Pitch ranking, electrode discrimination, and physiological spread of excitation using current steering in cochlear implants.

The first objective of this study was to determine whether adaptive pitch-ranking and electrode-discrimination tasks with cochlear-implant (CI) recipients produce similar results for perceiving intermediate "virtual-channel" pitch percepts using current steering. Previous studies have not examined both behavioral tasks in the same subjects with current steering. A second objective was to determine whether a physiological metric of spatial separation using the electrically evoked compound action potential spread-of-excitation (ECAP SOE) function could predict performance in the behavioral tasks. The metric was the separation index (Σ), defined as the difference in normalized amplitudes between two adjacent ECAP SOE functions, summed across all masker electrodes. Eleven CII or 90 K Advanced Bionics (Valencia, CA) recipients were tested using pairs of electrodes from the basal, middle, and apical portions of the electrode array. The behavioral results, expressed as d', showed no significant differences across tasks. There was also no significant effect of electrode region for either task. ECAP Σ was not significantly correlated with pitch ranking or electrode discrimination for any of the electrode regions. Therefore, the ECAP separation index is not sensitive enough to predict perceptual resolution of virtual channels.

Pitch ranking, electrode discrimination, and physiological spread-of-excitation using Cochlear's dual-electrode mode.

This study compared pitch ranking, electrode discrimination, and electrically evoked compound action potential (ECAP) spatial excitation patterns for adjacent physical electrodes (PEs) and the corresponding dual electrodes (DEs) for newer-generation Cochlear devices (Cochlear Ltd., Macquarie, New South Wales, Australia). The first goal was to determine whether pitch ranking and electrode discrimination yield similar outcomes for PEs and DEs. The second goal was to determine if the amount of spatial separation among ECAP excitation patterns (separation index, Σ) between adjacent PEs and the PE-DE pairs can predict performance on the psychophysical tasks. Using non-adaptive procedures, 13 subjects completed pitch ranking and electrode discrimination for adjacent PEs and the corresponding PE-DE pairs (DE versus each flanking PE) from the basal, middle, and apical electrode regions. Analysis of d' scores indicated that pitch-ranking and electrode-discrimination scores were not significantly different, but rather produced similar levels of performance. As expected, accuracy was significantly better for the PE-PE comparison than either PE-DE comparison. Correlations of the psychophysical versus ECAP Σ measures were positive; however, not all test/region correlations were significant across the array. Thus, the ECAP separation index is not sensitive enough to predict performance on behavioral tasks of pitch ranking or electrode discrimination for adjacent PEs or corresponding DEs.

Performance outcomes for borderline cochlear implant recipients with substantial preoperative residual hearing.

OBJECTIVE: This study examined whether cochlear implant (CI) recipients with substantial preoperative residual hearing obtained more benefit from a CI than from a hearing aid (HA). STUDY DESIGN: Retrospective records review. SETTING: Tertiary referral center. PATIENTS: Thirty-seven CI recipients (11 children/teens, 26 adults) were identified that met the following inclusion criteria: preimplant sentence recognition scores greater than 50% correct in the implanted ear or greater than 60% in the best-aided/binaural condition (Group 1, n = 18); audiometric thresholds less than 70 dB HL at 2 or more frequencies (i.e., better than a severe-profound hearing loss; Group 2, n = 13 ears in 12 recipients), or those that met both the audiometric and sentence-recognition criteria (Group 3, n = 7). MAIN OUTCOME MEASURE: Postimplant speech-perception scores. RESULTS: Postimplant speech perception was substantially better than the preimplant performance for 12 of 18 recipients in Group 1, 10 of 12 recipients (11/13 ears) in Group 2, and 5 of 7 recipients in Group 3 (total, 73.7%). Five recipients (13.1%) showed no change from preimplant performance levels. Results were inconclusive for 2 recipients (5.3%) because preimplant versus postimplant testing was conducted in different conditions. Three recipients (7.9%) exhibited decreased performance postimplant. CONCLUSION: For most recipients whose hearing was better than that defined by traditional candidacy criteria, performance improved with the CI. These results may help clinicians guide candidates in the decision-making process by providing information on the range of outcomes for recipients with similar preimplant performance levels, identify the need for additional preimplant counseling regarding expectations, and recognize the importance of systematizing preimplant and postimplant testing for longitudinal assessment of performance.

Masking by a remote-frequency noise band in children and adults.

OBJECTIVE: Werner and Bargones (1991) observed that a 4-10-kHz noise band can mask a 1-kHz signal during infancy. The purpose of this study was to examine whether remote-noise masking extends into the school-aged years. DESIGN: Listeners were 4-6-yr-olds, 7-9-yr-olds, and adults. Detection thresholds were measured for the 1-kHz signal in quiet and in the presence of the remote-frequency noise. In separate conditions, masker level was either 40 or 60 dB SPL. RESULTS: On average, thresholds for the 1-kHz signal were elevated in the presence of the remote-frequency noise for 4-6-yr-olds, but not for 7-9-yr-olds or adults. Group average thresholds were similar across masker levels, indicating nonperipheral effects. CONCLUSIONS: Susceptibility to remote-frequency masking in children extends to 4-6 yrs of age for some children.

Excitation-based and informational masking of a tonal signal in a four-tone masker.

This study examined contributions of peripheral excitation and informational masking to the variability in masking effectiveness observed across samples of multi-tonal maskers. Detection thresholds were measured for a 1000-Hz signal presented simultaneously with each of 25, four-tone masker samples. Using a two-interval, forced-choice adaptive task, thresholds were measured with each sample fixed throughout trial blocks for ten listeners. Average thresholds differed by as much as 26 dB across samples. An excitation-based model of partial loudness [Moore, B. C. J. et al. (1997). J. Audio Eng. Soc. 45, 224-237] was used to predict thresholds. These predictions accounted for a significant portion of variance in the data of several listeners, but no relation between the model and data was observed for many listeners. Moreover, substantial individual differences, on the order of 41 dB, were observed for some maskers. The largest individual differences were found for maskers predicted to produce minimal excitation-based masking. In subsequent conditions, one of five maskers was randomly presented in each interval. The difference in performance for samples with low versus high predicted thresholds was reduced in random compared to fixed conditions. These findings are consistent with a trading relation whereby informational masking is largest for conditions in which excitation-based masking is smallest.

Effects of masker-spectral variability and masker fringes in children and adults.

This study examined the degree to which masker-spectral variability contributes to children's susceptibility to informational masking. Listeners were younger children (5-7 years), older children (8-10 years), and adults (19-34 years). Masked thresholds were measured using a 2IFC, adaptive procedure for a 300-ms, 1000-Hz signal presented simultaneously with (1) broadband noise, (2) a random-frequency ten-tone complex, or (3) a fixed-frequency ten-tone complex. Maskers were presented at an overall level of 60 dB SPL. Thresholds were similar across age for the noise condition. Thresholds for most children were higher than for most adults, however, for both ten-tone conditions. The average difference in threshold between random and fixed ten-tone conditions was comparable across age, suggesting a similar effect of reducing masker-spectral variability in children and adults. Children appear more likely to be susceptible to informational masking than adults, however, both with and in the absence of masker-spectral variability. The addition of a masker fringe (delayed onset of signal relative to masker) provided a release from masking for fixed and random ten-tone conditions in all age groups, suggesting at least part of the masking observed for both ten-tone maskers was informational.

Effect of variability in level on forward masking and on increment detection.

In the first of four experiments, all with the same four subjects, varying the level of a forward masker from interval to interval in a two-interval forced-choice (2IFC) adaptive procedure had little effect on threshold. In the second experiment, the signal level was fixed and performance was measured in units of d'. Varying the level of the forward masker again had little effect. Analyses of trial-by-trial data indicated that subjects did not vote for the interval with the higher-level masker, as would an energy detector. Performance was better on trials where the masker level in the interval with the signal was lower and was relatively independent of masker level in the nonsignal interval. In the third experiment, these results were replicated for a wider range of masker variability and with maskers lower in frequency than the signal. In the fourth experiment, the same range of variability from interval to interval was imposed on the level of the pedestal in an increment-detection task. Results were similar to those observed in forward masking. The results suggest that decision processes involved in both forward masking and increment detection are similar and that neither is based on energy detection. Template matching remains a viable alternative.

Sample discrimination of frequency differences with distracters.

This study examined the effect of the type and frequency range of remote frequency distracters on sample discrimination of frequency differences (SD-F). For baseline SD-F conditions, normal-hearing listeners judged frequency differences between pairs of target tones drawn from Gaussian frequency distributions near 2000 Hz. In experiment 1, the distracters were pairs of random-frequency tones, fixed-frequency tones, or noise bands, with one distracter above and one below the target region. Three frequency separations of targets and distracters were tested, none overlapping the target region. Effects of fixed-frequency or noise-band distracters were small compared to that of random-frequency distracters, which drove performance to near chance. In experiment 2, dominance of the low-frequency distracter was supported by the effects of changing distracter level, by presenting only the higher- or lower-frequency distracter, and by the pattern of weights derived from trial-by-trial responses. Performance recovered only when the lower-frequency distracter was attenuated 40-50 dB relative to the targets. In experiment 3, all stimulus distributions were shifted 2 octaves higher in frequency; the stronger influence of the distracter frequency below the target remained. The results demonstrate the importance of both stimulus variability and frequency relationships in the interaction of targets and distracters for SD-F.

Cuing effects for informational masking.

The detection of a tone added to a random-frequency, multitone masker can be very poor even when the maskers have little energy in the frequency region of the signal. This paper examines the effects of adding a pretrial cue to reduce uncertainty for the masker or the signal. The first two experiments examined the effect of cuing a fixed-frequency signal as the number of masker components and presentation methods were manipulated. Cue effectiveness varied across observers, but could reduce thresholds by as much as 20 dB. Procedural comparisons indicated observers benefited more from having two masker samples to compare, with or without a signal cue, than having a single interval with one masker sample and a signal cue. The third experiment used random-frequency signals and compared no-cue, signal-cue, and masker-cue conditions, and also systematically varied the time interval between cue offset and trial onset. Thresholds with a cued random-frequency signal remained higher than for a cued fixed-frequency signal. For time intervals between the cue and trial of 50 ms or longer, thresholds were approximately the same with a signal or a masker cue and lower than when there was no cue. Without a cue or with a masker cue, analyses of possible decision strategies suggested observers attended to the potential signal frequencies, particularly the highest signal frequency. With a signal cue, observers appeared to attend to the frequency of the subsequent signal.