It is now accepted that hippocampal lesions impair episodic memory. However
, the precise functional role of the hippocampus in episodic memory remains
elusive, Recent functional imaging data implicate the hippocampus in proce
ssing novelty, a finding supported by human in vivo recordings and event-re
lated potential studies. Here we measure hippocampal responses to novelty,
using functional MRI (fMRI), during an item-learning paradigm generated fro
m an artificial grammar system. During learning, two distinct types of nove
lty were periodically introduced: perceptual novelty, pertaining to the phy
sical characteristics of stimuli tin this case visual characteristics), and
exemplar novelty, reflecting semantic characteristics of stimuli tin this
case grammatical status within a rule system). We demonstrate a left anteri
or hippocampal response to both types of novelty and adaptation of these re
sponses with stimulus familiarity. By contrast to these novelty effects, we
also show bilateral posterior hippocampal responses with increasing exempl
ar familiarity. These results suggest a functional dissociation within the
hippocampus with respect to the relative familiarity of study items. Neural
responses in anterior hippocampus index generic novelty, whereas posterior
hippocampal responses index familiarity to stimuli that have behavioral re
levance (i.e., only exemplar familiarity). These findings add to recent evi
dence for functional segregation within the human hippocampus during learni
ng.