1
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De Groote E, Carlyon RP, Deeks JM, Macherey O. Effects of selective stimulation of apical electrodes on temporal pitch perception by cochlear implant recipients. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2024; 156:2060-2076. [PMID: 39345135 PMCID: PMC11444735 DOI: 10.1121/10.0029023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 09/04/2024] [Accepted: 09/05/2024] [Indexed: 10/01/2024]
Abstract
This study investigated whether selective apical stimulation improves temporal pitch perception in eight MED-EL cochlear implant recipients and whether any such improvement relates to auditory-nerve survival. Three stimulation conditions differing in the place and width of excitation were evaluated: single-electrode stimulation of (i) the most apical, (ii) a mid-array electrode, and (iii) multi-electrode stimulation of the four most apical electrodes. Stimulation-current-induced non-stimulating electrode voltages were recorded to identify extracochlear electrodes and gauge insertion depth. The pitches of the four most apical electrodes were compared using place-pitch ranking. Rate-pitch ranking was assessed between 80 and 981 pulses per second for the three stimulation conditions, to estimate the "upper limit" of temporal pitch. Single-electrode apical stimulation did not increase the upper limit relative to other conditions. The polarity effect (PE), defined as the difference between thresholds obtained for triphasic pulse trains with their central high-amplitude phase either anodic or cathodic, was obtained to evaluate peripheral neural health. The PE did not differ between apical and mid-array stimulation or correlate with the upper limit. In conclusion, we found no improvement of temporal pitch perception with single-electrode apical stimulation, and discuss possible explanations for this observation.
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Affiliation(s)
- Evelien De Groote
- Cambridge Hearing Group, Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, CB2 7EF, United Kingdom
| | - Robert P Carlyon
- Cambridge Hearing Group, Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, CB2 7EF, United Kingdom
| | - John M Deeks
- Cambridge Hearing Group, Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, CB2 7EF, United Kingdom
| | - Olivier Macherey
- Aix Marseille Université, Centre National de la Recherche Scientifique, Centrale Méditerranée, Laboratoire de Mécanique et d'Acoustique, Centre National de la Recherche Scientifique, Aix Marseille Université, Marseille, 13453 Cedex 13, France
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2
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Aldag N, Nogueira W. Psychoacoustic and electroencephalographic responses to changes in amplitude modulation depth and frequency in relation to speech recognition in cochlear implantees. Sci Rep 2024; 14:8181. [PMID: 38589483 PMCID: PMC11002021 DOI: 10.1038/s41598-024-58225-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 03/26/2024] [Indexed: 04/10/2024] Open
Abstract
Temporal envelope modulations (TEMs) are one of the most important features that cochlear implant (CI) users rely on to understand speech. Electroencephalographic assessment of TEM encoding could help clinicians to predict speech recognition more objectively, even in patients unable to provide active feedback. The acoustic change complex (ACC) and the auditory steady-state response (ASSR) evoked by low-frequency amplitude-modulated pulse trains can be used to assess TEM encoding with electrical stimulation of individual CI electrodes. In this study, we focused on amplitude modulation detection (AMD) and amplitude modulation frequency discrimination (AMFD) with stimulation of a basal versus an apical electrode. In twelve adult CI users, we (a) assessed behavioral AMFD thresholds and (b) recorded cortical auditory evoked potentials (CAEPs), AMD-ACC, AMFD-ACC, and ASSR in a combined 3-stimulus paradigm. We found that the electrophysiological responses were significantly higher for apical than for basal stimulation. Peak amplitudes of AMFD-ACC were small and (therefore) did not correlate with speech-in-noise recognition. We found significant correlations between speech-in-noise recognition and (a) behavioral AMFD thresholds and (b) AMD-ACC peak amplitudes. AMD and AMFD hold potential to develop a clinically applicable tool for assessing TEM encoding to predict speech recognition in CI users.
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Affiliation(s)
- Nina Aldag
- Department of Otolaryngology, Hannover Medical School and Cluster of Excellence 'Hearing4all', Hanover, Germany
| | - Waldo Nogueira
- Department of Otolaryngology, Hannover Medical School and Cluster of Excellence 'Hearing4all', Hanover, Germany.
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3
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Gransier R, Carlyon RP, Richardson ML, Middlebrooks JC, Wouters J. Artifact removal by template subtraction enables recordings of the frequency following response in cochlear-implant users. Sci Rep 2024; 14:6158. [PMID: 38486005 PMCID: PMC10940306 DOI: 10.1038/s41598-024-56047-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 03/01/2024] [Indexed: 03/18/2024] Open
Abstract
Electrically evoked frequency-following responses (eFFRs) provide insight in the phase-locking ability of brainstem of cochlear-implant (CI) users. eFFRs can potentially be used to gain insight in the individual differences in the biological limitation on temporal encoding of the electrically stimulated auditory pathway, which can be inherent to the electrical stimulation itself and/or the degenerative processes associated with hearing loss. One of the major challenge of measuring eFFRs in CI users is the process of isolating the stimulation artifact from the neural response, as both the response and the artifact overlap in time and have similar frequency characteristics. Here we introduce a new artifact removal method based on template subtraction that successfully removes the stimulation artifacts from the recordings when CI users are stimulated with pulse trains from 128 to 300 pulses per second in a monopolar configuration. Our results show that, although artifact removal was successful in all CI users, the phase-locking ability of the brainstem to the different pulse rates, as assessed with the eFFR differed substantially across participants. These results show that the eFFR can be measured, free from artifacts, in CI users and that they can be used to gain insight in individual differences in temporal processing of the electrically stimulated auditory pathway.
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Affiliation(s)
- Robin Gransier
- ExpORL, Department of Neurosciences, Leuven Brain Institute, KU Leuven, Leuven, Belgium
| | - Robert P Carlyon
- Cambridge Hearing Group, MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - Matthew L Richardson
- Department of Otolaryngology, University of California at Irvine, Irvine, CA, USA
- Center for Hearing Research, University of California at Irvine, Irvine, CA, USA
| | - John C Middlebrooks
- Department of Otolaryngology, University of California at Irvine, Irvine, CA, USA
- Center for Hearing Research, University of California at Irvine, Irvine, CA, USA
- Departments of Neurobiology and Behavior, Biomedical Engineering, Cognitive Sciences, University of California at Irvine, Irvine, CA, USA
| | - Jan Wouters
- ExpORL, Department of Neurosciences, Leuven Brain Institute, KU Leuven, Leuven, Belgium.
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4
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Lindenbeck MJ, Majdak P, Srinivasan S, Laback B. Pitch discrimination in electric hearing with inconsistent and consistent amplitude-modulation and inter-pulse rate cues. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2023; 153:3268. [PMID: 37307025 PMCID: PMC10264086 DOI: 10.1121/10.0019452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 04/28/2023] [Accepted: 05/01/2023] [Indexed: 06/13/2023]
Abstract
Users of cochlear implants (CIs) struggle in situations that require selective hearing to focus on a target source while ignoring other sources. One major reason for that is the limited access to timing cues such as temporal pitch or interaural time differences (ITDs). Various approaches to improve timing-cue sensitivity while maintaining speech understanding have been proposed, among them inserting extra pulses with short inter-pulse intervals (SIPIs) into amplitude-modulated (AM) high-rate pulse trains. Indeed, SIPI rates matching the naturally occurring AM rates improve pitch discrimination. For ITD, however, low SIPI rates are required, potentially mismatching the naturally occurring AM rates and thus creating unknown pitch effects. In this study, we investigated the perceptual contribution of AM and SIPI rate to pitch discrimination in five CI listeners and with two AM depths (0.1 and 0.5). Our results show that the SIPI-rate cue generally dominated the percept for both consistent and inconsistent cues. When tested with inconsistent cues, also the AM rate contributed, however, at the large AM depth only. These findings have implications when aiming at jointly improving temporal-pitch and ITD sensitivity in a future mixed-rate stimulation approach.
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Affiliation(s)
- Martin J Lindenbeck
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, A-1040 Vienna, Austria
| | - Piotr Majdak
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, A-1040 Vienna, Austria
| | - Sridhar Srinivasan
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, A-1040 Vienna, Austria
| | - Bernhard Laback
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, A-1040 Vienna, Austria
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5
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Guérit F, Harland AJ, Richardson ML, Gransier R, Middlebrooks JC, Wouters J, Carlyon RP. Electrophysiological and Psychophysical Measures of Temporal Pitch Sensitivity in Normal-hearing Listeners. J Assoc Res Otolaryngol 2023; 24:47-65. [PMID: 36471208 PMCID: PMC9971391 DOI: 10.1007/s10162-022-00879-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 11/17/2022] [Indexed: 12/12/2022] Open
Abstract
To obtain combined behavioural and electrophysiological measures of pitch perception, we presented harmonic complexes, bandpass filtered to contain only high-numbered harmonics, to normal-hearing listeners. These stimuli resemble bandlimited pulse trains and convey pitch using a purely temporal code. A core set of conditions consisted of six stimuli with baseline pulse rates of 94, 188 and 280 pps, filtered into a HIGH (3365-4755 Hz) or VHIGH (7800-10,800 Hz) region, alternating with a 36% higher pulse rate. Brainstem and cortical processing were measured using the frequency following response (FFR) and auditory change complex (ACC), respectively. Behavioural rate change difference limens (DLs) were measured by requiring participants to discriminate between a stimulus that changed rate twice (up-down or down-up) during its 750-ms presentation from a constant-rate pulse train. FFRs revealed robust brainstem phase locking whose amplitude decreased with increasing rate. Moderate-sized but reliable ACCs were obtained in response to changes in purely temporal pitch and, like the psychophysical DLs, did not depend consistently on the direction of rate change or on the pulse rate for baseline rates between 94 and 280 pps. ACCs were larger and DLs lower for stimuli in the HIGH than in the VHGH region. We argue that the ACC may be a useful surrogate for behavioural measures of rate discrimination, both for normal-hearing listeners and for cochlear-implant users. We also showed that rate DLs increased markedly when the baseline rate was reduced to 48 pps, and compared the behavioural and electrophysiological findings to recent cat data obtained with similar stimuli and methods.
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Affiliation(s)
- François Guérit
- Cambridge Hearing Group, MRC Cognition & Brain Sciences Unit, University of Cambridge, Cambridge, England
| | - Andrew J Harland
- Cambridge Hearing Group, MRC Cognition & Brain Sciences Unit, University of Cambridge, Cambridge, England
| | - Matthew L Richardson
- Department of Otolaryngology, University of California at Irvine, Irvine, CA, USA
| | | | - John C Middlebrooks
- Department of Otolaryngology, University of California at Irvine, Irvine, CA, USA
- Department of Neurobiology and Behavior, University of California at Irvine, Irvine, CA, USA
- Department of Cognitive Sciences, University o f California at Irvine, Irvine, CA, USA
- Department of Biomedical Engineering, University of California at Irvine, Irvine, CA, USA
| | - Jan Wouters
- Department of Neurosciences, ExpORL, Leuven, Belgium
| | - Robert P Carlyon
- Cambridge Hearing Group, MRC Cognition & Brain Sciences Unit, University of Cambridge, Cambridge, England.
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6
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Stahl P, Dang K, Vandersteen C, Guevara N, Clerc M, Gnansia D. Current distribution of distributed all-polar cochlear implant stimulation mode measured in-situ. PLoS One 2022; 17:e0275961. [PMID: 36315506 PMCID: PMC9621453 DOI: 10.1371/journal.pone.0275961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 09/27/2022] [Indexed: 11/06/2022] Open
Abstract
Oticon Medical cochlear implants use a stimulation mode called Distributed All-Polar (DAP) that connects all non-stimulating available intracochlear electrodes and an extracochlear reference electrode. It results in a complex distribution of current that is yet undescribed. The present study aims at providing a first characterization of this current distribution. A Neuro Zti was modified to allow the measurement of current returning to each electrode during a DAP stimulation and was implanted in an ex-vivo human head. Maps of distributed current were then created for different stimulation conditions with different charge levels. Results show that, on average, about 20% of current returns to the extracochlear reference electrode, while the remaining 80% is distributed between intracochlear electrodes. The position of the stimulating electrode changed this ratio, and about 10% more current to the extracochlear return in case of the first 3 basal electrodes than for apical and mid position electrodes was observed. Increasing the charge level led to small but significant change in the ratio, and about 4% more current to the extracochlear return was measured when increasing the charge level from 11.7 to 70 nC. Further research is needed to show if DAP yields better speech understanding than other stimulation modes.
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Affiliation(s)
- Pierre Stahl
- Department of Research and Technology, Oticon Medical, Vallauris, France
- * E-mail:
| | - Kai Dang
- Department of Research and Technology, Oticon Medical, Vallauris, France
- Athena Project Team, INRIA, Université Côte d’Azur, Nice, France
| | - Clair Vandersteen
- Head and Neck Surgery Institute, Nice University Hospital, Nice Cedex, France
| | - Nicolas Guevara
- Head and Neck Surgery Institute, Nice University Hospital, Nice Cedex, France
| | - Maureen Clerc
- Athena Project Team, INRIA, Université Côte d’Azur, Nice, France
| | - Dan Gnansia
- Department of Research and Technology, Oticon Medical, Vallauris, France
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7
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Richardson ML, Guérit F, Gransier R, Wouters J, Carlyon RP, Middlebrooks JC. Temporal Pitch Sensitivity in an Animal Model: Psychophysics and Scalp Recordings : Temporal Pitch Sensitivity in Cat. J Assoc Res Otolaryngol 2022; 23:491-512. [PMID: 35668206 PMCID: PMC9437162 DOI: 10.1007/s10162-022-00849-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 04/11/2022] [Indexed: 01/28/2023] Open
Abstract
Cochlear implant (CI) users show limited sensitivity to the temporal pitch conveyed by electric stimulation, contributing to impaired perception of music and of speech in noise. Neurophysiological studies in cats suggest that this limitation is due, in part, to poor transmission of the temporal fine structure (TFS) by the brainstem pathways that are activated by electrical cochlear stimulation. It remains unknown, however, how that neural limit might influence perception in the same animal model. For that reason, we developed non-invasive psychophysical and electrophysiological measures of temporal (i.e., non-spectral) pitch processing in the cat. Normal-hearing (NH) cats were presented with acoustic pulse trains consisting of band-limited harmonic complexes that simulated CI stimulation of the basal cochlea while removing cochlear place-of-excitation cues. In the psychophysical procedure, trained cats detected changes from a base pulse rate to a higher pulse rate. In the scalp-recording procedure, the cortical-evoked acoustic change complex (ACC) and brainstem-generated frequency following response (FFR) were recorded simultaneously in sedated cats for pulse trains that alternated between the base and higher rates. The range of perceptual sensitivity to temporal pitch broadly resembled that of humans but was shifted to somewhat higher rates. The ACC largely paralleled these perceptual patterns, validating its use as an objective measure of temporal pitch sensitivity. The phase-locked FFR, in contrast, showed strong brainstem encoding for all tested pulse rates. These measures demonstrate the cat's perceptual sensitivity to pitch in the absence of cochlear-place cues and may be valuable for evaluating neural mechanisms of temporal pitch perception in the feline animal model of stimulation by a CI or novel auditory prostheses.
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Affiliation(s)
- Matthew L Richardson
- Department of Otolaryngology, Center for Hearing Research, University of California at Irvine, Irvine, CA, USA.
| | - François Guérit
- Cambridge Hearing Group, MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - Robin Gransier
- Department of Neurosciences, ExpORL, KU Leuven, Leuven, Belgium
| | - Jan Wouters
- Department of Neurosciences, ExpORL, KU Leuven, Leuven, Belgium
| | - Robert P Carlyon
- Cambridge Hearing Group, MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - John C Middlebrooks
- Department of Otolaryngology, Center for Hearing Research, University of California at Irvine, Irvine, CA, USA
- Departments of Neurobiology & Behavior, Biomedical Engineering, Cognitive Sciences, University of California at Irvine, Irvine, CA, USA
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8
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Landsberger DM, Stupak N, Spitzer ER, Entwisle L, Mahoney L, Waltzman SB, McMenomey S, Friedmann DR, Svirsky MA, Shapiro W, Roland JT. Stimulating the Cochlear Apex Without Longer Electrodes: Preliminary Results With a New Approach. Otol Neurotol 2022; 43:e578-e581. [PMID: 35283466 PMCID: PMC9149041 DOI: 10.1097/mao.0000000000003529] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To investigate a new surgical and signal processing technique that provides apical stimulation of the cochlea using a cochlear implant without extending the length of the electrode array. PATIENTS Three adult patients who underwent cochlear implantation using this new technique. INTERVENTIONS The patients received a cochlear implant. The surgery differed from the standard approach in that a ground electrode was placed in the cochlear helicotrema via an apical cochleostomy rather than in its typical location underneath the temporalis muscle. Clinical fitting was modified such that low frequencies were represented using the apically placed electrode as a ground. MAIN OUTCOME MEASURES Pitch scaling and speech recognition. RESULTS All surgeries were successful with no complications. Pitch scaling demonstrated that use of the apically placed electrode as a ground lowered the perceived pitch of electric stimulation relative to monopolar stimulation. Speech understanding was improved compared with preoperative scores. CONCLUSIONS The new surgical approach and clinical fitting are feasible. A lower pitch is perceived when using the apically placed electrode as a ground relative to stimulation using an extracochlear ground (i.e., monopolar mode), suggesting that stimulation can be provided more apically without the use of a longer electrode array. Further work is required to determine potential improvements in outcomes and optimal signal processing for the new approach.
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Affiliation(s)
- David M Landsberger
- Department of Otolaryngology, New York University Grossman School of Medicine, New York, New York
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9
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Gransier R, Guérit F, Carlyon RP, Wouters J. Frequency following responses and rate change complexes in cochlear implant users. Hear Res 2021; 404:108200. [PMID: 33647574 PMCID: PMC8052190 DOI: 10.1016/j.heares.2021.108200] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 01/25/2021] [Accepted: 02/06/2021] [Indexed: 01/05/2023]
Abstract
The upper limit of rate-based pitch perception and rate discrimination can differ substantially across cochlear implant (CI) users. One potential reason for this difference is the presence of a biological limitation on temporal encoding in the electrically-stimulated auditory pathway, which can be inherent to the electrical stimulation itself and/or to the degenerative processes associated with hearing loss. Electrophysiological measures, like the electrically-evoked frequency following response (eFFR) and auditory change complex (eACC), could potentially provide valuable insights in the temporal processing limitations at the level of the brainstem and cortex in the electrically-stimulated auditory pathway. Obtaining these neural responses, free from stimulation artifacts, is challenging, especially when the neural response is phase-locked to the stimulation rate, as is the case for the eFFR. In this study we investigated the feasibility of measuring eFFRs, free from stimulation artifacts, to stimulation rates ranging from 94 to 196 pulses per second (pps) and eACCs to pulse rate changes ranging from 36 to 108%, when stimulating in a monopolar configuration. A high-sampling rate EEG system was used to measure the electrophysiological responses in five CI users, and linear interpolation was applied to remove the stimulation artifacts from the EEG. With this approach, we were able to measure eFFRs for pulse rates up to 162 pps and eACCs to the different rate changes. Our results show that it is feasible to measure electrophysiological responses, free from stimulation artifacts, that could potentially be used as neural correlates for rate and pitch processing in CI users.
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Affiliation(s)
- Robin Gransier
- KU Leuven, Department of Neurosciences, ExpORL, Herestraat 49, Box 721, Leuven 3000, Belgium.
| | - Franҫois Guérit
- Cambridge Hearing Group, MRC Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge CB2 7EF, United Kingdom
| | - Robert P Carlyon
- Cambridge Hearing Group, MRC Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge CB2 7EF, United Kingdom
| | - Jan Wouters
- KU Leuven, Department of Neurosciences, ExpORL, Herestraat 49, Box 721, Leuven 3000, Belgium
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10
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Bissmeyer SRS, Hossain S, Goldsworthy RL. Perceptual learning of pitch provided by cochlear implant stimulation rate. PLoS One 2020; 15:e0242842. [PMID: 33270735 PMCID: PMC7714175 DOI: 10.1371/journal.pone.0242842] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Accepted: 11/10/2020] [Indexed: 11/19/2022] Open
Abstract
Cochlear implant users hear pitch evoked by stimulation rate, but discrimination diminishes for rates above 300 Hz. This upper limit on rate pitch is surprising given the remarkable and specialized ability of the auditory nerve to respond synchronously to stimulation rates at least as high as 3 kHz and arguably as high as 10 kHz. Sensitivity to stimulation rate as a pitch cue varies widely across cochlear implant users and can be improved with training. The present study examines individual differences and perceptual learning of stimulation rate as a cue for pitch ranking. Adult cochlear implant users participated in electrode psychophysics that involved testing once per week for three weeks. Stimulation pulse rate discrimination was measured in bipolar and monopolar configurations for apical and basal electrodes. Base stimulation rates between 100 and 800 Hz were examined. Individual differences were quantified using psychophysically derived metrics of spatial tuning and temporal integration. This study examined distribution of measures across subjects, predictive power of psychophysically derived metrics of spatial tuning and temporal integration, and the effect of training on rate discrimination thresholds. Psychophysical metrics of spatial tuning and temporal integration were not predictive of stimulation rate discrimination, but discrimination thresholds improved at lower frequencies with training. Since most clinical devices do not use variable stimulation rates, it is unknown to what extent recipients may learn to use stimulation rate cues if provided in a clear and consistent manner.
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Affiliation(s)
- Susan R. S. Bissmeyer
- Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, California, United States of America
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America
| | - Shaikat Hossain
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America
| | - Raymond L. Goldsworthy
- Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, California, United States of America
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America
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11
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Lamping W, Deeks JM, Marozeau J, Carlyon RP. The Effect of Phantom Stimulation and Pseudomonophasic Pulse Shapes on Pitch Perception by Cochlear Implant Listeners. J Assoc Res Otolaryngol 2020; 21:511-526. [PMID: 32804337 PMCID: PMC7644600 DOI: 10.1007/s10162-020-00768-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Accepted: 07/31/2020] [Indexed: 01/04/2023] Open
Abstract
It has been suggested that a specialized high-temporal-acuity brainstem pathway can be activated by stimulating more apically in the cochlea than is achieved by cochlear implants (CIs) when programmed with contemporary clinical settings. We performed multiple experiments to test the effect on pitch perception of phantom stimulation and asymmetric current pulses, both supposedly stimulating beyond the most apical electrode of a CI. The two stimulus types were generated using a bipolar electrode pair, composed of the most apical electrode of the array and a neighboring, more basal electrode. Experiment 1 used a pitch-ranking procedure where neural excitation was shifted apically or basally using so-called phantom stimulation. No benefit of apical phantom stimulation was found on the highest rate up to which pitch ranks increased (upper limit), nor on the slopes of the pitch-ranking function above 300 pulses per second (pps). Experiment 2 used the same procedure to study the effects of apical pseudomonophasic pulses, where the locus of excitation was manipulated by changing stimulus polarity. A benefit of apical stimulation was obtained for the slopes above 300 pps. Experiment 3 used an adaptive rate discrimination procedure and found a small but significant benefit of both types of apical stimulation. Overall, the results show some benefit for apical stimulation on temporal pitch processing at high pulse rates but reveal that the effect is smaller and more variable across listeners than suggested by previous research. The results also provide some indication that the benefit of apical stimulation may decline over time since implantation.
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Affiliation(s)
- Wiebke Lamping
- Hearing Systems Section, Department of Health Technology, Technical University of Denmark, DK-2800, Kgs. Lyngby, Denmark.
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK.
- Department of Clinical Neurosciences, University of Cambridge, Cambridge, CB2 0SZ, UK.
| | - John M Deeks
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK
| | - Jeremy Marozeau
- Hearing Systems Section, Department of Health Technology, Technical University of Denmark, DK-2800, Kgs. Lyngby, Denmark
| | - Robert P Carlyon
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK
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12
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Lindenbeck MJ, Laback B, Majdak P, Srinivasan S. Temporal-pitch sensitivity in electric hearing with amplitude modulation and inserted pulses with short inter-pulse intervals. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2020; 147:777. [PMID: 32113255 PMCID: PMC7002171 DOI: 10.1121/10.0000610] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 12/26/2019] [Accepted: 01/02/2020] [Indexed: 06/10/2023]
Abstract
Listeners with cochlear implants (CIs) typically show poor sensitivity to the temporal-envelope pitch of high-rate pulse trains. Sensitivity to interaural time differences improves when adding pulses with short inter-pulse intervals (SIPIs) to high-rate pulse trains. In the current study, monaural temporal-pitch sensitivity with SIPI pulses was investigated for six CI listeners. Amplitude-modulated single-electrode stimuli, representing the coding of the fundamental frequency (F0) in the envelope of a high-rate carrier, were used. Two SIPI-insertion approaches, five modulation depths, two typical speech-F0s, and two carrier rates were tested. SIPI pulses were inserted either in every amplitude-modulation period (full-rate SIPI) to support the F0 cue or in every other amplitude-modulation period (half-rate SIPI) to circumvent a potential rate limitation at higher F0s. The results demonstrate that full-rate SIPI pulses improve temporal-pitch sensitivity across F0s and particularly at low modulation depths where envelope-pitch cues are weak. The half-rate SIPI pulses did not circumvent the limitation and further increased variability across listeners. Further, no effect of the carrier rate was found. Thus, the SIPI approach appears to be a promising approach to enhance CI listeners' access to temporal-envelope pitch cues at pulse rates used clinically.
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Affiliation(s)
- Martin J Lindenbeck
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, 1040 Vienna, Austria
| | - Bernhard Laback
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, 1040 Vienna, Austria
| | - Piotr Majdak
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, 1040 Vienna, Austria
| | - Sridhar Srinivasan
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, 1040 Vienna, Austria
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13
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Landsberger DM, Marozeau J, Mertens G, Van de Heyning P. The relationship between time and place coding with cochlear implants with long electrode arrays. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2018; 144:EL509. [PMID: 30599674 PMCID: PMC6283702 DOI: 10.1121/1.5081472] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 11/03/2018] [Accepted: 11/13/2018] [Indexed: 06/01/2023]
Abstract
The auditory system can theoretically encode frequencies by either the rate or place of stimulation within the cochlea. Previous work with cochlear implants has demonstrated that both changes in timing and place can be described as pitch changes but are perceptually orthogonal. Using multidimensional scaling, the present experiment extends the previous findings that timing and place changes are perceptually orthogonal into the cochlear apex using long 31-mm electrode arrays. However, temporal cues seem to be more reliable across subjects at the apex while place cues seem to be more reliable at the middle of the cochlea.
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Affiliation(s)
- David M Landsberger
- Department of Otolaryngology, New York University School of Medicine, 550 1st Avenue, STE NBV 5E5, New York, New York 10016, USA
| | - Jeremy Marozeau
- Hearing Systems Group, Department of Electrical Engineering, Technical University of Denmark, Ørsteds Plads Building 352, 2800 Kgs. Lyngby, Denmark
| | - Griet Mertens
- University Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Antwerp, University of Antwerp, Antwerp, Belgium , , ,
| | - Paul Van de Heyning
- University Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Antwerp, University of Antwerp, Antwerp, Belgium , , ,
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14
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Carlyon RP, Deeks JM, Guérit F, Lamping W, Billig AJ, Large CH, Saeed SR, Harris P. Evaluation of Possible Effects of a Potassium Channel Modulator on Temporal Processing by Cochlear Implant Listeners. J Assoc Res Otolaryngol 2018; 19:669-680. [PMID: 30232712 PMCID: PMC6249161 DOI: 10.1007/s10162-018-00694-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Accepted: 07/16/2018] [Indexed: 12/20/2022] Open
Abstract
Temporal processing by cochlear implant listeners is degraded and is affected by auditory deprivation. The fast-acting Kv3.1 potassium channel is important for sustained temporally accurate firing and is also susceptible to deprivation, the effects of which can be partially restored in animals by the molecule AUT00063. We report the results of a randomised placebo-controlled double-blind study on psychophysical tests of the effects of AUT00063 on temporal processing by CI listeners. The study measured the upper limit of temporal pitch, gap detection, and discrimination of low rates (centred on 120 pps) for monopolar pulse trains presented to an apical electrode. The upper limit was measured using the optimally efficient midpoint comparison (MPC) pitch-ranking procedure; thresholds were obtained for the other two measures using an adaptive procedure. Twelve CI users (MedEl and Cochlear) were tested before and after two periods of AUT00063 or placebo in a within-subject crossover study. No significant differences occurred between post-drug and post-placebo conditions. This absence of effect occurred despite high test-retest reliability for all three measures, obtained by comparing performance on the two baseline visits, and despite the demonstrated sensitivity of the measures to modest changes in temporal processing obtained in other studies from our laboratory. Hence, we have no evidence that AUT00063 improves temporal processing for the doses and patient population employed.
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Affiliation(s)
- Robert P Carlyon
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK.
| | - John M Deeks
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK
| | - François Guérit
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK
| | - Wiebke Lamping
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK
| | - Alexander J Billig
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK
| | - Charles H Large
- Autifony Therapeutics Limited, Imperial College Incubator, London, UK
| | - Shakeel R Saeed
- Royal National Throat, Nose and Ear Hospital, UCL Ear Institute, 330 Gray's Inn Road, London, WC1X 8DA, UK
| | - Peter Harris
- Autifony Therapeutics Limited, Imperial College Incubator, London, UK
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15
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Pulse-rate discrimination deficit in cochlear implant users: is the upper limit of pitch peripheral or central? Hear Res 2018; 371:1-10. [PMID: 30423498 DOI: 10.1016/j.heares.2018.10.018] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 10/04/2018] [Accepted: 10/31/2018] [Indexed: 11/20/2022]
Abstract
Cochlear implant (CI) users do not reliably associate an increase in pulse rate above 300 pulses per second (pps) with an increase in pitch. The locus of this upper limit of pitch remains unknown. The present study tested the hypothesis that this deficit resides at least initially at the auditory nerve. The hypothesis was tested by comparing pulse rate discrimination in different neural excitation patterns, in which a large versus small population of auditory nerve fibers was activated. If poorer pulse rate discrimination was found under conditions where narrower spread of neural excitation (SOE) was anticipated where a relatively small neural population was activated, then it would support the hypothesis that the rate processing deficit found in CI users is related to peripheral neural degeneration. Nine listeners (12 ears) implanted with the Cochlear Americas Nucleus® devices participated in the study. Different SOE conditions were created by (1) selecting electrodes that showed narrow versus broad forward-masked psychophysical spatial tuning curves, and (2) by measuring these electrodes in monopolar (MP) and narrow bipolar (BP0) electrode configurations. Rate discrimination difference limen (DL) was measured at the selected electrodes in two electrode configurations at three base rates (200, 300 and 500 pps). Consistent with the prediction, group mean DL was better (1) at stimulation sites measured with broader tuning, and (2) in MP relative to BP stimulation. These effects were more salient at the more challenging base rates. There was a weak relationship between rate discrimination (above thresholds) and the effect of rate on detection thresholds. Finally, rate discrimination at rates above the known upper limit (i.e., 500 pps) was correlated with duration of deafness and highly predicted the subjects' speech recognition performance in noise. These findings support that pulse rate discrimination depends, at least partially, on neural conditions at the auditory periphery and this peripheral limit predicts speech recognition outcomes with a CI.
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16
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Neural Processing of Acoustic and Electric Interaural Time Differences in Normal-Hearing Gerbils. J Neurosci 2018; 38:6949-6966. [PMID: 29959238 DOI: 10.1523/jneurosci.3328-17.2018] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 06/04/2018] [Accepted: 06/04/2018] [Indexed: 12/18/2022] Open
Abstract
Bilateral cochlear implants (CIs) provide benefits for speech perception in noise and directional hearing, but users typically show poor sensitivity to interaural time differences (ITDs). Possible explanations for this deficit are deafness-induced degradations in neural ITD sensitivity, between-ear mismatches in electrode positions or activation sites, or differences in binaural brain circuits activated by electric versus acoustic stimulation. To identify potential limitations of electric ITD coding in the normal-hearing system, responses of single neurons in the dorsal nucleus of the lateral lemniscus and in the inferior colliculus to ITDs of electric (biphasic pulses) and acoustic (noise, clicks, chirps, and tones) stimuli were recorded in normal-hearing gerbils of either sex. To maintain acoustic sensitivity, electric stimuli were delivered to the round window. ITD tuning metrics (e.g., best ITD) and ITD discrimination thresholds for electric versus transient acoustic stimuli (clicks, chirps) obtained from the same neurons were not significantly correlated. Across populations of neurons with similar characteristic frequencies, however, ITD tuning metrics and ITD discrimination thresholds were similar for electric and acoustic stimuli and largely independent of the spectrotemporal properties of the acoustic stimuli when measured in the central range of ITDs. The similarity of acoustic and electric ITD coding on the population level in animals with normal hearing experience suggests that poorer ITD sensitivity in bilateral CI users compared with normal-hearing listeners is likely due to deprivation-induced changes in neural ITD coding rather than to differences in the binaural brain circuits involved in the processing of electric and acoustic ITDs.SIGNIFICANCE STATEMENT Small differences in the arrival time of sound at the two ears (interaural time differences, ITDs) provide important cues for speech understanding in noise and directional hearing. Deaf subjects with bilateral cochlear implants obtain only little benefit from ITDs. It is unclear whether these limitations are due to between-ear mismatches in activation sites, differences in binaural brain circuits activated by electric versus acoustic stimulation, or deafness-induced degradations in neural ITD processing. This study is the first to directly compare electric and acoustic ITD coding in neurons of known characteristic frequencies. In animals with normal hearing, populations of auditory brainstem and midbrain neurons demonstrate general similarities in electric and acoustic ITD coding, suggesting similar underlying central auditory processing mechanisms.
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17
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Gaudrain E, Deeks JM, Carlyon RP. Temporal Regularity Detection and Rate Discrimination in Cochlear-Implant Listeners. J Assoc Res Otolaryngol 2017; 18:387-397. [PMID: 27687041 PMCID: PMC5352605 DOI: 10.1007/s10162-016-0586-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Accepted: 09/05/2016] [Indexed: 11/25/2022] Open
Abstract
Cochlear implants (CIs) convey fundamental-frequency information using primarily temporal cues. However, temporal pitch perception in CI users is weak and, when measured using rate discrimination tasks, deteriorates markedly as the rate increases beyond 300 pulses-per-second. Rate pitch may be weak because the electrical stimulation of the surviving neural population of the implant recipient may not allow accurate coding of inter-pulse time intervals. If so, this phenomenon should prevent listeners from detecting when a pulse train is physically temporally jittered. Performance in a jitter detection task was compared to that in a rate-pitch discrimination task. Stimuli were delivered using direct stimulation in cochlear implants, on a mid-array and an apical electrode, and at two different rates (100 and 300 pps). Average performance on both tasks was worse at the higher pulse rate and did not depend on electrode. However, there was a large variability across and within listeners that did not correlate between the two tasks, suggesting that rate-pitch judgement and regularity detection are to some extent limited by task-specific processes. Simulations with filtered pulse trains presented to NH listeners yielded broadly similar results, except that, for the rate discrimination task, the difference between performance with 100- and 300-pps base rates was smaller than observed for CI users.
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Affiliation(s)
- Etienne Gaudrain
- MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, CB2 7EF Cambridge, UK
- CNRS UMR 5292, Lyon Neuroscience Research Center, Auditory Cognition and Psychoacoustics, Université Lyon 1, 50 av. Tony Garnier, 69366 Lyon Cedex 7, France
- Department of Otorhinolaryngology, University Medical Center Groningen-University of Groningen, Huispostcode BB20, PO Box 30.001, 9700 RB Groningen, Netherlands
| | - John M. Deeks
- MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, CB2 7EF Cambridge, UK
| | - Robert P. Carlyon
- MRC Cognition and Brain Sciences Unit, 15 Chaucer Road, CB2 7EF Cambridge, UK
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18
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Todd AE, Mertens G, Van de Heyning P, Landsberger DM. Encoding a Melody Using Only Temporal Information for Cochlear-Implant and Normal-Hearing Listeners. Trends Hear 2017; 21:2331216517739745. [PMID: 29161987 PMCID: PMC5703098 DOI: 10.1177/2331216517739745] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 10/05/2017] [Indexed: 11/16/2022] Open
Abstract
One way to provide pitch information to cochlear implant users is through amplitude-modulation rate. It is currently unknown whether amplitude-modulation rate can provide cochlear implant users with pitch information adequate for perceiving melodic information. In the present study, the notes of a song were encoded via amplitude-modulation rate of pulse trains on single electrodes at the apex or middle of long electrode arrays. The melody of the song was either physically correct or modified by compression or expansion. Nine cochlear implant users rated the extent to which the song was out of tune in the different conditions. Cochlear implant users on average did not show sensitivity to melody compression or expansion regardless of place of stimulation. These results were found despite the fact that three of the cochlear implant users showed the expected sensitivity to melody compression and expansion with the same task using acoustic pure tones in a contralateral acoustic ear. Normal-hearing listeners showed an inconsistent and weak effect of melody compression and expansion when the notes of the song were encoded with acoustic pulse rate. The results suggest that amplitude-modulation rate provides insufficient access to melodic information for cochlear-implant and normal-hearing listeners.
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Affiliation(s)
- Ann E. Todd
- Department of Otolaryngology, New York University School of Medicine, NY, USA
| | - Griet Mertens
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Belgium
| | - Paul Van de Heyning
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Belgium
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Cosentino S, Carlyon RP, Deeks JM, Parkinson W, Bierer JA. Rate discrimination, gap detection and ranking of temporal pitch in cochlear implant users. J Assoc Res Otolaryngol 2016; 17:371-82. [PMID: 27101997 PMCID: PMC4940289 DOI: 10.1007/s10162-016-0569-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Accepted: 04/10/2016] [Indexed: 01/04/2023] Open
Abstract
Cochlear implant (CI) users have poor temporal pitch perception, as revealed by two key outcomes of rate discrimination tests: (i) rate discrimination thresholds (RDTs) are typically larger than the corresponding frequency difference limen for pure tones in normal hearing listeners, and (ii) above a few hundred pulses per second (i.e. the "upper limit" of pitch), CI users cannot discriminate further increases in pulse rate. Both RDTs at low rates and the upper limit of pitch vary across listeners and across electrodes in a given listener. Here, we compare across-electrode and across-subject variation in these two measures with the variation in performance on another temporal processing task, gap detection, in order to explore the limitations of temporal processing in CI users. RDTs were obtained for 4-5 electrodes in each of 10 Advanced Bionics CI users using two interleaved adaptive tracks, corresponding to standard rates of 100 and 400 pps. Gap detection was measured using the adaptive procedure and stimuli described by Bierer et al. (JARO 16:273-284, 2015), and for the same electrodes and listeners as for the rate discrimination measures. Pitch ranking was also performed using a mid-point comparison technique. There was a marginal across-electrode correlation between gap detection and rate discrimination at 400 pps, but neither measure correlated with rate discrimination at 100 pps. Similarly, there was a highly significant across-subject correlation between gap detection and rate discrimination at 400, but not 100 pps, and these two correlations differed significantly from each other. Estimates of low-rate sensitivity and of the upper limit of pitch, obtained from the pitch ranking experiment, correlated well with rate discrimination for the 100- and 400-pps standards, respectively. The results are consistent with the upper limit of rate discrimination sharing a common basis with gap detection. There was no evidence that this limitation also applied to rate discrimination at lower rates.
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Affiliation(s)
- Stefano Cosentino
- />MRC Cognition and Brain Sciences Unit, 15 Chaucer Rd, Cambridge, CB2 7EF UK
| | - Robert P. Carlyon
- />MRC Cognition and Brain Sciences Unit, 15 Chaucer Rd, Cambridge, CB2 7EF UK
| | - John M. Deeks
- />MRC Cognition and Brain Sciences Unit, 15 Chaucer Rd, Cambridge, CB2 7EF UK
| | - Wendy Parkinson
- />Department of Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St, Seattle, WA 98105 USA
| | - Julie A. Bierer
- />Department of Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St, Seattle, WA 98105 USA
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