Increased task-dependent functional connectivity by stimulation of the hippocampal network predicts memory enhancement
Successful episodic memory involves dynamic increases in the coordination of activity across distributed hippocampal networks, including the posterior-medial network (PMN) and the anterior-temporal network (ATN). We tested whether this up-regulation of functional connectivity during memory processing can be enhanced within hippocampal networks by noninvasive stimulation, and whether such task-dependent connectivity enhancement predicts episodic memory improvement. Participants received stimulation targeting either the PMN or an out-of-network control location. We compared the effects of stimulation on fMRI connectivity measured during an autobiographical memory retrieval task versus during rest within the PMN and the ATN. PMN-targeted stimulation significantly increased connectivity during memory retrieval versus rest within the PMN. This effect was not observed in the ATN, or in either network due to control out-of-network stimulation. Task-dependent increases in connectivity due to PMN-targeted stimulation within the medial temporal lobe predicted improved performance of a separate episodic memory test. It is therefore possible to enhance the task-dependent regulation of hippocampal network connectivity that supports memory processing using noninvasive stimulation.