We used positron emission tomography to investigate brain activity in respo
nse to hearing or reading nouns of varying imageability. Three experiments
were performed. Activity increased with noun imageability in the left mid-f
usiform gyrus, the lateral parahippocampal area in humans, and in the rostr
al medial temporal lobes close to or within perirhinal cortex. The left mid
-fusiform activation has been observed in previous imaging studies of singl
e word processing. Its functional significance was variously attributed to
semantic processing, visual imagery, encoding episodic memories, or the int
egration of lexical inputs from different sensory modalities. These hypothe
ses are not mutually exclusive. The more rostral medial lobe response to no
un imageability has not been observed previously. However, lesions in perir
hinal cortex impair knowledge about objects in nonhuman primates, and bilat
eral rostral ventromedial temporal lobe potentials in response to object no
uns were observed with human intracranial recordings. Imageable (object) no
uns are learnt with reference to sensory experiences of living and non-livi
ng objects, whereas acquisition of the meaning of low imageable (abstract)
nouns is more dependent on their context within sentences. Parahippocampal
and perirhinal cortices are reciprocally connected with, respectively, seco
nd and third order sensory association cortices. We conclude that access to
the representations of word meaning is dependent on heteromodal temporal l
obe cortex, and that during the acquisition of object nouns one route is es
tablished through ventromedial temporal cortical regions that have reciproc
al connections with all sensory association cortices. (C) 2000 Elsevier Sci
ence Ltd. All rights reserved.