Pitch perception for different modes of stimulation using the cochlear multiple-electrode prosthesis

Investigating perceptual features of electrode stimulation via a multidimensional scaling paradigm

To achieve the most effective speech processing for individuals with cochlear implants, it is important to understand the perceptual features associated with the stimulation parameters. In general, when electrodes are stimulated in order from apex to base, the pitch of the perceived sound changes in an orderly fashion from low to high. Some deviations from this assumed order have been documented. Also, pitch is the dominant perceptual attribute of a sound when the stimuli associated with different electrodes have been accurately loudness balanced. In this study, the results of a multidimensional scaling (MDS) paradigm were compared to the results of a pitch-ranking procedure for six subjects implanted with multichannel cochlear prostheses. Results indicate that there may be multiple percepts that change with electrode location. Not surprisingly, the dominant percept is strongly correlated with pitch. The results also indicate that the structure of the second percept is consistent across subjects, although not interpretable using the data measured in this study. Furthermore, results indicate that MDS data can be used to pinpoint indiscriminable electrodes more accurately than pitch data. The results of this study may have importance for the design of the next generation of speech processors.

Electrode discrimination by early-deafened subjects using the cochlear limited multiple-electrode cochlear implant

OBJECTIVE

The aims of this study were to determine whether electrode discrimination by early-deafened subjects using the Cochlear Limited prosthesis varied at different locations on the electrode array, was influenced by the effects of auditory deprivation and experience with electric stimulation, and was related to speech perception.

DESIGN

Difference limens for electrode discrimination were measured in 16 early-deafened subjects at three positions on the array: electrodes 18 (apical), 14 (mid), and 8 (basal). Electrodes were stimulated using random variations in current level to minimize the influence of loudness cues. Assessed were correlations between the difference limens, subject variables related to auditory deprivation (age at onset of deafness, duration of deafness, and age at implantation) and auditory experience (duration of implant use and the total time period of auditory experience), and speech perception scores from two closed-set and two open-set tests.

RESULTS

The average difference limens across the three positions were less than two electrodes for 75% of subjects, with average limens between 2 and 6.5 electrodes for the remaining 25% of subjects. Significant differences across the three positions were found for 69% of subjects. The average limens and those at the basal position positively correlated with variables related to auditory deprivation, with larger limens for subjects implanted at a later age and with a longer duration of deafness. The average limens and those at the apical position negatively correlated with closed-set speech perception scores, with lower scores for subjects with larger limens, but not with open-set scores. Speech scores also negatively correlated with variables related to auditory deprivation.

CONCLUSIONS

These findings showed that early-deafened subjects were generally successful in electrode discrimination although performance varied across the array for over half the subjects. Discrimination performance was influenced by the effects of auditory deprivation, and both electrode discrimination and variables related to auditory deprivation influenced closed-set speech perception.

Pitch estimation by early-deafened subjects using a multiple-electrode cochlear implant

Numerical estimates of pitch for stimulation of electrodes along the 22-electrode array of the Cochlear Limited cochlear implant were obtained from 18 subjects who became deaf very early in life. Examined were the relationships between subject differences in pitch estimation, subject variables related to auditory deprivation and experience, and speech-perception scores for closed-set monosyllabic words and open-set Bamford-Kowal-Bench (BKB) sentences. Reliability in the estimation procedure was examined by comparing subject performance in pitch estimation with that for loudness estimation for current levels between hearing threshold and comfortable listening level. For 56% of subjects, a tonotopic order of pitch percepts for electrodes on the array was found. A deviant but reliable order of pitch percepts was found for 22% of subjects, and essentially no pitch order was found for the remaining 22% of subjects. Subject differences in pitch estimation were significantly related to the duration of auditory deprivation prior to implantation, with the poorest performance for subjects who had a longer duration of deafness and a later age at implantation. Subjects with no tonotopic order of pitch percepts had the lowest scores for the BKB sentence test, but there were no differences across subjects for monosyllabic words. Performance in pitch estimation for electrodes did not appear to be related to performance in the estimation procedure, as all subjects were successful in loudness estimation for current level.

Investigation of the effects of temporal and spatial interactions on speech-recognition skills in cochlear-implant subjects

Forward masking was investigated as a measure of spectral and temporal interactions. Such interactions may adversely affect speech recognition in cochlear-implant subjects. Seven subjects, implanted with the Nucleus 22 device, performed a forward-masking task. They also performed an electrode-discrimination task in order to measure spectral interactions without temporal interactions. Correlation analysis indicated a significant relationship between data obtained in the two tasks (p < 0.1). The two tasks were also correlated with the subjects' scores from five measures of speech recognition. Forward masking and electrode discrimination were strongly correlated with measures requiring consonant and phoneme recognition, respectively. These results indicate that the relationship between forward masking and speech recognition may be due, in part, to a lack of spectral resolution. The data also indicate that consonants may be more readily masked than vowels. Forward-masking data measured for all clinically programmed electrodes in three of the seven subjects were used with a model of the spectral maxima sound processor (SMSP) to estimate the number of electrodes stimulated during a consonant that might be masked by prior presentation of a vowel. These results suggest that temporal interactions across electrodes may be a factor in speech-recognition abilities of some cochlear-implant subjects.

Gap detection as a measure of electrode interaction in cochlear implants

Gap detection thresholds were measured as an indication of the amount of interaction between electrodes in a cochlear implant. The hypothesis in this study was as follows: when the two stimuli that bound the gap stimulate the same electrode, and thus the same neural population, the gap detection threshold will be short. As two stimuli are presented to two electrodes that are more widely separated, the amount of neural overlap of the two stimuli decreases, the stimuli sound more dissimilar, and the gap thresholds increase. Gap detection thresholds can thus be used to infer the amount of overlap in neural populations stimulated by two electrodes. Three users of the Nucleus cochlear implant participated in this study. Gap detection thresholds were measured as a function of the distance between the two electrode pairs and as a function of the spacing between the two electrodes of a bipolar pair (i.e., using different modes of stimulation). The results indicate that measuring gap detection thresholds may provide an estimate of the amount of electrode interaction. Gap detection thresholds were a function of the physical separation of the electrode pairs used for the two stimuli that bound the gap. Lower gap thresholds were observed when the two electrode pairs were closely spaced, and gap thresholds increased as the separation increased, resulting in a "psychophysical tuning curve" as a function of electrode separation. The sharpness of tuning varied across subjects, and for the three subjects in this study, the tuning was generally sharper for the subjects with better speech recognition. The data also indicate that increasing the separation between active and reference electrodes has limited effect on spatial selectivity (or tuning) as measured perceptually.

Modulation detection interference in cochlear implant subjects

The aim of this study was to determine whether detection thresholds for amplitude modulated signals on a single electrode were influenced by a masking modulation on a second electrode in cochlear implant users. Data were collected from four post-linguistically deafened subjects using the Cochlear Limited prosthesis. Investigated were the effects of the spatial separation between test and masker electrodes, 0 to 5 electrodes (0 to 3.75 mm), and the amount of masking modulation: 24%, 48%, 72%, and 96% above detection thresholds. Initially, modulation detection thresholds for stimulation on a single electrode without masking modulation were obtained for a set of six electrodes in the middle of the array. Modulation detection thresholds on a fixed test electrode were then obtained with unmodulated and modulated masking on a second electrode, which was one of the six electrodes in the initial study. In both studies, thresholds were measured for modulated pulse duration at the modulation frequencies of 10-200 Hz. In the first study, the shape of the detection thresholds as a function of modulation frequency, the temporal modulation transfer function, generally resembled a low-pass filter for two subjects. For the other two subjects, the functions were relatively flat across modulation frequencies. In the second study, unmodulated masking resulted in a small elevation in detection thresholds across electrodes. Modulation detection interference (MDI), the difference between thresholds for the modulated maskers and the unmodulated masker, was greater for larger amounts of masking modulation than for smaller amounts of masking modulation. For three of the four subjects, MDI was higher for smaller spatial separations between the two electrodes than for larger spatial separations suggesting that a portion of MDI may be due to overlap of neural excitation distributions produced by stimulation on two electrodes in close proximity on the array.

Studies of prosody perception by cochlear implant patients

Prosodic information is conveyed to normally-hearing listeners by variations in acoustic fundamental frequency, amplitude envelope, and duration of speech segments. This study measured cochlear implant patients' sensitivity to these parameters in electrically coded speech. The psychophysical discrimination of electric parameters used to code prosodic information, were examined, together with prosody perception using speech processing strategies which modified the contributions of these parameters. Patients were implanted with the Cochlear Limited prosthesis and used the MPEAK speech processing strategy. In the psychophysical studies, difference limens were measured for steady-state and time-varying stimuli, of different pulse rates and pulse durations, over a series of different stimulus durations. These limens were obtained using an adaptive procedure which converged on the 50 per cent correct point. In the prosody perception studies, performance was measured for the MPEAK strategy and for strategies which modified the contributions of pulse rate and pulse duration. Data were collected for five tests of prosodic contrasts. Difference limens for steady-state pulse rates were larger at higher rates (17 per cent at 400 pulses/s) than at lower rates (6 per cent at 100 pulses/s). For some patients, limens for the time-varying pulse rates were larger than those for the steady-state pulse rates while for the other patients, the limens were similar. Difference limens for pulse duration were 0.3 dB, corresponding to 4 per cent of the dynamic range, for steady-state stimuli and doubled in size for the time-varying stimuli. Prosody perception performance was generally poorer for the modified strategies than for the MPEAK strategy, suggesting that the removal of information coded by pulse rate and pulse duration reduced the perception of prosodic contrasts.

Electrode discrimination and speech recognition in postlingually deafened adult cochlear implant subjects

This study investigated the relationship between electrode discrimination and speech recognition in 11 postlingually deafened adult cochlear implant subjects who were implanted with the Nucleus/Cochlear Corporation multichannel device. The discriminability of each electrode included in a subject's clinical map was measured using adaptive and fixed-level discrimination tasks. Considerable variability in electrode discriminability was observed across subjects. Two subjects could discriminate all electrodes, and discrimination performance by the remaining nine subjects varied from near perfect to very poor. In these nine subjects, the results obtained from the discrimination tasks were used to create a map that contained only discriminable electrodes, and subjects' performance on speech recognition tasks using this experimental map was measured. Four different speech recognition tests were administered: a nine-choice closed-set medial vowel recognition task, a 14-choice closed-set medial consonant recognition task, the NU6 Monosyllabic Words Test [T. W. Tillman and T. Carhart, Tech. Rep. No. SAM-TR-66-55, USAF School of Aerospace Medicine, Brooks Air Force Base, Texas (1966)] scored for both words and phonemes correct, and the Central Institute for the Deaf (CID) Everyday Sentences test [H. Davis and S. R. Silverman, Hearing and Deafness (Holt, Rinehart, and Winston, New York, 1978)]. Seven of the nine subjects tested with the experimental map showed significant improvement on at least one speech recognition measure, even though the experimental map contained fewer electrodes than the original map. Three subjects' scores improved significantly on the CID Everyday Sentences test, three subjects' scores improved significantly on the NU6 Monosyllabic Words test, and five subjects' scores improved significantly on the NU6 Monosyllabic Words test scored for phonemes correct. None of the subjects' scores improved significantly on either the vowel or consonant tests. No significant correlation was observed between electrode discrimination ability and speech recognition scores or between electrode discrimination ability and improvement in speech recognition scores when programmed with the experimental map. The results of this study suggest that electrode discrimination tasks may be used to improve speech recognition of some cochlear implant subjects, and that each electrode site does not necessarily provide perceptually distinct information.

Changes in synthetic and natural vowel perception after specific training for congenitally deafened patients using a multichannel cochlear implant

OBJECTIVE

The aim was to determine whether the ability to use place-coded vowel formant information could be improved after training in a group of congenitally deafened patients, who showed limited speech perception ability after cochlear implant use ranging from 1 yr 8 mo to 6 yr 11 mo. A further aim was to investigate the relationship between electrode position difference limens and vowel recognition.

DESIGN

Three children, one adolescent, and one young adult were assessed with synthesized versions of the words/hid, head, had, hud, hod, hood/containing three formants and with a natural version of these words as well as with a 12-alternative, closed-set task containing monosyllabic words. The change in performance during a nontraining period was compared to the change in performance after 10 training sessions.

RESULTS

After training, two children showed significant gains on a number of tests and improvements were consistent with their electrode discrimination ability. Difference limens ranged from one to three electrodes for these patients as well as for two other patients who showed minimal to no improvements. The minimal gains shown by the final patient could be partly explained by poorer apical electrode position difference limen.

CONCLUSIONS

Significant gains in vowel perception occurred post-training on several assessments for two of the children. This suggests the need for children to continue to have aural rehabilitation for a substantial period after implantation. Minimal improvements, however, occurred for the remaining patients. With the exception of one patient, their poorer performance was not associated with poorer electrode discrimination.

Pulse rate matching by cochlear implant patients: effects of loudness randomization and electrode position

OBJECTIVE

To assess the accuracy with which cochlear implant patients are able to match two stimuli on the basis of pulse rate pitch.

DESIGN

Patients were required to adjust the pulse rate of a comparison stimulus to match that of a fixed reference stimulus. The comparison and the reference stimuli differed in loudness or were presented to different electrodes.

RESULTS

Patients were able to match stimuli on the basis of pulse rate, with varying degrees of accuracy. Deviations from the target and the amount of variability were greater when stimuli were presented to different electrodes. The results also provide evidence regarding level-dependent pitch shifts.

CONCLUSIONS

Because of methodological limitations, conclusions regarding pitch equivalence are limited. However, patients vary significantly in their ability to utilize temporal information.

Comparison of electrode discrimination, pitch ranking, and pitch scaling data in postlingually deafened adult cochlear implant subjects

The goal of this study was to investigate the relationship between variation in electrode site of stimulation and the perceptual dimensions along which such stimuli vary. This information may allow more effective use of electrode place when encoding speech information. To achieve this goal, two procedures which measure pitch in subjects implanted with the Nucleus/Cochlear Corporation multichannel device were performed. Estimates of electrode discriminability that can be obtained from these procedures were compared to a more direct measure of electrode discriminability that was obtained in a previous study [Collins et al., Assoc. Res. Otolaryng. Abstracts, No. 642 (1994)]. In the first task, subjects performed a pitch ranking procedure similar to that used in previous studies [Townshend et al., J. Acoust. Soc. Am. 82, 106-115 (1987); Nelson et al., J. Acoust. Soc. Am. 98, 1987-1999 (1995)]. Estimates of the pitch percept elicited by stimulation of each electrode as well as the discriminability of the electrodes were generated from the data using two different statistical analyses. In the second task, subjects performed a pitch scaling procedure similar to one used in a previous study [Busby et al., J. Acoust. Soc. Am. 95, 2658-2669 (1994)]. Again, two different statistical analyses were performed to generate estimates of the pitch percept corresponding to stimulation of each electrode and to generate estimates of electrode discriminability. In general, the estimates of the relationships between the pitch percepts obtained from the two procedures were not identical. In addition, the estimates of electrode discriminability were not equivalent to the electrode discrimination measures obtained from the same subjects during the previous study. Signal detection theory has been used to model the decision processes required by each of the procedures described above [e.g., Jesteadt and Bilger, J. Acoust. Soc. Am. 55, 1266-1276 (1974)]. However, these models do not predict the differences that were observed between the data sets obtained during this study. An alternate model is proposed which may explain the data obtained from these subjects. This model is based on the assumption that the percept that is elicited by electrical stimulation of an electrode is multidimensional, as opposed to unidimensional in nature. Therefore, the perceived signal is more appropriately modeled using a multidimensional random vector, where each element of the vector represents the perceived value of one of the dimensions of the signal.

Pitch comparisons of acoustically and electrically evoked auditory sensations

Cochlear implant users with some residual hearing in the non-implanted ear compared the pitch sensations produced by acoustic pure tones and pulsatile electric stimuli. Pitch comparisons were obtained for pure tones and electrical stimuli presented at different positions (electrodes) in the scala tympani, keeping the electric pulse rate fixed at 100, 250, or 800 pps. Similarly, pitch comparisons were obtained for electrical stimuli with variable pulse rates presented to two fixed electrode positions (apical and basal) in the cochlea. Both electrode position and pulse rate influenced the perceived pitch of the electrical signal and 'matched' electric and acoustic signals were found over a wide range of frequencies. There was a large variation between listeners. For some stimuli, listeners had difficulty in deciding whether the acoustic or electric stimulus was higher in pitch. Despite the variability, consistent trends were obtained from the data: higher frequencies tended to be matched by more basal electrodes for all pulse rates. Higher frequencies tended to be matched by higher pulse rates for both electrode positions. The electrode positions that 'matched' pure tones were more basal than predicted from the characteristic frequency coordinates of the basilar membrane in a normal human cochlea.

Quadrupolar stimulation for Cochlear prostheses: modeling and experimental data

Cochlear implants are electrically driven in monopolar, bipolar, or common ground mode. Ideally, a quadrupolar mode is created with three colinear electrodes, where the outer poles are half the inverse polarity value of the center electrode. The resulting field is highly focused. Models of point sources show that the quadrupolar paradigm offers a greater choice of parameters to shape the field. Simulation with a lumped-parameter model of the cochlea confirms the focusing action of the quadrupole in the layers of the inner ear. Field measurements in saline solution and in the scala tympani of guinea pigs show that focusing occurs with the quadrupolar mode. It is conceivable that quadrupolar stimulation will affect the pitch place coding, reduce channel interaction and limit facial or tactile stimulation induced by current spread.

Electrode discrimination by early-deafened cochlear implant patients

Electrode discrimination was measured in six cochlear-implant patients who became profoundly deaf prior to the full development of auditory and speech skills. The cochlear implant manufactured by Cochlear Limited was used. Comparisons were made between two electric stimulation paradigms and two data collection procedures. The paradigms consisted of electrode trajectories and electrodes with random variation in electric current levels. The data collection methods consisted of an adaptive procedure to obtain difference limens and a method of constant stimuli that gives psychometric functions of discrimination performance. Data were collected for reference electrodes at the apical, mid, and basal positions on the array. The psychometric functions showed that discrimination performance improved with increases in the spatial separation between reference and comparison electrodes. The difference limens were similar to the corresponding spatial separation estimated from the psychometric function in most cases. The discrimination performance of most patients was consistent across the two stimulation paradigms. Difference limens were 1-4 electrodes from the reference electrode for most patients. There were differences in performance across patients and the three positions on the array.