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Schnupp JWH, Buchholz S, Buck AN, Budig H, Khurana L, Rosskothen-Kuhl N. Pulse timing dominates binaural hearing with cochlear implants. Proc Natl Acad Sci U S A 2025; 122:e2416697122. [PMID: 40244669 PMCID: PMC12036976 DOI: 10.1073/pnas.2416697122] [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: 08/16/2024] [Accepted: 03/12/2025] [Indexed: 04/18/2025] Open
Abstract
Although cochlear implants (CIs) provide valuable auditory information to more than one million profoundly deaf patients, these devices remain inadequate in conveying fine timing cues. Early deaf patients in particular struggle to use interaural time differences (ITDs) for spatial hearing and auditory scene analysis. Why CI patients experience these limitations remains controversial. One possible explanation, which we investigate here, is that the stimulation by clinical CIs is inappropriate, as it encodes temporal features of sounds only in the envelope of electrical pulse trains, not the pulse timing. We have recently demonstrated that early deaf, adult implanted rats fitted with bilateral CIs that deliver carefully timed pulses routinely develop sensitivity to very small ITDs. Here we show that, while the early deafened mammalian auditory pathway can innately easily resolve pulse timing ITDs as small as 80 µs, it is many times less sensitive to the ITDs of pulse train envelopes. Our results indicate that the stimulation strategies in current clinical use do not present ITD cues in a manner that the inexperienced auditory pathway is highly sensitive to. This may deprive early deaf CI patients of the opportunity to hone their submillisecond temporal processing skills as they learn to hear through their prosthetic devices.
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Affiliation(s)
- Jan W. H. Schnupp
- Department of Neuroscience, City University of Hong Kong, Hong Kong, Hong Kong, Special Administrative Region of China
- Gerald Choa Neuroscience Institute, Chinese University of Hong Kong, Hong Kong, Hong Kong, Special Administrative Region of China
- Department of Otorhinolaryngology, Head and Neck Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong, Hong Kong, Special Administrative Region of China
| | - Sarah Buchholz
- Neurobiological Research Laboratory, Section for Experimental and Clinical Otology, Department of Otorhinolaryngology, Medical Center–University of Freiburg, Faculty of Medicine, Freiburg79106, Germany
| | - Alexa N. Buck
- Department of Neuroscience, City University of Hong Kong, Hong Kong, Hong Kong, Special Administrative Region of China
| | - Henrike Budig
- Neurobiological Research Laboratory, Section for Experimental and Clinical Otology, Department of Otorhinolaryngology, Medical Center–University of Freiburg, Faculty of Medicine, Freiburg79106, Germany
| | - Lakshay Khurana
- Neurobiological Research Laboratory, Section for Experimental and Clinical Otology, Department of Otorhinolaryngology, Medical Center–University of Freiburg, Faculty of Medicine, Freiburg79106, Germany
| | - Nicole Rosskothen-Kuhl
- Neurobiological Research Laboratory, Section for Experimental and Clinical Otology, Department of Otorhinolaryngology, Medical Center–University of Freiburg, Faculty of Medicine, Freiburg79106, Germany
- Bernstein Center Freiburg and Faculty of Biology, University of Freiburg, Freiburg79104, Germany
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Fan Y, Gifford RH. Objective measure of binaural processing: Acoustic change complex in response to interaural phase differences. Hear Res 2024; 448:109020. [PMID: 38763034 DOI: 10.1016/j.heares.2024.109020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 04/12/2024] [Accepted: 04/26/2024] [Indexed: 05/21/2024]
Abstract
Combining cochlear implants with binaural acoustic hearing via preserved hearing in the implanted ear(s) is commonly referred to as combined electric and acoustic stimulation (EAS). EAS fittings can provide patients with significant benefit for speech recognition in complex noise, perceived listening difficulty, and horizontal-plane localization as compared to traditional bimodal hearing conditions with contralateral and monaural acoustic hearing. However, EAS benefit varies across patients and the degree of benefit is not reliably related to the underlying audiogram. Previous research has indicated that EAS benefit for speech recognition in complex listening scenarios and localization is significantly correlated with the patients' binaural cue sensitivity, namely interaural time differences (ITD). In the context of pure tones, interaural phase differences (IPD) and ITD can be understood as two perspectives on the same phenomenon. Through simple mathematical conversion, one can be transformed into the other, illustrating their inherent interrelation for spatial hearing abilities. However, assessing binaural cue sensitivity is not part of a clinical assessment battery as psychophysical tasks are time consuming, require training to achieve performance asymptote, and specialized programming and software all of which render this clinically unfeasible. In this study, we investigated the possibility of using an objective measure of binaural cue sensitivity by the acoustic change complex (ACC) via imposition of an IPD of varying degrees at stimulus midpoint. Ten adult listeners with normal hearing were assessed on tasks of behavioral and objective binaural cue sensitivity for carrier frequencies of 250 and 1000 Hz. Results suggest that 1) ACC amplitude increases with IPD; 2) ACC-based IPD sensitivity for 250 Hz is significantly correlated with behavioral ITD sensitivity; 3) Participants were more sensitive to IPDs at 250 Hz as compared to 1000 Hz. Thus, this objective measure of IPD sensitivity may hold clinical application for pre- and post-operative assessment for individuals meeting candidacy indications for cochlear implantation with low-frequency acoustic hearing preservation as this relatively quick and objective measure may provide clinicians with information identifying patients most likely to derive benefit from EAS technology.
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Affiliation(s)
- Yibo Fan
- Department of Hearing and Speech Sciences, Vanderbilt University, School of Medicine, Nashville, TN 37232, USA
| | - René H Gifford
- Department of Hearing and Speech Sciences, Vanderbilt University, School of Medicine, Nashville, TN 37232, USA.
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3
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Kanagokar V, Fathima H, Bhat JS, Muthu ANP. Effect of inter-aural temporal envelope differences on inter-aural time difference thresholds for amplitude modulated noise. Codas 2024; 36:e20220261. [PMID: 38324806 PMCID: PMC10903954 DOI: 10.1590/2317-1782/20232022261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 04/26/2023] [Indexed: 02/09/2024] Open
Abstract
PURPOSE The inter-aural time difference (ITD) and inter-aural level difference (ILD) are important acoustic cues for horizontal localization and spatial release from masking. These cues are encoded based on inter-aural comparisons of tonotopically matched binaural inputs. Therefore, binaural coherence or the interaural spectro-temporal similarity is a pre-requisite for encoding ITD and ILD. The modulation depth of envelope is an important envelope characteristic that helps in encoding the envelope-ITD. However, inter-aural difference in modulation depth can result in reduced binaural coherence and poor representation of binaural cues as in the case with reverberation, noise and compression in cochlear implants and hearing aids. This study investigated the effect of inter-aural modulation depth difference on the ITD thresholds for an amplitude-modulated noise in normal hearing young adults. METHODS An amplitude modulated high pass filtered noise with varying modulation depth differences was presented sequentially through headphones. In one ear, the modulation depth was retained at 90% and in the other ear it varied from 90% to 50%. The ITD thresholds for modulation frequencies of 8 Hz and 16 Hz were estimated as a function of the inter-aural modulation depth difference. RESULTS The Friedman test findings revealed a statistically significant increase in the ITD threshold with an increase in the inter-aural modulation depth difference for 8 Hz and 16 Hz. CONCLUSION The results indicate that the inter-aural differences in the modulation depth negatively impact ITD perception for an amplitude-modulated high pass filtered noise.
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Affiliation(s)
- Vibha Kanagokar
- Department of Audiology and Speech Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
| | - Hasna Fathima
- Department of Audiology and Speech Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
- Department of Audiology and Speech-Language Pathology, National Institute of Speech and Hearing - Trivandrum, Kerala, India.
| | | | - Arivudai Nambi Pitchai Muthu
- Department of Audiology and Speech Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
- Department of Audiology, All India Institute of Speech and Hearing - Mysore, Karnataka, India.
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Lindenbeck MJ, Majdak P, Laback B. Effects of Monaural Temporal Electrode Asynchrony and Channel Interactions in Bilateral and Unilateral Cochlear-Implant Stimulation. Trends Hear 2024; 28:23312165241271340. [PMID: 39215517 PMCID: PMC11382250 DOI: 10.1177/23312165241271340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024] Open
Abstract
Timing cues such as interaural time differences (ITDs) and temporal pitch are pivotal for sound localization and source segregation, but their perception is degraded in cochlear-implant (CI) listeners as compared to normal-hearing listeners. In multi-electrode stimulation, intra-aural channel interactions between electrodes are assumed to be an important factor limiting access to those cues. The monaural asynchrony of stimulation timing across electrodes is assumed to mediate the amount of these interactions. This study investigated the effect of the monaural temporal electrode asynchrony (mTEA) between two electrodes, applied similarly in both ears, on ITD-based left/right discrimination sensitivity in five CI listeners, using pulse trains with 100 pulses per second and per electrode. Forward-masked spatial tuning curves were measured at both ears to find electrode separations evoking controlled degrees of across-electrode masking. For electrode separations smaller than 3 mm, results showed an effect of mTEA. Patterns were u/v-shaped, consistent with an explanation in terms of the effective pulse rate that appears to be subject to the well-known rate limitation in electric hearing. For separations larger than 7 mm, no mTEA effects were observed. A comparison to monaural rate-pitch discrimination in a separate set of listeners and in a matched setup showed no systematic differences between percepts. Overall, an important role of the mTEA in both binaural and monaural dual-electrode stimulation is consistent with a monaural pulse-rate limitation whose effect is mediated by channel interactions. Future CI stimulation strategies aiming at improved timing-cue encoding should minimize the stimulation delay between nearby electrodes that need to be stimulated successively.
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Affiliation(s)
| | - Piotr Majdak
- Acoustics Research Institute, Austrian Academy of Sciences, Vienna, Austria
| | - Bernhard Laback
- Acoustics Research Institute, Austrian Academy of Sciences, Vienna, Austria
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Anderson SR, Burg E, Suveg L, Litovsky RY. Review of Binaural Processing With Asymmetrical Hearing Outcomes in Patients With Bilateral Cochlear Implants. Trends Hear 2024; 28:23312165241229880. [PMID: 38545645 PMCID: PMC10976506 DOI: 10.1177/23312165241229880] [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: 04/25/2023] [Revised: 01/11/2024] [Accepted: 01/16/2024] [Indexed: 04/01/2024] Open
Abstract
Bilateral cochlear implants (BiCIs) result in several benefits, including improvements in speech understanding in noise and sound source localization. However, the benefit bilateral implants provide among recipients varies considerably across individuals. Here we consider one of the reasons for this variability: difference in hearing function between the two ears, that is, interaural asymmetry. Thus far, investigations of interaural asymmetry have been highly specialized within various research areas. The goal of this review is to integrate these studies in one place, motivating future research in the area of interaural asymmetry. We first consider bottom-up processing, where binaural cues are represented using excitation-inhibition of signals from the left ear and right ear, varying with the location of the sound in space, and represented by the lateral superior olive in the auditory brainstem. We then consider top-down processing via predictive coding, which assumes that perception stems from expectations based on context and prior sensory experience, represented by cascading series of cortical circuits. An internal, perceptual model is maintained and updated in light of incoming sensory input. Together, we hope that this amalgamation of physiological, behavioral, and modeling studies will help bridge gaps in the field of binaural hearing and promote a clearer understanding of the implications of interaural asymmetry for future research on optimal patient interventions.
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Affiliation(s)
- Sean R. Anderson
- Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
- Department of Physiology and Biophysics, University of Colorado Anschutz Medical School, Aurora, CO, USA
| | - Emily Burg
- Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Lukas Suveg
- Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
| | - Ruth Y. Litovsky
- Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
- Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, WI, USA
- Department of Surgery, Division of Otolaryngology, University of Wisconsin-Madison, Madison, WI, USA
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Buck AN, Buchholz S, Schnupp JW, Rosskothen-Kuhl N. Interaural time difference sensitivity under binaural cochlear implant stimulation persists at high pulse rates up to 900 pps. Sci Rep 2023; 13:3785. [PMID: 36882473 PMCID: PMC9992369 DOI: 10.1038/s41598-023-30569-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 02/27/2023] [Indexed: 03/09/2023] Open
Abstract
Spatial hearing remains one of the major challenges for bilateral cochlear implant (biCI) users, and early deaf patients in particular are often completely insensitive to interaural time differences (ITDs) delivered through biCIs. One popular hypothesis is that this may be due to a lack of early binaural experience. However, we have recently shown that neonatally deafened rats fitted with biCIs in adulthood quickly learn to discriminate ITDs as well as their normal hearing litter mates, and perform an order of magnitude better than human biCI users. Our unique behaving biCI rat model allows us to investigate other possible limiting factors of prosthetic binaural hearing, such as the effect of stimulus pulse rate and envelope shape. Previous work has indicated that ITD sensitivity may decline substantially at the high pulse rates often used in clinical practice. We therefore measured behavioral ITD thresholds in neonatally deafened, adult implanted biCI rats to pulse trains of 50, 300, 900 and 1800 pulses per second (pps), with either rectangular or Hanning window envelopes. Our rats exhibited very high sensitivity to ITDs at pulse rates up to 900 pps for both envelope shapes, similar to those in common clinical use. However, ITD sensitivity declined to near zero at 1800 pps, for both Hanning and rectangular windowed pulse trains. Current clinical cochlear implant (CI) processors are often set to pulse rates ≥ 900 pps, but ITD sensitivity in human CI listeners has been reported to decline sharply above ~ 300 pps. Our results suggest that the relatively poor ITD sensitivity seen at > 300 pps in human CI users may not reflect the hard upper limit of biCI ITD performance in the mammalian auditory pathway. Perhaps with training or better CI strategies good binaural hearing may be achievable at pulse rates high enough to allow good sampling of speech envelopes while delivering usable ITDs.
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Affiliation(s)
- Alexa N Buck
- Department of Neuroscience, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China.,City University of Hong Kong Shenzhen Research Institute, Shenzhen, China.,Plasticity of Central Auditory Circuits, Institut de l'Audition, Institut Pasteur, Paris, France
| | - Sarah Buchholz
- Neurobiological Research Laboratory, Section of Clinical and Experimental Otology, Department of Oto-Rhino-Laryngology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Killianst. 5, 79106, Freiburg im Breisgau, Germany
| | - Jan W Schnupp
- Department of Neuroscience, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China.,City University of Hong Kong Shenzhen Research Institute, Shenzhen, China
| | - Nicole Rosskothen-Kuhl
- Department of Neuroscience, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China. .,Neurobiological Research Laboratory, Section of Clinical and Experimental Otology, Department of Oto-Rhino-Laryngology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Killianst. 5, 79106, Freiburg im Breisgau, Germany. .,Bernstein Center Freiburg and Faculty of Biology, University of Freiburg, Freiburg, Germany.
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7
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Anderson SR, Kan A, Litovsky RY. Asymmetric temporal envelope sensitivity: Within- and across-ear envelope comparisons in listeners with bilateral cochlear implants. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2022; 152:3294. [PMID: 36586876 PMCID: PMC9731674 DOI: 10.1121/10.0016365] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 11/14/2022] [Accepted: 11/16/2022] [Indexed: 06/17/2023]
Abstract
For listeners with bilateral cochlear implants (BiCIs), patient-specific differences in the interface between cochlear implant (CI) electrodes and the auditory nerve can lead to degraded temporal envelope information, compromising the ability to distinguish between targets of interest and background noise. It is unclear how comparisons of degraded temporal envelope information across spectral channels (i.e., electrodes) affect the ability to detect differences in the temporal envelope, specifically amplitude modulation (AM) rate. In this study, two pulse trains were presented simultaneously via pairs of electrodes in different places of stimulation, within and/or across ears, with identical or differing AM rates. Results from 11 adults with BiCIs indicated that sensitivity to differences in AM rate was greatest when stimuli were paired between different places of stimulation in the same ear. Sensitivity from pairs of electrodes was predicted by the poorer electrode in the pair or the difference in fidelity between both electrodes in the pair. These findings suggest that electrodes yielding poorer temporal fidelity act as a bottleneck to comparisons of temporal information across frequency and ears, limiting access to the cues used to segregate sounds, which has important implications for device programming and optimizing patient outcomes with CIs.
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Affiliation(s)
- Sean R Anderson
- Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin 53705, USA
| | - Alan Kan
- School of Engineering, Macquarie University, Sydney, New South Wales 2109, Australia
| | - Ruth Y Litovsky
- Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin 53705, USA
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Baltzell LS, Cardosi D, Swaminathan J, Best V. Binaural consequences of speech envelope enhancement. JASA EXPRESS LETTERS 2022; 2:114401. [PMID: 36456369 PMCID: PMC9667908 DOI: 10.1121/10.0015155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 10/31/2022] [Indexed: 06/17/2023]
Abstract
The potential binaural consequences of two envelope-based speech enhancement strategies (broadband compression and expansion) were examined. Sensitivity to interaural time differences imposed on four single-word stimuli was measured in listeners with normal hearing and sensorineural hearing loss. While there were no consistent effects of compression or expansion across all words, some potentially interesting word-specific effects were observed.
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Affiliation(s)
- Lucas S Baltzell
- Department of Speech, Language, and Hearing Sciences, Boston University, Boston, Massachusetts 02215, USA , , ,
| | - Daniel Cardosi
- Department of Speech, Language, and Hearing Sciences, Boston University, Boston, Massachusetts 02215, USA , , ,
| | - Jayaganesh Swaminathan
- Department of Speech, Language, and Hearing Sciences, Boston University, Boston, Massachusetts 02215, USA , , ,
| | - Virginia Best
- Department of Speech, Language, and Hearing Sciences, Boston University, Boston, Massachusetts 02215, USA , , ,
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9
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Mayo PG, Saunders PC, Goupell MJ. Interaural-time-difference thresholds for broad band-limited pulses are affected by relative bandwidth not temporal envelope sharpness. JASA EXPRESS LETTERS 2021; 1:124401. [PMID: 34927162 PMCID: PMC8667050 DOI: 10.1121/10.0008971] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 11/21/2021] [Indexed: 06/14/2023]
Abstract
Humans are sensitive to interaural time differences (ITDs) conveyed by slow modulations on high-frequency carrier signals. Sensitivity appears to be affected by temporal envelope sharpness, but it is unclear if there is a limit to which sharpness affects sensitivity. Pulse trains were varied in relative bandwidth (re: critical bandwidths) and center frequency. ITD sensitivity increased with increasing bandwidth. There was no effect of center frequency when relative bandwidths were analyzed, suggesting that the temporal envelope sharpness (concomitantly absolute bandwidth in Hz) did not affect performance. Rather, sensitivity was most easily explained by recruitment of additional auditory channels.
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Affiliation(s)
- Paul G Mayo
- Department of Hearing and Speech Sciences, University of Maryland, College Park, Maryland 20742, USA , ,
| | - Philip C Saunders
- Department of Hearing and Speech Sciences, University of Maryland, College Park, Maryland 20742, USA , ,
| | - Matthew J Goupell
- Department of Hearing and Speech Sciences, University of Maryland, College Park, Maryland 20742, USA , ,
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Sunwoo W, Oh SH. Effects of place of stimulation on the interaural time difference sensitivity in bilateral electrical intracochlear stimulations: Neurophysiological study in a rat model. J Neurosci Res 2021; 100:461-476. [PMID: 34837408 DOI: 10.1002/jnr.24991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 10/18/2021] [Accepted: 10/23/2021] [Indexed: 11/09/2022]
Abstract
We examined the sensitivity of the neurons in the inferior colliculus (IC) in male and female rats to the interaural time differences (ITDs) conveyed in electrical pulse trains. Using bipolar pairs of electrodes that selectively activate the auditory nerve fibers at different intracochlear locations, we assessed whether the responses to electrical stimulation with ITDs in different frequency regions were processed differently. Most well-isolated single units responded to the electrical stimulation in only one of the apical or basal cochlear regions, and they were classified as either apical or basal units. Regardless of the cochlear stimulating location, more than 70% of both apical and basal units were sensitive to ITDs of electrical stimulation. However, the pulse rate dependence of neural ITD sensitivity differed significantly depending on the location of the stimulation. Moreover, ITD discrimination thresholds and the relative incidence of ITD tuning type markedly differed between units activated by apical and basal stimulations. With apical stimulation, IC neurons had a higher incidence of peak-type ITD function, which mostly exhibited the steepest position of the tuning curve within the rat's physiological ITD range of ±160 μs and, accordingly, had better ITD discrimination thresholds than those with basal stimulation. These results support the idea that ITD processing in the IC might be determined by functionally segregated frequency-specific pathways from the cochlea to the auditory midbrain.
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Affiliation(s)
- Woongsang Sunwoo
- Department of Otorhinolaryngology, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea
| | - Seung-Ha Oh
- Department of Otorhinolaryngology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
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11
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Reweighting of Binaural Localization Cues in Bilateral Cochlear-Implant Listeners. J Assoc Res Otolaryngol 2021; 23:119-136. [PMID: 34812980 PMCID: PMC8782964 DOI: 10.1007/s10162-021-00821-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 10/13/2021] [Indexed: 11/24/2022] Open
Abstract
Normal-hearing (NH) listeners rely on two binaural cues, the interaural time (ITD) and level difference (ILD), for azimuthal sound localization. Cochlear-implant (CI) listeners, however, rely almost entirely on ILDs. One reason is that present-day clinical CI stimulation strategies do not convey salient ITD cues. But even when presenting ITDs under optimal conditions using a research interface, ITD sensitivity is lower in CI compared to NH listeners. Since it has recently been shown that NH listeners change their ITD/ILD weighting when only one of the cues is consistent with visual information, such reweighting might add to CI listeners’ low perceptual contribution of ITDs, given their daily exposure to reliable ILDs but unreliable ITDs. Six bilateral CI listeners completed a multi-day lateralization training visually reinforcing ITDs, flanked by a pre- and post-measurement of ITD/ILD weights without visual reinforcement. Using direct electric stimulation, we presented 100- and 300-pps pulse trains at a single interaurally place-matched electrode pair, conveying ITDs and ILDs in various spatially consistent and inconsistent combinations. The listeners’ task was to lateralize the stimuli in a virtual environment. Additionally, ITD and ILD thresholds were measured before and after training. For 100-pps stimuli, the lateralization training increased the contribution of ITDs slightly, but significantly. Thresholds were neither affected by the training nor correlated with weights. For 300-pps stimuli, ITD weights were lower and ITD thresholds larger, but there was no effect of training. On average across test sessions, adding azimuth-dependent ITDs to stimuli containing ILDs increased the extent of lateralization for both 100- and 300-pps stimuli. The results suggest that low-rate ITD cues, robustly encoded with future CI systems, may be better exploitable for sound localization after increasing their perceptual weight via training.
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12
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Klingel M, Kopčo N, Laback B. Reweighting of Binaural Localization Cues Induced by Lateralization Training. J Assoc Res Otolaryngol 2021; 22:551-566. [PMID: 33959826 PMCID: PMC8476684 DOI: 10.1007/s10162-021-00800-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 03/29/2021] [Indexed: 11/03/2022] Open
Abstract
Normal-hearing listeners adapt to alterations in sound localization cues. This adaptation can result from the establishment of a new spatial map of the altered cues or from a stronger relative weighting of unaltered compared to altered cues. Such reweighting has been shown for monaural vs. binaural cues. However, studies attempting to reweight the two binaural cues, interaural differences in time (ITD) and level (ILD), yielded inconclusive results. This study investigated whether binaural-cue reweighting can be induced by lateralization training in a virtual audio-visual environment. Twenty normal-hearing participants, divided into two groups, completed the experiment consisting of 7 days of lateralization training, preceded and followed by a test measuring the binaural-cue weights. Participants' task was to lateralize 500-ms bandpass-filtered (2-4 kHz) noise bursts containing various combinations of spatially consistent and inconsistent binaural cues. During training, additional visual cues reinforced the azimuth corresponding to ITDs in one group and ILDs in the other group and the azimuthal ranges of the binaural cues were manipulated group-specifically. Both groups showed a significant increase of the reinforced-cue weight from pre- to posttest, suggesting that participants reweighted the binaural cues in the expected direction. This reweighting occurred within the first training session. The results are relevant as binaural-cue reweighting likely occurs when normal-hearing listeners adapt to new acoustic environments. Reweighting might also be a factor underlying the low contribution of ITDs to sound localization of cochlear-implant listeners as they typically do not experience reliable ITD cues with clinical devices.
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Affiliation(s)
- Maike Klingel
- Acoustics Research Institute, Austrian Academy of Sciences, 1040 Vienna, Austria
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, 1010 Vienna, Austria
- Institute of Computer Science, Faculty of Science, P. J. Šafárik University in Košice, 04180 Košice, Slovakia
| | - Norbert Kopčo
- Institute of Computer Science, Faculty of Science, P. J. Šafárik University in Košice, 04180 Košice, Slovakia
| | - Bernhard Laback
- Acoustics Research Institute, Austrian Academy of Sciences, 1040 Vienna, Austria
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13
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Enhancing the sensitivity of the envelope-following response for cochlear synaptopathy screening in humans: The role of stimulus envelope. Hear Res 2020; 400:108132. [PMID: 33333426 DOI: 10.1016/j.heares.2020.108132] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 10/25/2020] [Accepted: 11/25/2020] [Indexed: 02/07/2023]
Abstract
Auditory de-afferentation, a permanent reduction in the number of inner-hair-cells and auditory-nerve synapses due to cochlear damage or synaptopathy, can reliably be quantified using temporal bone histology and immunostaining. However, there is an urgent need for non-invasive markers of synaptopathy to study its perceptual consequences in live humans and to develop effective therapeutic interventions. While animal studies have identified candidate auditory-evoked-potential (AEP) markers for synaptopathy, their interpretation in humans has suffered from translational issues related to neural generator differences, unknown hearing-damage histopathologies or lack of measurement sensitivity. To render AEP-based markers of synaptopathy more sensitive and differential to the synaptopathy aspect of sensorineural hearing loss, we followed a combined computational and experimental approach. Starting from the known characteristics of auditory-nerve physiology, we optimized the stimulus envelope to stimulate the available auditory-nerve population optimally and synchronously to generate strong envelope-following-responses (EFRs). We further used model simulations to explore which stimuli evoked a response that was sensitive to synaptopathy, while being maximally insensitive to possible co-existing outer-hair-cell pathologies. We compared the model-predicted trends to AEPs recorded in younger and older listeners (N=44, 24f) who had normal or impaired audiograms with suspected age-related synaptopathy in the older cohort. We conclude that optimal stimulation paradigms for EFR-based quantification of synaptopathy should have sharply rising envelope shapes, a minimal plateau duration of 1.7-2.1 ms for a 120-Hz modulation rate, and inter-peak intervals which contain near-zero amplitudes. From our recordings, the optimal EFR-evoking stimulus had a rectangular envelope shape with a 25% duty cycle and a 95% modulation depth. Older listeners with normal or impaired audiometric thresholds showed significantly reduced EFRs, which were consistent with how (age-induced) synaptopathy affected these responses in the model.
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Dieudonné B, Van Wilderode M, Francart T. Temporal quantization deteriorates the discrimination of interaural time differences. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2020; 148:815. [PMID: 32873012 DOI: 10.1121/10.0001759] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 07/24/2020] [Indexed: 06/11/2023]
Abstract
Cochlear implants (CIs) often replace acoustic temporal fine structure by a fixed-rate pulse train. If the pulse timing is arbitrary (that is, not based on the phase information of the acoustic signal), temporal information is quantized by the pulse period. This temporal quantization is probably imperceptible with current clinical devices. However, it could result in large temporal jitter for strategies that aim to improve bilateral and bimodal CI users' perception of interaural time differences (ITDs), such as envelope enhancement. In an experiment with 16 normal-hearing listeners, it is shown that such jitter could deteriorate ITD perception for temporal quantization that corresponds to the often-used stimulation rate of 900 pulses per second (pps): the just-noticeable difference in ITD with quantization was 177 μs as compared to 129 μs without quantization. For smaller quantization step sizes, no significant deterioration of ITD perception was found. In conclusion, the binaural system can only average out the effect of temporal quantization to some extent, such that pulse timing should be well-considered. As this psychophysical procedure was somewhat unconventional, different procedural parameters were compared by simulating a number of commonly used two-down one-up adaptive procedures in Appendix B.
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Affiliation(s)
- Benjamin Dieudonné
- Experimental Oto-rhino-laryngology, Department of Neurosciences, Katholieke Universiteit (KU) Leuven-University of Leuven, Herestraat 49 bus 721, Leuven, 3000, Belgium
| | - Mira Van Wilderode
- Experimental Oto-rhino-laryngology, Department of Neurosciences, Katholieke Universiteit (KU) Leuven-University of Leuven, Herestraat 49 bus 721, Leuven, 3000, Belgium
| | - Tom Francart
- Experimental Oto-rhino-laryngology, Department of Neurosciences, Katholieke Universiteit (KU) Leuven-University of Leuven, Herestraat 49 bus 721, Leuven, 3000, Belgium
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Improving Interaural Time Difference Sensitivity Using Short Inter-pulse Intervals with Amplitude-Modulated Pulse Trains in Bilateral Cochlear Implants. J Assoc Res Otolaryngol 2020; 21:105-120. [PMID: 32040655 DOI: 10.1007/s10162-020-00743-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Accepted: 01/22/2020] [Indexed: 10/25/2022] Open
Abstract
Interaural time differences (ITDs) at low frequencies are important for sound localization and spatial speech unmasking. These ITD cues are not encoded in commonly used envelope-based stimulation strategies for cochlear implants (CIs) using high pulse rates. However, ITD sensitivity can be improved by adding extra pulses with short inter-pulse intervals (SIPIs) in unmodulated high-rate trains. Here, we investigated whether this improvement also applies to amplitude-modulated (AM) high-rate pulse trains. To this end, we systematically varied the temporal position of SIPI pulses within the envelope cycle (SIPI phase), the fundamental frequency (F0) of AM (125 Hz and 250 Hz), and AM depth (from 0.1 to 0.9). Stimuli were presented at an interaurally place-matched electrode pair at a reference pulse rate of 1000 pulses/s. Participants performed an ITD-based left/right discrimination task. SIPI insertion resulted in improved ITD sensitivity throughout the range of modulation depths and for both male and female F0s. The improvements were largest for insertion at and around the envelope peak. These results are promising for conveying salient ITD cues at high pulse rates commonly used to encode speech information.
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16
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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: 0.6] [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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17
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Anderson SR, Easter K, Goupell MJ. Effects of rate and age in processing interaural time and level differences in normal-hearing and bilateral cochlear-implant listeners. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 146:3232. [PMID: 31795662 PMCID: PMC6948219 DOI: 10.1121/1.5130384] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 09/27/2019] [Accepted: 10/02/2019] [Indexed: 05/25/2023]
Abstract
Bilateral cochlear implants (BICIs) provide improved sound localization and speech understanding in noise compared to unilateral CIs. However, normal-hearing (NH) listeners demonstrate superior binaural processing abilities compared to BICI listeners. This investigation sought to understand differences between NH and BICI listeners' processing of interaural time differences (ITDs) and interaural level differences (ILDs) as a function of fine-structure and envelope rate using an intracranial lateralization task. The NH listeners were presented band-limited acoustical pulse trains and sinusoidally amplitude-modulated tones using headphones, and the BICI listeners were presented single-electrode electrical pulse trains using direct stimulation. Lateralization range increased as fine-structure rate increased for ILDs in BICI listeners. Lateralization range decreased for rates above 100 Hz for fine-structure ITDs, but decreased for rates lower or higher than 100 Hz for envelope ITDs in both groups. Lateralization ranges for ITDs were smaller for BICI listeners on average. After controlling for age, older listeners showed smaller lateralization ranges and BICI listeners had a more rapid decline for ITD sensitivity at 300 pulses per second. This work suggests that age confounds comparisons between NH and BICI listeners in temporal processing tasks and that some NH-BICI binaural processing differences persist even when age differences are adequately addressed.
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Affiliation(s)
- Sean R Anderson
- Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin 53705, USA
| | - Kyle Easter
- Department of Hearing and Speech Sciences, University of Maryland, College Park, Maryland 20742, USA
| | - Matthew J Goupell
- Department of Hearing and Speech Sciences, University of Maryland, College Park, Maryland 20742, USA
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18
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Van Canneyt J, Hofmann M, Wouters J, Francart T. The effect of stimulus envelope shape on the auditory steady-state response. Hear Res 2019; 380:22-34. [DOI: 10.1016/j.heares.2019.05.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 04/23/2019] [Accepted: 05/23/2019] [Indexed: 01/01/2023]
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19
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Anderson SR, Kan A, Litovsky RY. Asymmetric temporal envelope encoding: Implications for within- and across-ear envelope comparison. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 146:1189. [PMID: 31472559 PMCID: PMC7051005 DOI: 10.1121/1.5121423] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Revised: 07/24/2019] [Accepted: 07/24/2019] [Indexed: 05/17/2023]
Abstract
Separating sound sources in acoustic environments relies on making ongoing, highly accurate spectro-temporal comparisons. However, listeners with hearing impairment may have varying quality of temporal encoding within or across ears, which may limit the listeners' ability to make spectro-temporal comparisons between places-of-stimulation. In this study in normal hearing listeners, depth of amplitude modulation (AM) for sinusoidally amplitude modulated (SAM) tones was manipulated in an effort to reduce the coding of periodicity in the auditory nerve. The ability to judge differences in AM rates was studied for stimuli presented to different cochlear places-of-stimulation, within- or across-ears. It was hypothesized that if temporal encoding was poorer for one tone in a pair, then sensitivity to differences in AM rate of the pair would decrease. Results indicated that when the depth of AM was reduced from 50% to 20% for one SAM tone in a pair, sensitivity to differences in AM rate decreased. Sensitivity was greatest for AM rates near 90 Hz and depended upon the places-of-stimulation being compared. These results suggest that degraded temporal representations in the auditory nerve for one place-of-stimulation could lead to deficits comparing that temporal information with other places-of-stimulation.
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Affiliation(s)
- Sean R Anderson
- Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin 53705, USA
| | - Alan Kan
- Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin 53705, USA
| | - Ruth Y Litovsky
- Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin 53705, USA
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20
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Improved Neural Coding of ITD with Bilateral Cochlear Implants by Introducing Short Inter-pulse Intervals. J Assoc Res Otolaryngol 2018; 19:681-702. [PMID: 30191423 DOI: 10.1007/s10162-018-00693-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Accepted: 07/17/2018] [Indexed: 10/28/2022] Open
Abstract
Bilateral cochlear implant (CI) users have poor perceptual sensitivity to interaural time differences (ITDs), which limits their ability to localize sounds and understand speech in noisy environments. This is especially true for high-rate (> 300 pps) periodic pulse trains, which are used as carriers in CI processors. Here, we investigate a novel stimulation strategy in which extra pulses are added to high-rate periodic pulse trains to introduce short inter-pulse intervals (SIPIs). We hypothesized that SIPIs can improve neural ITD sensitivity similarly to the effect observed by randomly jittering IPIs (Hancock et al., J. Neurophysiol. 108:714-28, 2012). To test this hypothesis, we measured ITD sensitivity of single units in the inferior colliculus (IC) of unanesthetized rabbits with bilateral CIs. Introducing SIPIs into high-rate pulse trains significantly increased firing rates for ~ 60 % of IC neurons, and the extra spikes tended to be synchronized to the SIPIs. The additional firings produced by SIPIs uncovered latent ITD sensitivity that was comparable to that observed with low-rate pulse trains. In some neurons, high spontaneous firing rates masked the ITD sensitivity introduced by SIPIs. ITD sensitivity in these neurons could be revealed by emphasizing stimulus-synchronized spikes with a coincidence detection analysis. Overall, these results with SIPIs are consistent with the effects observed previously with jittered pulse trains, with the added benefit of retaining control over the timing and number of SIPIs. A novel CI processing strategy could incorporate SIPIs by inserting them at selected times to high-rate pulse train carriers. Such a strategy could potentially improve ITD perception without degrading speech intelligibility and thereby improve outcomes for bilateral CI users.
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21
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Srinivasan S, Laback B, Majdak P, Delgutte B. Introducing Short Interpulse Intervals in High-Rate Pulse Trains Enhances Binaural Timing Sensitivity in Electric Hearing. J Assoc Res Otolaryngol 2018; 19:301-315. [PMID: 29549593 DOI: 10.1007/s10162-018-0659-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Accepted: 02/12/2018] [Indexed: 10/17/2022] Open
Abstract
Common envelope-based stimulation strategies for cochlear implants (CIs) use relatively high carrier rates in order to properly encode the speech envelope. For such rates, CI listeners show poor sensitivity to interaural time differences (ITDs), which are important for horizontal-plane sound localization and spatial unmasking of speech. Based on the findings from previous studies, we predicted that ITD sensitivity can be enhanced by including pulses with short interpulse intervals (SIPIs), to a 1000-pulses-per-second (pps) reference pulse train. We measured the sensitivity of eight bilateral CI listeners to ITD while systematically varying both the rate at which SIPIs are introduced ("SIPI rate") and the time interval between the two pulses forming a SIPI ("SIPI fraction"). Results showed largely enhanced ITD sensitivity relative to the reference condition, with the size of the improvement increasing with decreasing SIPI rate and decreasing SIPI fraction. For the lowest SIPI fraction, insertion of extra pulses brought ITD sensitivity to the level measured for low-rate pulse trains with rates matching the SIPI rates. The results appear promising for the goal of enhancing ITD sensitivity with envelope-based CI strategies by inserting SIPI pulses at strategic times in speech stimuli.
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Affiliation(s)
- Sridhar Srinivasan
- 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
| | - Bertrand Delgutte
- Eaton-Peabody Laboratories, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA, 02114, USA
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22
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Hancock KE, Chung Y, McKinney MF, Delgutte B. Temporal Envelope Coding by Inferior Colliculus Neurons with Cochlear Implant Stimulation. J Assoc Res Otolaryngol 2017; 18:771-788. [PMID: 28717877 DOI: 10.1007/s10162-017-0638-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Accepted: 07/07/2017] [Indexed: 11/26/2022] Open
Abstract
Modulations in temporal envelopes are a ubiquitous property of natural sounds and are especially important for hearing with cochlear implants (CIs) because these devices typically discard temporal fine structure information. With few exceptions, neural temporal envelope processing has been studied in both normal hearing (NH) and CI animals using only pure sinusoidal amplitude modulation (SAM) which poorly represents the diversity of envelope shapes contained in natural sounds because it confounds repetition rate and the width of each modulation cycle. Here, we used stimuli that allow independent manipulation of the two parameters to characterize envelope processing by inferior colliculus (IC) neurons in barbiturate-anesthetized cats with CIs. Specifically, the stimuli were amplitude modulated, high rate pulse trains, where the envelope waveform interleaved single cycles ("bursts") of a sinusoid with silent intervals. We found that IC neurons vary widely with respect to the envelope parameters that maximize their firing rates. In general, pure SAM was a relatively ineffective stimulus. The majority of neurons (60 %) preferred a combination of short bursts and low repetition rates (long silent intervals). Others preferred low repetition rates with minimal dependence on envelope width (17 %), while the remainder responded most strongly to brief bursts with lesser sensitivity to repetition rate (23 %). A simple phenomenological model suggests that a combination of inhibitory and intrinsic cellular mechanisms suffices to account for the wide variation in optimal envelope shapes. In contrast to the strong dependence of firing rate on envelope shape, neurons tended to phase lock precisely to the envelope regardless of shape. Most neurons tended to fire specifically near the peak of the modulation cycle, with little phase dispersion within or across neurons. Such consistently precise timing degrades envelope coding compared to NH processing of real-world sounds, because it effectively eliminates spike timing as a cue to envelope shape.
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Affiliation(s)
- Kenneth E Hancock
- Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA, 02114, USA.
- Department of Otolaryngology, Harvard Medical School, Boston, MA, 02115, USA.
| | - Yoojin Chung
- Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA, 02114, USA
- Department of Otolaryngology, Harvard Medical School, Boston, MA, 02115, USA
| | | | - Bertrand Delgutte
- Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA, 02114, USA
- Department of Otolaryngology, Harvard Medical School, Boston, MA, 02115, USA
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23
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Prokopiou A, Moncada-Torres A, Wouters J, Francart T. Functional modelling of interaural time difference discrimination in acoustical and electrical hearing. J Neural Eng 2017; 14:046021. [DOI: 10.1088/1741-2552/aa7075] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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24
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Tabuchi H, Laback B. Psychophysical and modeling approaches towards determining the cochlear phase response based on interaural time differences. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2017; 141:4314. [PMID: 28618834 PMCID: PMC5734621 DOI: 10.1121/1.4984031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The cochlear phase response is often estimated by measuring masking of a tonal target by harmonic complexes with various phase curvatures. Maskers yielding most modulated internal envelope representations after passing the cochlear filter are thought to produce minimum masking, with fast-acting cochlear compression as the main contributor to that effect. Thus, in hearing-impaired (HI) listeners, reduced cochlear compression hampers estimation of the phase response using the masking method. This study proposes an alternative approach, based on the effect of the envelope modulation strength on the sensitivity to interaural time differences (ITDs). To evaluate the general approach, ITD thresholds were measured in seven normal-hearing listeners using 300-ms Schroeder-phase harmonic complexes with nine different phase curvatures. ITD thresholds tended to be lowest for phase curvatures roughly similar to those previously shown to produce minimum masking. However, an unexpected ITD threshold peak was consistently observed for a particular negative phase curvature. An auditory-nerve based ITD model predicted the general pattern of ITD thresholds except for the threshold peak, as well as published envelope ITD data. Model predictions simulating outer hair cell loss support the feasibility of the ITD-based approach to estimate the phase response in HI listeners.
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Baumgärtel RM, Hu H, Kollmeier B, Dietz M. Extent of lateralization at large interaural time differences in simulated electric hearing and bilateral cochlear implant users. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2017; 141:2338. [PMID: 28464641 DOI: 10.1121/1.4979114] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Normal-hearing (NH) listeners are able to localize sound sources with extraordinary accuracy through interaural cues, most importantly interaural time differences (ITDs) in the temporal fine structure. Bilateral cochlear implant (CI) users are also able to localize sound sources, yet generally at lower accuracy than NH listeners. The gap in performance can in part be attributed to current CI systems not faithfully transmitting interaural cues, especially ITDs. With the introduction of binaurally linked CI systems, the presentation of ITD cues for bilateral CI users is foreseeable. The current study therefore investigated extent-of-lateralization percepts elicited in bilateral CI listeners when presented with single-electrode pulse-trains carrying controlled ITD cues. The results were compared against NH listeners listening to broadband stimuli as well as simulations of CI listening. Broadband stimuli in NH listeners were perceived as fully lateralized within the natural ITD range. Using simulated as well as real CI stimuli, however, only a fraction of the full extent of lateralization range was covered by natural ITDs. The maximum extent of lateralization was reached at ITDs as large as twice the natural limit. The results suggest that ITD-enhancement might be a viable option for improving localization abilities with future binaural CI systems.
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Affiliation(s)
- Regina M Baumgärtel
- Medizinische Physik, Carl von Ossietzky Universität Oldenburg and Cluster of Excellence "Hearing4all," Oldenburg, Germany
| | - Hongmei Hu
- Medizinische Physik, Carl von Ossietzky Universität Oldenburg and Cluster of Excellence "Hearing4all," Oldenburg, Germany
| | - Birger Kollmeier
- Medizinische Physik, Carl von Ossietzky Universität Oldenburg and Cluster of Excellence "Hearing4all," Oldenburg, Germany
| | - Mathias Dietz
- Medizinische Physik, Carl von Ossietzky Universität Oldenburg and Cluster of Excellence "Hearing4all," Oldenburg, Germany
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26
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Macaulay EJ, Rakerd B, Andrews TJ, Hartmann WM. On the localization of high-frequency, sinusoidally amplitude-modulated tones in free field. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2017; 141:847. [PMID: 28253653 PMCID: PMC6910042 DOI: 10.1121/1.4976047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Revised: 01/18/2017] [Accepted: 01/18/2017] [Indexed: 06/06/2023]
Abstract
Previous headphone experiments have shown that listeners can lateralize high-frequency sine-wave amplitude-modulated (SAM) tones based on interaural time differences in the envelope. However, when SAM tones are presented to listeners in free field or in a room, diffraction by the head or reflections from room surfaces alter the modulation percentages and change the shapes of the envelopes, potentially degrading the envelope cue. Amplitude modulation is transformed into mixed modulation. This article presents a mathematical transformation between the six spectral parameters for a modulated tone and six mixed-modulation parameters for each ear. The transformation was used to characterize the stimuli in the ear canals of listeners in free-field localization experiments. The mixed modulation parameters were compared with the perceived changes in localization attributable to the modulation for five different listeners, who benefited from the modulation to different extents. It is concluded that individual differences in the response to added modulation were not systematically related to the physical modulation parameters themselves. Instead, they were likely caused by individual differences in processing of envelope interaural time differences.
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Affiliation(s)
- Eric J Macaulay
- Department of Physics and Astronomy, Michigan State University, 567 Wilson Road, East Lansing, Michigan 48824, USA
| | - Brad Rakerd
- Department of Communicative Sciences and Disorders, Michigan State University, 1026 Red Cedar Road, East Lansing, Michigan 48824, USA
| | - Thomas J Andrews
- Department of Physics and Astronomy, Purdue University, 525 Northwestern Avenue, West Lafayette, Indiana 47907, USA
| | - William M Hartmann
- Department of Physics and Astronomy, Michigan State University, 567 Wilson Road, East Lansing, Michigan 48824, USA
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Abstract
In an increasing number of countries, the standard treatment for deaf individuals is moving toward the implantation of two cochlear implants. Today's device technology and fitting procedure, however, appears as if the two implants would serve two independent ears and brains. Many experimental studies have demonstrated that after careful matching and balancing of left and right stimulation in controlled laboratory studies most patients have almost normal sensitivity to interaural level differences and some sensitivity to interaural time differences (ITDs). Mechanisms underlying the limited ITD sensitivity are still poorly understood and many different aspects may contribute. Recent pioneering computational approaches identified some of the functional implications the electric input imposes on the neural brainstem circuits. Simultaneously these studies have raised new questions and certainly demonstrated that further refinement of the model stages is necessary. They join the experimental study's conclusions that binaural device technology, binaural fitting, specific speech coding strategies, and binaural signal processing algorithms are obviously missing components to maximize the benefit of bilateral implantation. Within this review, the existing models of the electrically stimulated binaural system are explained, compared, and discussed from a viewpoint of a "CI device with auditory system" and from that of neurophysiological research.
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Affiliation(s)
- Mathias Dietz
- a Canada Research Chair in Binaural Hearing, National Centre for Audiology, Faculty of Health Sciences , Western University , London , Ontario , Canada
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28
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Monaghan JJM, Seeber BU. A method to enhance the use of interaural time differences for cochlear implants in reverberant environments. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2016; 140:1116. [PMID: 27586742 PMCID: PMC5708523 DOI: 10.1121/1.4960572] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The ability of normal-hearing (NH) listeners to exploit interaural time difference (ITD) cues conveyed in the modulated envelopes of high-frequency sounds is poor compared to ITD cues transmitted in the temporal fine structure at low frequencies. Sensitivity to envelope ITDs is further degraded when envelopes become less steep, when modulation depth is reduced, and when envelopes become less similar between the ears, common factors when listening in reverberant environments. The vulnerability of envelope ITDs is particularly problematic for cochlear implant (CI) users, as they rely on information conveyed by slowly varying amplitude envelopes. Here, an approach to improve access to envelope ITDs for CIs is described in which, rather than attempting to reduce reverberation, the perceptual saliency of cues relating to the source is increased by selectively sharpening peaks in the amplitude envelope judged to contain reliable ITDs. Performance of the algorithm with room reverberation was assessed through simulating listening with bilateral CIs in headphone experiments with NH listeners. Relative to simulated standard CI processing, stimuli processed with the algorithm generated lower ITD discrimination thresholds and increased extents of laterality. Depending on parameterization, intelligibility was unchanged or somewhat reduced. The algorithm has the potential to improve spatial listening with CIs.
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Affiliation(s)
- Jessica J M Monaghan
- Medical Research Council Institute of Hearing Research, Nottingham, United Kingdom
| | - Bernhard U Seeber
- Medical Research Council Institute of Hearing Research, Nottingham, United Kingdom
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Dietz M, Wang L, Greenberg D, McAlpine D. Sensitivity to Interaural Time Differences Conveyed in the Stimulus Envelope: Estimating Inputs of Binaural Neurons Through the Temporal Analysis of Spike Trains. J Assoc Res Otolaryngol 2016; 17:313-30. [PMID: 27294694 DOI: 10.1007/s10162-016-0573-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Accepted: 05/30/2016] [Indexed: 01/03/2023] Open
Abstract
Sound-source localization in the horizontal plane relies on detecting small differences in the timing and level of the sound at the two ears, including differences in the timing of the modulated envelopes of high-frequency sounds (envelope interaural time differences (ITDs)). We investigated responses of single neurons in the inferior colliculus (IC) to a wide range of envelope ITDs and stimulus envelope shapes. By a novel means of visualizing neural activity relative to different portions of the periodic stimulus envelope at each ear, we demonstrate the role of neuron-specific excitatory and inhibitory inputs in creating ITD sensitivity (or the lack of it) depending on the specific shape of the stimulus envelope. The underlying binaural brain circuitry and synaptic parameters were modeled individually for each neuron to account for neuron-specific activity patterns. The model explains the effects of envelope shapes on sensitivity to envelope ITDs observed in both normal-hearing listeners and in neural data, and has consequences for understanding how ITD information in stimulus envelopes might be maximized in users of bilateral cochlear implants-for whom ITDs conveyed in the stimulus envelope are the only ITD cues available.
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Affiliation(s)
- Mathias Dietz
- Medizinische Physik and Cluster of Excellence Hearing4all, Universität Oldenburg, 26111, Oldenburg, Germany. .,UCL Ear Institute, 332 Gray's Inn Road, London, WC1X 8EE, UK. .,National Centre for Audiology, Faculty of Health Sciences, Western University, London, N6G 1H1, Ontario, Canada.
| | - Le Wang
- Center for Computational Neuroscience and Neural Technology, Boston University, Boston, MA, 02215, USA
| | - David Greenberg
- UCL Ear Institute, 332 Gray's Inn Road, London, WC1X 8EE, UK
| | - David McAlpine
- UCL Ear Institute, 332 Gray's Inn Road, London, WC1X 8EE, UK.,Dept. of Lingustics, Australian Hearing Hub, Macquarie University, Sydney, NSW, 2109, Australia
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Monaghan JJM, Bleeck S, McAlpine D. Sensitivity to Envelope Interaural Time Differences at High Modulation Rates. Trends Hear 2015; 19:2331216515619331. [PMID: 26721926 PMCID: PMC4871209 DOI: 10.1177/2331216515619331] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Sensitivity to interaural time differences (ITDs) conveyed in the temporal fine structure of low-frequency tones and the modulated envelopes of high-frequency sounds are considered comparable, particularly for envelopes shaped to transmit similar fidelity of temporal information normally present for low-frequency sounds. Nevertheless, discrimination performance for envelope modulation rates above a few hundred Hertz is reported to be poor-to the point of discrimination thresholds being unattainable-compared with the much higher (>1,000 Hz) limit for low-frequency ITD sensitivity, suggesting the presence of a low-pass filter in the envelope domain. Further, performance for identical modulation rates appears to decline with increasing carrier frequency, supporting the view that the low-pass characteristics observed for envelope ITD processing is carrier-frequency dependent. Here, we assessed listeners' sensitivity to ITDs conveyed in pure tones and in the modulated envelopes of high-frequency tones. ITD discrimination for the modulated high-frequency tones was measured as a function of both modulation rate and carrier frequency. Some well-trained listeners appear able to discriminate ITDs extremely well, even at modulation rates well beyond 500 Hz, for 4-kHz carriers. For one listener, thresholds were even obtained for a modulation rate of 800 Hz. The highest modulation rate for which thresholds could be obtained declined with increasing carrier frequency for all listeners. At 10 kHz, the highest modulation rate at which thresholds could be obtained was 600 Hz. The upper limit of sensitivity to ITDs conveyed in the envelope of high-frequency modulated sounds appears to be higher than previously considered.
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Affiliation(s)
| | - Stefan Bleeck
- Institute of Sound and Vibration Research, University of Southampton, UK
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31
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Egger K, Majdak P, Laback B. Channel Interaction and Current Level Affect Across-Electrode Integration of Interaural Time Differences in Bilateral Cochlear-Implant Listeners. J Assoc Res Otolaryngol 2015; 17:55-67. [PMID: 26377826 DOI: 10.1007/s10162-015-0542-8] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2014] [Accepted: 08/30/2015] [Indexed: 11/26/2022] Open
Abstract
Sensitivity to interaural time differences (ITDs) is important for sound localization. Normal-hearing listeners benefit from across-frequency processing, as seen with improved ITD thresholds when consistent ITD cues are presented over a range of frequency channels compared with when ITD information is only presented in a single frequency channel. This study aimed to clarify whether cochlear-implant (CI) listeners can make use of similar processing when being stimulated with multiple interaural electrode pairs transmitting consistent ITD information. ITD thresholds for unmodulated, 100-pulse-per-second pulse trains were measured in seven bilateral CI listeners using research interfaces. Consistent ITDs were presented at either one or two electrode pairs at different current levels, allowing for comparisons at either constant level per component electrode or equal overall loudness. Different tonotopic distances between the pairs were tested in order to clarify the potential influence of channel interaction. Comparison of ITD thresholds between double pairs and the respective single pairs revealed systematic effects of tonotopic separation and current level. At constant levels, performance with double-pair stimulation improved compared with single-pair stimulation but only for large tonotopic separation. Comparisons at equal overall loudness revealed no benefit from presenting ITD information at two electrode pairs for any tonotopic spacing. Irrespective of electrode-pair configuration, ITD sensitivity improved with increasing current level. Hence, the improved ITD sensitivity for double pairs found for a large tonotopic separation and constant current levels seems to be due to increased loudness. The overall data suggest that CI listeners can benefit from combining consistent ITD information across multiple electrodes, provided sufficient stimulus levels and that stimulating electrode pairs are widely spaced.
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Affiliation(s)
- Katharina Egger
- 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.
| | - Bernhard Laback
- Acoustics Research Institute, Austrian Academy of Sciences, Wohllebengasse 12-14, 1040, Vienna, Austria.
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Perception and coding of interaural time differences with bilateral cochlear implants. Hear Res 2015; 322:138-50. [DOI: 10.1016/j.heares.2014.10.004] [Citation(s) in RCA: 82] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2014] [Revised: 10/01/2014] [Accepted: 10/07/2014] [Indexed: 11/21/2022]
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Salminen NH, Altoè A, Takanen M, Santala O, Pulkki V. Human cortical sensitivity to interaural time difference in high-frequency sounds. Hear Res 2015; 323:99-106. [PMID: 25668126 DOI: 10.1016/j.heares.2015.01.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Revised: 01/22/2015] [Accepted: 01/27/2015] [Indexed: 11/18/2022]
Abstract
Human sound source localization relies on various acoustical cues one of the most important being the interaural time difference (ITD). ITD is best detected in the fine structure of low-frequency sounds but it may also contribute to spatial hearing at higher frequencies if extracted from the sound envelope. The human brain mechanisms related to this envelope ITD cue remain unexplored. Here, we tested the sensitivity of the human auditory cortex to envelope ITD in magnetoencephalography (MEG) recordings. We found two types of sensitivity to envelope ITD. First, the amplitude of the auditory cortical N1m response was smaller for zero envelope ITD than for long envelope ITDs corresponding to the sound being in opposite phase in the two ears. Second, the N1m response amplitude showed ITD-specific adaptation for both fine-structure and for envelope ITD. The auditory cortical sensitivity was weaker for envelope ITD in high-frequency sounds than for fine-structure ITD in low-frequency sounds but occurred within a range of ITDs that are encountered in natural conditions. Finally, the participants were briefly tested for their behavioral ability to detect envelope ITD. Interestingly, we found a correlation between the behavioral performance and the neural sensitivity to envelope ITD. In conclusion, our findings show that the human auditory cortex is sensitive to ITD in the envelope of high-frequency sounds and this sensitivity may have behavioral relevance.
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Affiliation(s)
- Nelli H Salminen
- Brain and Mind Laboratory, Department of Biomedical Engineering and Computational Science, Aalto University School of Science, P.O. Box 12200, FI-00076 Aalto, Finland; MEG Core, Aalto NeuroImaging, Aalto University School of Science, Finland.
| | - Alessandro Altoè
- Department of Signal Processing and Acoustics, Aalto University School of Electrical Engineering, P.O. Box 13000, FI-00076 Aalto, Finland
| | - Marko Takanen
- Department of Signal Processing and Acoustics, Aalto University School of Electrical Engineering, P.O. Box 13000, FI-00076 Aalto, Finland
| | - Olli Santala
- Department of Signal Processing and Acoustics, Aalto University School of Electrical Engineering, P.O. Box 13000, FI-00076 Aalto, Finland
| | - Ville Pulkki
- Department of Signal Processing and Acoustics, Aalto University School of Electrical Engineering, P.O. Box 13000, FI-00076 Aalto, Finland
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Dietz M, Klein-Hennig M, Hohmann V. The influence of pause, attack, and decay duration of the ongoing envelope on sound lateralization. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2015; 137:EL137-43. [PMID: 25698041 DOI: 10.1121/1.4905891] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Klein-Hennig et al. [J. Acoust. Soc. Am. 129, 3856-3872 (2011)] introduced a class of high-frequency stimuli for which the envelope shape can be altered by independently varying the attack, hold, decay, and pause durations. These stimuli, originally employed for testing the shape dependence of human listeners' sensitivity to interaural temporal differences (ITDs) in the ongoing envelope, were used to measure the lateralization produced by fixed interaural disparities. Consistent with the threshold ITD data, a steep attack and a non-zero pause facilitate strong ITD-based lateralization. In contrast, those conditions resulted in the smallest interaural level-based lateralization.
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Affiliation(s)
- Mathias Dietz
- Medizinische Physik and Cluster of Excellence Hearing4all, Universität Oldenburg, D-26111 Oldenburg, Germany , ,
| | - Martin Klein-Hennig
- Medizinische Physik and Cluster of Excellence Hearing4all, Universität Oldenburg, D-26111 Oldenburg, Germany , ,
| | - Volker Hohmann
- Medizinische Physik and Cluster of Excellence Hearing4all, Universität Oldenburg, D-26111 Oldenburg, Germany , ,
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Jones H, Kan A, Litovsky RY. Comparing sound localization deficits in bilateral cochlear-implant users and vocoder simulations with normal-hearing listeners. Trends Hear 2014; 18:18/0/2331216514554574. [PMID: 25385244 PMCID: PMC4271768 DOI: 10.1177/2331216514554574] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Bilateral cochlear-implant (BiCI) users are less accurate at localizing free-field (FF) sound sources than normal-hearing (NH) listeners. This performance gap is not well understood but is likely due to a combination of compromises in acoustic signal representation by the two independent speech processors and neural degradation of auditory pathways associated with a patient's hearing loss. To exclusively investigate the effect of CI speech encoding on horizontal-plane sound localization, the present study measured sound localization performance in NH subjects listening to vocoder processed and nonvocoded virtual acoustic space (VAS) stimuli. Various aspects of BiCI stimulation such as independently functioning devices, variable across-ear channel selection, and pulsatile stimulation were simulated using uncorrelated noise (Nu), correlated noise (N0), or Gaussian-enveloped tone (GET) carriers during vocoder processing. Additionally, FF sound localization in BiCI users was measured in the same testing environment for comparison. Distinct response patterns across azimuthal locations were evident for both listener groups and were analyzed using a multilevel regression analysis. Simulated implant speech encoding, regardless of carrier, was detrimental to NH localization and the GET vocoder best simulated BiCI FF performance in NH listeners. Overall, the detrimental effect of vocoder processing on NH performance suggests that sound localization deficits may persist even for BiCI patients who have minimal neural degradation associated with their hearing loss and indicates that CI speech encoding plays a significant role in the sound localization deficits experienced by BiCI users.
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Affiliation(s)
- Heath Jones
- Waisman Center, University of Wisconsin-Madison, WI, USA
| | - Alan Kan
- Waisman Center, University of Wisconsin-Madison, WI, USA
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36
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Hartley DEH, Isaiah A. Envelope enhancement increases cortical sensitivity to interaural envelope delays with acoustic and electric hearing. PLoS One 2014; 9:e104097. [PMID: 25093417 PMCID: PMC4122409 DOI: 10.1371/journal.pone.0104097] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2013] [Accepted: 07/10/2014] [Indexed: 11/20/2022] Open
Abstract
Evidence from human psychophysical and animal electrophysiological studies suggests that sensitivity to interaural time delay (ITD) in the modulating envelope of a high-frequency carrier can be enhanced using half-wave rectified stimuli. Recent evidence has shown potential benefits of equivalent electrical stimuli to deaf individuals with bilateral cochlear implants (CIs). In the current study we assessed the effects of envelope shape on ITD sensitivity in the primary auditory cortex of normal-hearing ferrets, and profoundly-deaf animals with bilateral CIs. In normal-hearing animals, cortical sensitivity to ITDs (±1 ms in 0.1-ms steps) was assessed in response to dichotically-presented i) sinusoidal amplitude-modulated (SAM) and ii) half-wave rectified (HWR) tones (100-ms duration; 70 dB SPL) presented at the best-frequency of the unit over a range of modulation frequencies. In separate experiments, adult ferrets were deafened with neomycin administration and bilaterally-implanted with intra-cochlear electrode arrays. Electrically-evoked auditory brainstem responses (EABRs) were recorded in response to bipolar electrical stimulation of the apical pair of electrodes with singe biphasic current pulses (40 µs per phase) over a range of current levels to measure hearing thresholds. Subsequently, we recorded cortical sensitivity to ITDs (±800 µs in 80-µs steps) within the envelope of SAM and HWR biphasic-pulse trains (40 µs per phase; 6000 pulses per second, 100-ms duration) over a range of modulation frequencies. In normal-hearing animals, nearly a third of cortical neurons were sensitive to envelope-ITDs in response to SAM tones. In deaf animals with bilateral CI, the proportion of ITD-sensitive cortical neurons was approximately a fifth in response to SAM pulse trains. In normal-hearing and deaf animals with bilateral CI the proportion of ITD sensitive units and neural sensitivity to ITDs increased in response to HWR, compared with SAM stimuli. Consequently, novel stimulation strategies based on envelope enhancement may prove beneficial to individuals with bilateral cochlear implants.
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Affiliation(s)
- Douglas E. H. Hartley
- NIHR National Biomedical Research Unit in Hearing, Ropewalk House, Nottingham, United Kingdom
- Department of Otolaryngology, School of Clinical Sciences, Nottingham University, Nottingham, United Kingdom
- Medical Research Council Institute of Hearing Research, University Park, Nottingham, United Kingdom
- Department of Physiology, Anatomy & Genetics, University of Oxford, Oxford, United Kingdom
| | - Amal Isaiah
- Department of Physiology, Anatomy & Genetics, University of Oxford, Oxford, United Kingdom
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Francart T, Lenssen A, Wouters J. Modulation enhancement in the electrical signal improves perception of interaural time differences with bimodal stimulation. J Assoc Res Otolaryngol 2014; 15:633-47. [PMID: 24890714 DOI: 10.1007/s10162-014-0457-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2013] [Accepted: 04/21/2014] [Indexed: 10/25/2022] Open
Abstract
Interaural timing cues are important for sound source localization and for binaural unmasking of speech that is spatially separated from interfering sounds. Users of a cochlear implant (CI) with residual hearing in the non-implanted ear (bimodal listeners) can only make very limited use of interaural timing cues with their clinical devices. Previous studies showed that bimodal listeners can be sensitive to interaural time differences (ITDs) for simple single- and three-channel stimuli. The modulation enhancement strategy (MEnS) was developed to improve the ITD perception of bimodal listeners. It enhances temporal modulations on all stimulated electrodes, synchronously with modulations in the acoustic signal presented to the non-implanted ear, based on measurement of the amplitude peaks occurring at the rate of the fundamental frequency in voiced phonemes. In the first experiment, ITD detection thresholds were measured using the method of constant stimuli for five bimodal listeners for an artificial vowel, processed with either the advanced combination encoder (ACE) strategy or with MEnS. With MEnS, detection thresholds were significantly lower, and for four subjects well within the physically relevant range. In the second experiment, the extent of lateralization was measured in three subjects with both strategies, and ITD sensitivity was determined using an adaptive procedure. All subjects could lateralize sounds based on ITD and sensitivity was significantly better with MEnS than with ACE. The current results indicate that ITD cues can be provided to bimodal listeners with modified sound processing.
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Affiliation(s)
- Tom Francart
- KU Leuven, Department of Neurosciences, ExpORL, O&N2, Herestraat 49 Bus 721, 3000, Leuven, Belgium,
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38
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Ihlefeld A, Kan A, Litovsky RY. Across-frequency combination of interaural time difference in bilateral cochlear implant listeners. Front Syst Neurosci 2014; 8:22. [PMID: 24653681 PMCID: PMC3949319 DOI: 10.3389/fnsys.2014.00022] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2013] [Accepted: 01/29/2014] [Indexed: 11/13/2022] Open
Abstract
The current study examined how cochlear implant (CI) listeners combine temporally interleaved envelope-ITD information across two sites of stimulation. When two cochlear sites jointly transmit ITD information, one possibility is that CI listeners can extract the most reliable ITD cues available. As a result, ITD sensitivity would be sustained or enhanced compared to single-site stimulation. Alternatively, mutual interference across multiple sites of ITD stimulation could worsen dual-site performance compared to listening to the better of two electrode pairs. Two experiments used direct stimulation to examine how CI users can integrate ITDs across two pairs of electrodes. Experiment 1 tested ITD discrimination for two stimulation sites using 100-Hz sinusoidally modulated 1000-pps-carrier pulse trains. Experiment 2 used the same stimuli ramped with 100 ms windows, as a control condition with minimized onset cues. For all stimuli, performance improved monotonically with increasing modulation depth. Results show that when CI listeners are stimulated with electrode pairs at two cochlear sites, sensitivity to ITDs was similar to that seen when only the electrode pair with better sensitivity was activated. None of the listeners showed a decrement in performance from the worse electrode pair. This could be achieved either by listening to the better electrode pair or by truly integrating the information across cochlear sites.
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Affiliation(s)
- Antje Ihlefeld
- Waisman Center, University of Wisconsin Madison, WI, USA ; Center for Neural Science, New York University New York, NY, USA
| | - Alan Kan
- Waisman Center, University of Wisconsin Madison, WI, USA
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Bernstein LR, Trahiotis C. Sensitivity to envelope-based interaural delays at high frequencies: center frequency affects the envelope rate-limitation. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2014; 135:808-816. [PMID: 25234889 PMCID: PMC3985968 DOI: 10.1121/1.4861251] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2013] [Revised: 12/12/2013] [Accepted: 12/16/2013] [Indexed: 05/31/2023]
Abstract
Sensitivity to ongoing interaural temporal disparities (ITDs) was measured using bandpass-filtered pulse trains centered at 4600, 6500, or 9200 Hz. Save for minor differences in the exact center frequencies, those target stimuli were those employed by Majdak and Laback [J. Acoust. Soc. Am. 125, 3903-3913 (2009)]. At each center frequency, threshold ITD was measured for pulse repetition rates ranging from 64 to 609 Hz. The results and quantitative predictions by a cross-correlation-based model indicated that (1) at most pulse repetition rates, threshold ITD increased with center frequency, (2) the cutoff frequency of the putative envelope low-pass filter that determines sensitivity to ITD at high envelope rates appears to be inversely related to center frequency, and (3) both outcomes were accounted for by assuming that, independent of the center frequency, the listeners' decision variable was a constant criterion change in interaural correlation of the stimuli as processed internally. The finding of an inverse relation between center frequency and the envelope rate limitation, while consistent with much prior literature, runs counter to the conclusion reached by Majdak and Laback.
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Affiliation(s)
- Leslie R Bernstein
- Departments of Neuroscience and Surgery (Otolaryngology), University of Connecticut Health Center, Farmington, Connecticut 06030
| | - Constantine Trahiotis
- Departments of Neuroscience and Surgery (Otolaryngology), University of Connecticut Health Center, Farmington, Connecticut 06030
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Goupell MJ, Stoelb C, Kan A, Litovsky RY. Effect of mismatched place-of-stimulation on the salience of binaural cues in conditions that simulate bilateral cochlear-implant listening. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2013; 133:2272-87. [PMID: 23556595 PMCID: PMC3631247 DOI: 10.1121/1.4792936] [Citation(s) in RCA: 92] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Although bilateral cochlear implantation has the potential to improve sound localization and speech understanding in noise, obstacles exist in presenting maximally useful binaural information to bilateral cochlear-implant (CI) users. One obstacle is that electrode arrays may differ in cochlear position by several millimeters, thereby stimulating different neural populations. Effects of interaural frequency mismatch on binaural processing were studied in normal-hearing (NH) listeners using band-limited pulse trains, thereby avoiding confounding factors that may occur in CI users. In experiment 1, binaural image fusion was measured to capture perceptual number, location, and compactness. Subjects heard a single, compact image on 73% of the trials. In experiment 2, intracranial image location was measured for different interaural time differences (ITDs) and interaural level differences (ILDs). For larger mismatch, locations perceptually shifted towards the ear with the higher carrier frequency. In experiment 3, ITD and ILD just-noticeable differences (JNDs) were measured. JNDs increased with decreasing bandwidth and increasing mismatch, but were always measurable up to 3 mm of mismatch. If binaural-hearing mechanisms are similar between NH and CI subjects, these results may explain reduced sensitivity of ITDs and ILDs in CI users. Large mismatches may lead to distorted spatial maps and reduced binaural image fusion.
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Affiliation(s)
- Matthew J Goupell
- Waisman Center, 1500 Highland Avenue, University of Wisconsin, Madison, Wisconsin 53705, USA.
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41
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Monaghan JJM, Krumbholz K, Seeber BU. Factors affecting the use of envelope interaural time differences in reverberation. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2013; 133:2288-300. [PMID: 23556596 DOI: 10.1121/1.4793270] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
At high frequencies, interaural time differences (ITDs) are conveyed by the sound envelope. Sensitivity to envelope ITDs depends crucially on the envelope shape. Reverberation degrades the envelope shape, reducing the modulation depth of the envelope and the slope of its flanks. Reverberation also reduces the envelope interaural coherence (i.e., the similarity of the envelopes at two ears). The current study investigates the extent to which these changes affect sensitivity to envelope ITDs. The first experiment measured ITD discrimination thresholds at low and high frequencies in a simulated room. The stimulus was either a low-frequency narrowband noise or the same noise transposed to a higher frequency. The results suggest that the effect of reverberation on ITD thresholds was multiplicative. Given that the threshold without reverberation was larger for the transposed than for the low-frequency stimulus, this meant that, in absolute terms, the thresholds for the transposed stimulus showed a much greater increase due to reverberation than those for the low-frequency stimulus. Three further experiments indicated that the effect of reverberation on the envelope ITD thresholds was due to the combined effect of the reduction in the envelope modulation depth and slopes, as well as the decrease in the envelope interaural coherence.
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Affiliation(s)
- Jessica J M Monaghan
- MRC Institute of Hearing Research, University Park, Nottingham NG7 2RD, United Kingdom.
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42
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Noel VA, Eddington DK. Sensitivity of bilateral cochlear implant users to fine-structure and envelope interaural time differences. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2013; 133:2314-28. [PMID: 23556598 PMCID: PMC3631249 DOI: 10.1121/1.4794372] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2012] [Revised: 01/11/2013] [Accepted: 02/11/2013] [Indexed: 05/25/2023]
Abstract
Bilateral cochlear implant users have poor sensitivity to interaural time differences (ITDs) of high-rate pulse trains, which precludes use of these stimuli to convey fine-structure ITD cues. However, previous reports of single-neuron recordings in cats demonstrated good ITD sensitivity to 1000 pulses-per-second (pps) pulses when the pulses were sinusoidally amplitude modulated. The ability of modulation to restore ITD sensitivity to high-rate pulses in humans was tested by measuring ITD thresholds for three conditions: ITD encoded in the modulated carrier pulses alone, in the envelope alone, and in the whole waveform. Five of six subjects were not sensitive to ITD in the 1000-pps carrier, even with modulation. One subject's 1000-pps carrier ITD sensitivity did significantly improve due to modulation. Sensitivity to ITD encoded in the envelope was also measured as a function of modulation frequency, including at frequencies from 4 to 16 Hz where much of the speech envelope's energy and information resides. Sensitivity was best at the modulation frequency of 100 Hz and degraded rapidly outside of a narrow range. These results provide little evidence to support encoding ITD in the carrier of current bilateral processors, and suggest envelope ITD sensitivity is poor for an important segment of the speech modulation spectrum.
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Affiliation(s)
- Victor A Noel
- Cochlear Implant Research Laboratory, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, Massachusetts 02114, USA.
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Kerber S, Seeber BU. Localization in reverberation with cochlear implants: predicting performance from basic psychophysical measures. J Assoc Res Otolaryngol 2013; 14:379-92. [PMID: 23440517 PMCID: PMC3642272 DOI: 10.1007/s10162-013-0378-z] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2012] [Accepted: 02/07/2013] [Indexed: 11/25/2022] Open
Abstract
Users of bilateral cochlear implants (CIs) experience difficulties localizing sounds in reverberant rooms, even in rooms where normal-hearing listeners would hardly notice the reverberation. We measured the localization ability of seven bilateral CI users listening with their own devices in anechoic space and in a simulated reverberant room. To determine factors affecting performance in reverberant space we measured the sensitivity to interaural time differences (ITDs), interaural level differences (ILDs), and forward masking in the same participants using direct computer control of the electric stimulation in their CIs. Localization performance, quantified by the coefficient of determination r(2) and the root mean squared error, was significantly worse in the reverberant room than in anechoic conditions. Localization performance in the anechoic room, expressed as r(2), was best predicted by subject's sensitivity to ILDs. However, the decrease in localization performance caused by reverberation was better predicted by the sensitivity to envelope ITDs measured on single electrode pairs, with a correlation coefficient of 0.92. The CI users who were highly sensitive to envelope ITDs also better maintained their localization ability in reverberant space. Results in the forward masking task added only marginally to the predictions of localization performance in both environments. The results indicate that envelope ITDs provided by CI processors support localization in reverberant space. Thus, methods that improve perceptual access to envelope ITDs could help improve localization with bilateral CIs in everyday listening situations.
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Affiliation(s)
- Stefan Kerber
- MRC Institute of Hearing Research, University Park, Nottingham, UK.
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Dietz M, Wendt T, Ewert SD, Laback B, Hohmann V. Comparing the effect of pause duration on threshold interaural time differences between exponential and squared-sine envelopes (L). THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2013; 133:1-4. [PMID: 23297875 DOI: 10.1121/1.4768876] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Recently two studies [Klein-Hennig et al., J. Acoust. Soc. Am. 129, 3856-3872 (2011); Laback et al., J. Acoust. Soc. Am. 130, 1515-1529 (2011)] independently investigated the isolated effect of pause duration on sensitivity to interaural time differences (ITD) in the ongoing stimulus envelope. The steepness of the threshold ITD as a function of pause duration functions differed considerably across studies. The present study, using matched carrier and modulation frequencies, directly compared threshold ITDs for the two envelope flank shapes from those studies. The results agree well when defining the metric of pause duration based on modulation depth sensitivity.
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Affiliation(s)
- Mathias Dietz
- Medizinische Physik, Universität Oldenburg, Carl-von-Ossietzky Strasse 9-11, 26111 Oldenburg, Germany.
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Francart T, Lenssen A, Wouters J. The effect of interaural differences in envelope shape on the perceived location of sounds (L). THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2012; 132:611-4. [PMID: 22894182 DOI: 10.1121/1.4733557] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Users of bilateral cochlear implants and a cochlear implant combined with a contralateral hearing aid are sensitive to interaural time differences (ITDs). The way cochlear implant speech processors work and differences between modalities may result in interaural differences in shape of the temporal envelope presented to the binaural system. The effect of interaural differences in envelope shape on ITD sensitivity was investigated with normal-hearing listeners using a 4 kHz pure tone modulated with a periodic envelope with a trapezoid shape in each cycle. In one ear the onset segment of the trapezoid was transformed by a power function. No effect on the just noticeable difference in ITD was found with an interaural difference in envelope shape, but the ITD for a centered percept was significantly different across envelope shape conditions.
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Affiliation(s)
- Tom Francart
- ExpORL, Department of Neurosciences, KU Leuven, O & N 2, Herestraat 49 bus 721, B-3000 Leuven, Belgium.
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