The effect of increased channel interaction on speech perception with cochlear implants

Abstract Cochlear implants (CIs) are neuroprostheses that partially restore hearing for people with severe-to-profound hearing loss. While CIs can provide good speech perception in quiet listening situations for many, they fail to do so in environments with interfering sounds for most listeners. Pre...

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Autores principales:	Tobias Goehring, Alan W. Archer-Boyd, Julie G. Arenberg, Robert P. Carlyon
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/be1a0645455c430eac694320579435e0
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spelling	oai:doaj.org-article:be1a0645455c430eac694320579435e02021-12-02T14:59:06ZThe effect of increased channel interaction on speech perception with cochlear implants10.1038/s41598-021-89932-82045-2322https://doaj.org/article/be1a0645455c430eac694320579435e02021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89932-8https://doaj.org/toc/2045-2322Abstract Cochlear implants (CIs) are neuroprostheses that partially restore hearing for people with severe-to-profound hearing loss. While CIs can provide good speech perception in quiet listening situations for many, they fail to do so in environments with interfering sounds for most listeners. Previous research suggests that this is due to detrimental interaction effects between CI electrode channels, limiting their function to convey frequency-specific information, but evidence is still scarce. In this study, an experimental manipulation called spectral blurring was used to increase channel interaction in CI listeners using Advanced Bionics devices with HiFocus 1J and MS electrode arrays to directly investigate its causal effect on speech perception. Instead of using a single electrode per channel as in standard CI processing, spectral blurring used up to 6 electrodes per channel simultaneously to increase the overlap between adjacent frequency channels as would occur in cases with severe channel interaction. Results demonstrated that this manipulation significantly degraded CI speech perception in quiet by 15% and speech reception thresholds in babble noise by 5 dB when all channels were blurred by a factor of 6. Importantly, when channel interaction was increased just on a subset of electrodes, speech scores were mostly unaffected and were only significantly degraded when the 5 most apical channels were blurred. These apical channels convey information up to 1 kHz at the apical end of the electrode array and are typically located at angular insertion depths of about 250 up to 500°. These results confirm and extend earlier findings indicating that CI speech perception may not benefit from deactivating individual channels along the array and that efforts should instead be directed towards reducing channel interaction per se and in particular for the most-apical electrodes. Hereby, causal methods such as spectral blurring could be used in future research to control channel interaction effects within listeners for evaluating compensation strategies.Tobias GoehringAlan W. Archer-BoydJulie G. ArenbergRobert P. CarlyonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tobias Goehring Alan W. Archer-Boyd Julie G. Arenberg Robert P. Carlyon The effect of increased channel interaction on speech perception with cochlear implants
description	Abstract Cochlear implants (CIs) are neuroprostheses that partially restore hearing for people with severe-to-profound hearing loss. While CIs can provide good speech perception in quiet listening situations for many, they fail to do so in environments with interfering sounds for most listeners. Previous research suggests that this is due to detrimental interaction effects between CI electrode channels, limiting their function to convey frequency-specific information, but evidence is still scarce. In this study, an experimental manipulation called spectral blurring was used to increase channel interaction in CI listeners using Advanced Bionics devices with HiFocus 1J and MS electrode arrays to directly investigate its causal effect on speech perception. Instead of using a single electrode per channel as in standard CI processing, spectral blurring used up to 6 electrodes per channel simultaneously to increase the overlap between adjacent frequency channels as would occur in cases with severe channel interaction. Results demonstrated that this manipulation significantly degraded CI speech perception in quiet by 15% and speech reception thresholds in babble noise by 5 dB when all channels were blurred by a factor of 6. Importantly, when channel interaction was increased just on a subset of electrodes, speech scores were mostly unaffected and were only significantly degraded when the 5 most apical channels were blurred. These apical channels convey information up to 1 kHz at the apical end of the electrode array and are typically located at angular insertion depths of about 250 up to 500°. These results confirm and extend earlier findings indicating that CI speech perception may not benefit from deactivating individual channels along the array and that efforts should instead be directed towards reducing channel interaction per se and in particular for the most-apical electrodes. Hereby, causal methods such as spectral blurring could be used in future research to control channel interaction effects within listeners for evaluating compensation strategies.
format	article
author	Tobias Goehring Alan W. Archer-Boyd Julie G. Arenberg Robert P. Carlyon
author_facet	Tobias Goehring Alan W. Archer-Boyd Julie G. Arenberg Robert P. Carlyon
author_sort	Tobias Goehring
title	The effect of increased channel interaction on speech perception with cochlear implants
title_short	The effect of increased channel interaction on speech perception with cochlear implants
title_full	The effect of increased channel interaction on speech perception with cochlear implants
title_fullStr	The effect of increased channel interaction on speech perception with cochlear implants
title_full_unstemmed	The effect of increased channel interaction on speech perception with cochlear implants
title_sort	effect of increased channel interaction on speech perception with cochlear implants
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/be1a0645455c430eac694320579435e0
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The effect of increased channel interaction on speech perception with cochlear implants

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