Recovery from forward masking in cochlear implant listeners depends on stimulation mode, level, and electrode location

Exploring the Use of Interleaved Stimuli to Measure Cochlear-Implant Excitation Patterns

PURPOSE

Attempts to use current-focussing strategies with cochlear implants (CI) to reduce neural spread-of-excitation have met with only mixed success in human studies, in contrast to promising results in animal studies. Although this discrepancy could stem from between-species anatomical and aetiological differences, the masking experiments used in human studies may be insufficiently sensitive to differences in excitation-pattern width.

METHODS

We used an interleaved-masking method to measure psychophysical excitation patterns in seven participants with four masker stimulation configurations: monopolar (MP), partial tripolar (pTP), a wider partial tripolar (pTP + 2), and, importantly, a condition (RP + 2) designed to produce a broader excitation pattern than MP. The probe was always in partial-tripolar configuration.

RESULTS

We found a significant effect of stimulation configuration on both the amount of on-site masking (mask and probe on same electrode; an indirect indicator of sharpness) and the difference between off-site and on-site masking. Differences were driven solely by RP + 2 producing a broader excitation pattern than the other configurations, whereas monopolar and the two current-focussing configurations did not statistically differ from each other.

CONCLUSION

A method that is sensitive enough to reveal a modest broadening in RP + 2 showed no evidence for sharpening with focussed stimulation. We also showed that although voltage recordings from the implant accurately predicted a broadening of the psychophysical excitation patterns with RP + 2, they wrongly predicted a strong sharpening with pTP + 2. We additionally argue, based on our recent research, that the interleaved-masking method can usefully be applied to non-human species and objective measures of CI excitation patterns.

Recovery from forward masking in cochlear implant listeners: Effects of age and the electrode-neuron interface

Older adults exhibit deficits in auditory temporal processing relative to younger listeners. These age-related temporal processing difficulties may be further exacerbated in older adults with cochlear implant (CIs) when CI electrodes poorly interface with their target auditory neurons. The aim of this study was to evaluate the potential interaction between chronological age and the estimated quality of the electrode-neuron interface (ENI) on psychophysical forward masking recovery, a measure that reflects single-channel temporal processing abilities. Fourteen CI listeners (age 15 to 88 years) with Advanced Bionics devices participated. Forward masking recovery was assessed on two channels in each ear (i.e., the channels with the lowest and highest signal detection thresholds). Results indicated that the rate of forward masking recovery declined with advancing age, and that the effect of age was more pronounced on channels estimated to interface poorly with the auditory nerve. These findings indicate that the quality of the ENI can influence the time course of forward masking recovery for older CI listeners. Channel-to-channel variability in the ENI likely interacts with central temporal processing deficits secondary to auditory aging, warranting further study of programming and rehabilitative approaches tailored to older listeners.

The effect of a coding strategy that removes temporally masked pulses on speech perception by cochlear implant users

Speech recognition in noisy environments remains a challenge for cochlear implant (CI) recipients. Unwanted charge interactions between current pulses, both within and between electrode channels, are likely to impair performance. Here we investigate the effect of reducing the number of current pulses on speech perception. This was achieved by implementing a psychoacoustic temporal-masking model where current pulses in each channel were passed through a temporal integrator to identify and remove pulses that were less likely to be perceived by the recipient. The decision criterion of the temporal integrator was varied to control the percentage of pulses removed in each condition. In experiment 1, speech in quiet was processed with a standard Continuous Interleaved Sampling (CIS) strategy and with 25, 50 and 75% of pulses removed. In experiment 2, performance was measured for speech in noise with the CIS reference and with 50 and 75% of pulses removed. Speech intelligibility in quiet revealed no significant difference between reference and test conditions. For speech in noise, results showed a significant improvement of 2.4 dB when removing 50% of pulses and performance was not significantly different between the reference and when 75% of pulses were removed. Further, by reducing the overall amount of current pulses by 25, 50, and 75% but accounting for the increase in charge necessary to compensate for the decrease in loudness, estimated average power savings of 21.15, 40.95, and 63.45%, respectively, could be possible for this set of listeners. In conclusion, removing temporally masked pulses may improve speech perception in noise and result in substantial power savings.