have already shown CA23DG to be involved during all three types of learning (Suthana et al., 2010; Eldridge et al., 2005; Zeineh et al., 2003). In this study, we were interested in determining which CA field would be recruited during associative learning in general. Immediately following each encoding block, participants completed a baseline control task in which they were instructed to fixate on a symbol (“+” or “o”) centered on the screen and press a button each time it changed. We chose this baseline to provide a more accurate and active baseline level; higher cognitive nonmnemonic baselines have been shown to activate the hippocampus to a lesser extent than simple fixation (Stark & Squire, 2001). Immediately following the 30-sec baseline condition, participants completed the retrieval block in which they saw the first item of the pair and were asked whether or not they were able to silently recall the second associated item. The participant pressed one of two keys corresponding to successful recall or unsuccessful recall. To prevent head motion while scanning, participants were asked to silently recall the second item of the pair but were then immediately tested again verbally in the scanner following the final block of the task to ensure accurate recall. Before the scanning session, all participants completed an identical task using alternate pairs to ensure normal memory performance levels and to familiarize them with the task.
During fMRI acquisition, word pairs were presented visually using a projection screen from a PC (Windows XP) computer using Presentation software (Neurobehavioral Systems, Inc., San Francisco, CA). Key presses were recorded for behavioral analysis.
Using a 7-T Siemens MR scanner (Siemens Healthcare Sector, Erlangen, Germany) with a 24-channel head coil (Nova Medical, Wilmington, MA), we acquired turbo spin echo images (hippocampal high-resolution [HHR] structural scan, matrix size = 640 × 640, repetition time (TR) = 4800 msec, echo time (TE) = 22 msec, 21 slices without gap, voxel size = 0.35 × 0.35 × 2.0 mm) and EPIs with zoomed GRAPPA (Heidemann et al., 2012; HHR functional scan, matrix size of 200 × 200, TR = 3000 msec, TE = 19 msec, 21 slices without gap, field of view = 200 mm, total acceleration factor = 3.33, voxel size = 1.0 × 1.0 × 2.0 mm). To register the EPI images to the HHR structural scan, we used a structural scan with matched resolution to the functional ([HHR coplanar scan]; matrix size 192 × 192, TR = 5930 msec, TE = 20 msec, 21 slices without gap, voxel size = 1.0 × 1.0 × 2.0 mm). For a list of scanning parameters, see Table 1. All of the images were acquired in the coronal oblique plane perpendicular to the long axis of the hippocampus (Figure 2) because of the homogeneity of the structure along the long axis but variability in-plane; thus, we maximized in-plane resolution.
|Parameter .||HHR Structural .||HHR Coplanar .||HHR Functional .|
|Number of slices||21||21||21|
|Slice thickness (mm)||2||2||2|
|Distance factor (%)||0||0||0|
|Phase encoding direction||F ≫ H||F ≫ H||F ≫ H|
|Field of View read||224||192||200|
|Field of View phase||100||100||90|
|Reference lines PE||32||32||41|
|Voxel size||0.35 × 0.35 × 2.0 mm||1.0 × 1.0 × 2.0 mm||1.0 × 1.0 × 2.0 mm|
|Echo spacing (msec)||21.8||20.1||1.2|
|Parameter .||HHR Structural .||HHR Coplanar .||HHR Functional .|
|Number of slices||21||21||21|
|Slice thickness (mm)||2||2||2|
|Distance factor (%)||0||0||0|
|Phase encoding direction||F ≫ H||F ≫ H||F ≫ H|
|Field of View read||224||192||200|
|Field of View phase||100||100||90|
|Reference lines PE||32||32||41|
|Voxel size||0.35 × 0.35 × 2.0 mm||1.0 × 1.0 × 2.0 mm||1.0 × 1.0 × 2.0 mm|
|Echo spacing (msec)||21.8||20.1||1.2|
The 3-D gray matter of hippocampal and adjacent MTL regions (Figure 3A) was created by manually segmenting the white matter and CSF and growing the gray matter area between these two segmented areas (Figure 4; Teo, Sapiro, & Wandell, 1997). To improve segmentation along the long axis of the hippocampus, the entire image (i.e., segmented CSF, gray and white matter) was interpolated by a factor of 6 across slices, yielding a final isotropic voxel size of 0.35 mm3 (Engel, Glover, & Wandell, 1997). We used an automated interpolation algorithm, which involved linear interpolation along the z axis, anisotropic curvature smoothing, thresholding, and 3-D rendering (Ekstrom et al., 2009). Then connected gray matter layers were grown out (Figure 4C, G) using a region expansion algorithm to cover all pixels defined as gray matter, resulting in a gray matter strip containing CA1, CA2, CA3, CA4/DG, subiculum, entorhinal cortex (ERC), perirhinal cortex (PRC), and parahippocampal cortex (PHC). To enable the computational algorithm to begin growing out layers in the DG/CA4 region, the thin sulcus between the DG and the CA fields (the stratum radiatum, stratum lacunosum moleculare, and vestigial hippocampal sulcus that does not have CSF) must be labeled with a white matter or CSF mask having a width of at least 1 voxel each. This step of labeling the region in this manner enables the application of the unfolding algorithm. Therefore, there could be a small amount of CSF (e.g., Figure 4D, bright signal) included in the white matter label (e.g., Figure 4E, blue). Yet, to apply the unfolding algorithm, white matter and CSF labels must be continuous masks without any voxels not belonging to the mask (e.g., a few CSF-labeled voxels within a white matter label), and thus, these regions would, for example, be labeled as white matter. The resulting volume of connected gray matter layers would then be computationally unfolded (Figure 3C) with an iterative algorithm based on metric multidimensional scaling, which flattens the entire MTL gray matter volume to 2-D space. The position of CA1, subiculum, ERC, PRC, and PHC on the 2-D map were found by mapping pixels from known points from the structural images (Figure 3B) using atlases by Duvernoy (2005) and Amaral and Insausti (2012), similar to previously published studies (Ekstrom et al., 2009; Suthana et al., 2009; Zeineh et al., 2003). The position of CA3 was determined based on the Duvernoy atlas (2005). Specifically, for posterior slices the border between CA3 and CA4/DG was determined by following the overlying boundary line between CA2 and CA4/DG downwards until hitting the hippocampal sulcus, thereby creating the rounded enclosed structure of the CA3/DG. For anterior slices, the border between CA3 and CA4/DG was placed by following the first overlying digitation of the hippocampal sulcus downwards to enclose the CA4/DG structure. With this segmentation procedure, anterior CA3 is fully enlarged because of inclusion of the white matter areas of the fimbria. For our fMRI results, inclusion of the fimbria would not present an issue because of the assumed absence of any BOLD signal originating from white matter areas. For the most two to three anterior slices, CA1 rather than the CA3 region dominated the hippocampal head as can be seen on the unfolded group map (Figure 7). Posterior CA3 demarcation was based on the Duvernoy atlas and other similar methods using high-resolution imaging (Wisse et al., 2012). Anterior and posterior CA2 demarcation was determined using two separate anterior and posterior sized rectangles across slices in between CA1 and CA3 similar to a virtual square used in a previous study (Wisse et al., 2012). The CA4 region has not been separable from the DG with human imaging methods used in vivo. However, the separate existence of the CA4 field is debatable and in most cases is no longer considered to be a separate part of the dentate itself (Amaral & Insausti, 2012). We therefore included it within an encompassing region together with the DG itself. Because of improvements in resolution, our current method now treats CA2, CA3, and DG as separate entities (CA2, CA3, DG). We also created anatomical ROIs by projecting the bounded regions from 2-D space to 3-D space and created separate mask ROI images. Initial boundary delineation was done in the 3-D image space, which was then projected into 2-D space. The gray matter strip (e.g., green area outlined in Figure 4C) was then broken up into regions according to these boundary lines and projected back into 3-D space. The separate segmented regions were then visually inspected and edited manually if needed. These regions included DG, CA3, CA2, CA1, subiculum, ERC, PRC, and PHC and can be seen in an example participant's MRI (Figure 5).
Functional Imaging and Statistical Analysis
To investigate differences in overall activity in contrasts of interest, fMRI analysis was completed using the FEAT (fMRI Expert Analysis Tool, version 5.98) tool of FMRIB Software Analysis (FSL version 4.0, www.fmrib.ox.ac.uk/fsl). Preprocessing included skull stripping, retrospective head motion correction, and image quality analysis before the data were entered into statistical analysis. Motion correction to the medial volume was applied to functional images using MCFLIRT (FMRIB's motion correction linear image registration tool; Jenkinson, Bannister, Brady, & Smith, 2002); a normalized correlation ratio cost function and linear interpolation was used. Skulls were removed from brain images using BET (brain extraction tool; Smith et al., 2002). Spatial smoothing was applied to images using a Gaussian kernel of FWHM at 2 mm across subregional boundaries for our ROI analysis and within subregional boundaries for unfolding analyses. However, because smoothing did not change our overall results, we present ROI results and example fMRI data using unsmoothed data. Images were high-pass temporal filtered using a Gaussian-weighted least-squares straight-line fitting (sigma = 100.0 sec). High-resolution functional images were aligned using FLIRT (FMRIB's Linear Image Registration Tool) to high-resolution coplanar images with a rigid-body transformation with 6 degrees of freedom. The high-resolution coplanar images were then registered to the participant's high-resolution structural images with 6 degrees of freedom. For all participants, registration was improved by using a weighted mask of each individual participants' MTL regions to optimize FLIRT registration to these structures. To do this, we created a mask of bilateral MTL regions for each individual participant and used these images as a reference volume to weight each individual's registration allowing for focused registration of MTL regions. We also manually checked each participants' registration using landmarks visible on both structural and functional images (e.g., blood vessels). FILM (FMRIB's improved linear model) with local autocorrelation correction (Woolrich, Ripley, Brady, & Smith, 2001) was used for all time-series statistical analysis. To create regressors of interest, a delta function with trial onset times was convolved with a canonical (double gamma) hemodynamic response function, along with the temporal derivative. Before the ROI analysis only, a cluster corrected threshold at Z > 2.3 and p < .05 was applied to all contrasts of interest. Contrasts of interests included Learn versus Baseline, Learn versus Recall, Recall versus Baseline, and Recall versus Learn. For the Learn versus Recall contrast, we were interested in looking at areas of significant BOLD activation that were greater during learning compared with recall. Conversely, for the Recall versus Learn contrast, we were interested in areas of BOLD activation that were significantly greater during the recall compared with the learn condition.
Each participant's individual high-resolution functional activations were warped into an unfolded 2-D group template, which was created based on the individual participant anatomical images and boundaries. For each voxel, the fit between each individual participant's activation (e.g., beta values) for contrasts of interest were then compared across participants using a mixed-effects t test (t ≥ 2.3, p < .05, cluster corrected). See Ekstrom et al. (2009), Zeineh et al. (2001), and Thompson, Woods, Mega, and Toga (2000) for details on these methods.
A priori, anatomical ROIs were defined in 2-D space and then projected into 3-D space (Figure 5) using reverse transformation parameters that were used for projecting 3-D to 2-D (Ekstrom, 2010). Masks for each ROI were created using the demarcated boundaries that were drawn in 3-D space. Using the 3-D ROI anatomical masks, FSL Featquery (FEAT version 5.98) was then used to calculate the average percent signal change within each ROI. A two (condition) by seven (region) repeated-measures ANOVA was conducted to compare the effect of condition on percent signal change during learning compared with baseline and recall compared with baseline. Percent signal change was also computed for the six blocks of the task separately for CA3 and subiculum. For the ROI analysis, post hoc t-test comparisons were made only if global ANOVA indicated a statistically significant (p < .05) effect of condition (learn vs. baseline and recall vs. baseline).
Participants successfully learned and recalled novel unrelated paired associates (n = 14, percent correct: mean ± SEM, 89.09 ± 3.08; Figure 6) during the hippocampal-dependent memory task (Figure 1). Performance increased across blocks of the task, F(5, 65) = 43.322; p < .001. Figure 3C shows an example of a flat map of an individual's right MTL regions. The 3-D ROIs generated from the flat maps are shown on anterior (Figure 5A–D) and posterior (Figure 5E–H) coronal images showing the hippocampus (Figure 5, CA4DG [red], CA3 [orange], CA2 [yellow], CA1 [light blue], subiculum [green]) and adjacent MTL regions (Figure 5, ERC [blue], PRC [brown] and Figure 5D, PHC [pink]).
A voxel-wise analysis (Figure 7) across participants showed significant areas of activation within hippocampal subfields during learning versus recall of unrelated paired associates. Specifically, activation during learning was significantly higher compared with recall within the anterior hippocampal CA2 and CA3 subfields. In contrast, we found significant clusters of activation within posterior bilateral CA2 and subiculum during recall compared with learning. For an example participant's significant BOLD activations (learning and recall compared with baseline) superimposed onto their fMRI image see Figure 8.
As a complementary analysis, we also created 3-D ROIs and calculated percent signal change during learning and recall compared with baseline separately during blocks 1–3 where most learning occurred (Figure 9). A repeated-measures ANOVA demonstrated a significant effect of Condition (Learn vs. Baseline, Recall vs. Baseline) on percent signal change, F(1, 83) = 5.37, p < .05. Post hoc comparisons showed a significant increase in BOLD activation during learning within the CA3 (Learn > Baseline, t(13) = 3.39; p < .05), CA2 (Learn > Baseline, t(13) = 2.72; p < .05), subiculum (Learn > Baseline, t(13) = 2.21; p < .05), and PHC (Learn > Baseline, t(13) = 3.27; p < .05). Furthermore, we found significantly higher activation during learning compared with recall in the hippocampal CA3 region (Learn > Recall, t(13) = 2.3; p < .05) consistent with our voxel-wise analysis (Figure 7). Consistent with previous findings within the CA23DG region (Zeineh et al., 2003), encoding-related activity within the CA3 decreased across learning blocks, F(1, 83) = 2.32, p < .05 (Figure 10A). Our results also show a trend for decreasing subicular activation during learning, F(1, 83) = 2.23, p = .053 (Figure 10B), which is consistent with prior findings (Preston et al., 2010; Zeineh et al., 2003). However, subicular BOLD activation in some of these studies was significantly greater during recall compared with learning (Suthana et al., 2009, 2011; Zeineh et al., 2003). In the current study, we found a significant increase in BOLD activation within the posterior subiculum during recall (Recall > Baseline, t(13) = 3.73; p < .05) and a trend for activation higher during recall compared with learning (Recall > Learn, t(13) = 1.26; p = .19) with a decrease across learning blocks (Figure 10B). There was a significant increase in BOLD activation within the PHC (Figure 11) during learning and recall separately compared with baseline (Learn > Baseline, t(13) = 2.55; p < .05; Recall > Baseline, t(13) = 3.41; p < .05). However, there were no significant differences between learning and recall in any other CA fields (DG, CA1, and CA2) or extrahippocampal ROIs (ERC, PRC, and PHC; Figure 11). A higher signal dropout associated with large susceptibility variations nearby extrahippocampal ROIs, however, make it challenging to reliably detect BOLD activation changes within anterior fusiform and PRCs.
We present data from high-resolution in vivo fMRI of human hippocampal subfields acquired at 7 T. Utilizing a paired-associates task (Eldridge et al., 2005; Zeineh et al., 2003), we show that BOLD activation during learning reflects activity generated from the anterior CA3 and the anterior CA2 subfield, whereas BOLD activation during recall reflects activity from the posterior CA2 field, the CA1, and the posterior subiculum. Prior fMRI studies have consistently found activation in a combined CA23DG region during learning and in the subiculum during recall (Suthana et al., 2011; Carr, Viskontas, Engel, & Knowlton, 2010; Viskontas, Carr, Engel, & Knowlton, 2009; Eldridge et al., 2005; Zeineh et al., 2003). However, extracting BOLD signal changes from the DG and the CA2–CA3 separately was not possible in these past fMRI studies. More recently, Bonnici and colleagues (2012) combined MVPA and high-resolution fMRI to demonstrate differential patterns of activation in participants discriminating between scenes under perceptual certainty versus ambiguity in hippocampal CA3 and DG subfields. Specifically, pattern classifiers in all hippocampal subfields were similarly effective under perceptual certainty, but under perceptual ambiguity, classification was superior for CA3 and CA1 compared with other regions. Because of scanning resolution limits, the authors were unable to distinguish CA3 and CA2. Because we collected functional data at 7 T, we were able to distinguish these regions and reveal a differential engagement of these regions in encoding and retrieval. Furthermore, we were able to demonstrate different patterns of activation for encoding and retrieval across the anterior–posterior axis of region CA2.
Our data demonstrate that high-resolution fMRI at 7 T can be used to investigate theories of human hippocampal subfield functional established using computational or animal models. Rodent electrophysiology and modeling studies suggest that the CA3 subfield, given its recurrent collateral connectivity, is optimized to encode novel associative information coming in from the ERC (Rolls & Kesner, 2006; Marr, 1971). Human fMRI studies have shown that the combined DG/CA2/CA3 region may be preferentially implicated in pattern separation, illustrating its substantial susceptibility to novel stimuli (Stokes et al., 2015; Azab et al., 2014; Carr, Rissman, et al., 2010; Bakker et al., 2008). In the current study, using an associative learning procedure, we found learning-related activity within the CA3 area but not DG. These results are consistent with models suggesting that region CA3 is an autoassociative network that play a role in binding (Treves & Rolls, 1994; Marr, 1971). Our lack of learning-related activation in DG is possibly because of the sparse firing properties of the human DG subfield. It may also be that our associative learning task did not require pattern separation processes that may come into play in tasks in which highly similar items must be orthogonalized.
We found activation in different CA2 regions during learning and recall. The CA2 field of the hippocampus is a small zone connecting CA3 and CA1; the activity we measure in CA2 may reflect CA3 synaptic BOLD activity given that the hippocampal BOLD fMRI signal has been shown to more strongly correlate with synaptic activity rather than intrinsic firing rate changes per se (Ekstrom, 2010). Greater sensitivity to BOLD signal changes at 7-T field strength when compared with 3 T (Theysohn et al., 2013) may enhance the detection of brain activity within smaller hippocampal regions such as CA2. Interestingly, the association of anterior CA2 with learning and posterior CA2 with retrieval as seen in our data is consistent with the idea of an encoding/retrieval gradient along the longitudinal axis of the hippocampus that has been reported in associative memory (Prince et al., 2005). It may be that this gradient reflects differences in function of CA3 output in anterior and posterior hippocampus.
There are a growing number of studies investigating human hippocampal subfield functioning during learning and memory and there is some variability in BOLD signal findings across studies. This may reflect technological advances that allow the possibility of detecting neural activity in a small region's functionally heterogeneous substructures. Differential hippocampal subfield activity also could be modulated by factors such as the motivational context (Wolosin, Zeithamova, & Preston, 2013) or goal states, for example, whether the participants' attention is specifically directed to item distinctiveness or similarity (Carr, Engel, & Knowlton, 2013). Such top–down factors may have major influence on the engagement of circuits within the hippocampus.
Our findings are also consistent with prior studies with respect to subicular activation during recall of previously learned paired associates (Suthana et al., 2011; Eldridge et al., 2005; Zeineh et al., 2003). Although these studies found higher subiculum activation during recall compared with learning, they also showed some subicular activation during learning alone (Preston et al., 2010; Zeineh et al., 2003). Here, we also found increased activation within the subiculum during both learning and recall, with a trend leaning toward higher activation during recall, not inconsistent with prior findings. We also found that CA3, which showed learning-related changes, did show decreases in learning-related activation across blocks, corresponding to less new learning occurring. We also found that retrieval-related activation in the posterior subiculum increased from learning to recall blocks, corresponding to increasing retrieval success across learning blocks. As the primary output of the hippocampus, the subiculum may show particularly high levels of activity after successful retrieval involving engagement of the trisynaptic hippocampal circuit.
In addition to high-resolution fMRI data collection, measuring BOLD activation in separate hippocampal subfields requires innovative data analyses techniques. We used two independent approaches: a cortical unfolding approach and an ROI approach both used in previous high-resolution hippocampal studies (Suthana et al., 2009; Zeineh et al., 2003). Cortical unfolding has been used on the hippocampus to computationally unfold the small and highly convoluted subfields into a flattened map and analyze them in 2-D, both using voxel-wise and ROI comparisons. Flat maps visualize the entire hippocampus and adjacent MTL regions on one single image, allowing for the viewing of complex patterns of increasing and decreasing activation within and across slices that are otherwise not fully discernable or may be masked using an ROI approach. For example, there are combinations of positive and negative activations during spatial navigation (Suthana et al., 2009, 2011; Shipman & Astur, 2008; Aguirre, Detre, Alsop, & D'Esposito, 1996) and reproducible anterior/posterior distinctions along the MTL (Suthana et al., 2011; Zeineh et al., 2003) that are easily viewable on the flattened image. Flat maps also allow greater resolution through interpolation of the consistent long-axis structure of the hippocampus. Furthermore, unlike an ROI analysis, the unfolding technique is not necessarily dependent on subregional boundary placement because activity is visualized altogether with boundaries superimposed onto one map. Additionally, the cortical unfolding technique allows for specific measurements of cortical thickness in all subfields separately, which has been shown to be more sensitive than standard volumetry in detecting early changes associated with genetic risk for Alzheimer's disease (Donix et al., 2010; Burggren et al., 2008). Flat maps have also been used to provide an overall picture of structural patterns of hippocampal electrode placement across patients with temporal-lobe epilepsy (Ekstrom et al., 2008).
One challenge with any transformation of data, such as from 3-D to 2-D, is that clusters that span the medial-lateral axis may be separated when flattened. Here, the statistical thresholding of individual beta-weight values generated for each voxel before mapping to 2-D is performed after the unfolding procedure is complete. Thus clusters crossing subregional boundaries in the original 3-D format will not be maintained. However, we also present the alternative and complementary 3-D analysis of our results using a ROI-based approach, which extracts percent signal change at each voxel and then altogether averaged across an ROI. Our ROI-based results are consistent with our flat mapping voxel-wise results showing activation differences between learning and recall conditions within hippocampal subfields CA2, CA3, and subiculum. We do see clusters of significant activation within the CA1 and CA2 region during recall that is not reflected in our ROI analysis. However, it is possible that this activation is masked when averaging across the entire anatomical regions. Thus, because ROI analyses can themselves suffer from masking out subtle areas of significant activation because of the averaging across an entire anatomical ROI, future studies are likely to benefit from the use of both unfolding or voxel-wise and ROI-based methods.
Previously, at 3-T, high-resolution fMRI scans provided resolution ranging from 1.5 to 1.6 mm (Bonnici et al., 2012; Ekstrom et al., 2009; Kirwan, Jones, Miller, & Stark, 2007; Zeineh et al., 2000). At 7 T, with its much higher image SNR, we have improved our in-plane fMRI voxel size to 1.0 × 1.0 mm with a slice thickness of 2.0 mm. For many purposes and because of the highly convoluted structure of the human brain, isotropic voxels are beneficial for fMRI (e.g., Hyde, Biswal, & Jesmanowicz, 2001) because this implies no directional bias. Although our final interpolated resolution is isotropic, our raw data are not, so some discussion is warranted. Because the SNR is proportional to the voxel volume, a high spatial resolution in general results in a low SNR. To increase the BOLD contrast to noise ratio, which depends on the SNR, we decided to maximize the in-plane resolution at the cost of acquiring nonisotropic voxels with thicker slices. To minimize partial volume effects, we placed the slices orthogonal to the hippocampus. However, like for previous studies, which acquire images perpendicular to the plane of the hippocampus, increased B0 inhomogeneities in the temporal lobes may cause image distortions in phase encoding direction (Olman, Davachi, & Inati, 2009; Ojemann et al., 1997). Enhanced signal displacement along the superior–inferior axis (phase-encoding direction in our fMRI experiments), however, was attenuated by a combination of zooming and GRAPPA resulting in high acceleration factors and, hence, short EPI readouts. This can be appreciated in Figure 8. However, future high-resolution studies at 7 T using the current methodologies should additionally collect B0 maps to minimize distortion effects. We chose the oblique coronal acquisition direction on the grounds that the hippocampal structure is quite homogenous through plane, although variable in-plane. To accurately delineate boundaries between CA fields, in-plane resolution must be high enough for their anatomical boundaries to be clearly visualized. For example, the boundary between anterior CA1 and DG is better visible at higher in-plane resolutions. The choice of voxel dimensions will clearly depend on the objectives of the particular study.
The determination of boundaries between areas may be improved in the future, as it currently relies on visualization of MRI landmarks that reflect underlying cellular histology from postmortem studies. Current segmentation of MTL subfields is affected by variability across protocols. For example, the CA2/CA3 ROIs defined in our study may be larger than those in other protocols because white matter areas such as the fimbria are included. Nevertheless, this segmentation should not affect fMRI signals, which only reflect the gray matter areas of these subfields. In addition, a benefit to our computational unfolding approach is that it allows for visualization of the MTL regions altogether and does not suffer from segmentation biases. However, other approaches may also have advantages. Our previous studies have shown that if intrarater reliability for boundary demarcation is kept high (Burggren et al., 2008) and methods are kept consistent across different studies, errors resulting from manual MRI segmentation biases can be minimized. Wisse and colleagues (2012) demonstrated that 7-T MRI data allow manual segmentation of hippocampal CA fields with excellent interrater agreement, which highlights that high field strength improves this challenging task. Integration of data from myelin-stained (Geyer, Weiss, Reimann, Lohmann, & Turner, 2011) sections of postmortem hippocampus into probabilistic atlases may greatly improve the reliability of hippocampal subregional boundary determinations. Future studies may benefit from the combination of computational unfolding, ROI analysis, MVPA (Bonnici et al., 2012), histology-guided segmentation approaches (Adler et al., 2014), cytoarchitectural postmortem atlases (Yushkevich et al., 2009), high-field structural imaging (Zeineh et al., 2014; Mueller et al., 2007), and automated segmentation procedures (Yushkevich et al., 2010, 2015; Van Leemput et al., 2009) to provide a complete, accurate, and fast analysis of structural and functional imaging studies of human hippocampal subfields during normal memory and disorders such as Alzheimer's disease or temporal lobe epilepsy. Our results summarize our recent improvements in high-resolution imaging and computational unfolding methods of the human hippocampus in vivo. With these novel advancements, we are able to localize BOLD activation to separate hippocampal dentate and CA subfields. Our findings are consistent with animal and computational models implicating a crucial role for CA3 in learning. Overall, we believe that these techniques will improve investigations of hippocampal subfield characteristics associated with learning, memory, and neurodegenerative processes affecting hippocampal circuitry.
This work was supported by NIMH T90 431587-BH-29793 and NSF GK-12 0742410. We thank Domenica Wilfling, Elizabeth Wladimirow, and Enrico Reimer for their help in subject recruitment, data management, and study coordination. Finally, we also thank all of the participants for their participation in this study.
Reprint requests should be sent to Dr. Susan Y. Bookheimer, Center for Cognitive Neuroscience, Semel Institute, University of California, Los Angeles, 760 Westwood Plaza, Suite C8-881, Los Angeles, CA 90095-7039, or via e-mail: email@example.com.
Dr. Suthana and Dr. Donix contributed equally to this article.