人工耳蜗最佳群体延迟的客观评价

S. Zirn, S. Arndt, T. Wesarg
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引用次数: 2

摘要

人的听觉外周是一个复杂的机电系统,它将声波转化为神经动作电位。在这种感觉模式中,耳蜗的声音传导和频率分析产生频率相关的信号传播延迟。人工耳蜗(CI)是一种神经假体,通过电刺激听神经部分取代周围听觉系统。这种方式反过来又伴随着人为的信号传输延迟。这项研究处理的问题是,在这两种模式下,神经兴奋的时间是如何相互适应的。为此,我们研究了听觉脑干反应的波V潜伏期,无论是通过声学(ABR)还是通过CI (EABR)引起的。由CI信号处理和EABR波V延迟组成的延迟总和允许对整个CI通道特定延迟进行估计。我们将这些值与正常听者在不同频段测得的ABR波V潜伏期进行了比较。由于EABR波V潜伏期比声诱发的潜伏期短,因此确定了CI系统中延迟元素(FIR群延迟)的合适值,并与已经实现的群延迟进行了比较。在单侧失聪受试者中,提供CI的优化耳间刺激时间可减少中央听觉补偿的需要,并可提高语音识别能力。
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Objective assessment of optimal group delays in cochlear implants
The human auditory periphery is a complex mechano-electrical system that transduces sound waves into nerve action potentials. In this sensory modality sound conduction to and frequency analysis in the cochlea produce frequency-dependent signal propagation delays. A cochlear implant (CI) is a neural prosthesis that replaces the peripheral auditory system partially by stimulating the auditory nerve electrically. This modality is in turn accompanied by artificial signal transmission delays. This study deals with the question how well the timing of neural excitation in these two modalities fit one another. For this purpose, we investigated wave V latencies of auditory brainstem responses evoked either acoustically (ABR) or electrically via the CI (EABR). The sum of delays consisting of CI signal processing and EABR wave V latencies allowed an estimation of the entire CI-channel-specific delay. We compared these values with ABR wave V latencies measured in normal hearing listeners in different frequency bands. As EABR wave V latencies were shorter than those evoked acoustically, appropriate values for delay elements (FIR group delays) in the CI system were determined and compared with the already implemented group delays. Optimized interaural stimulation timing in unilateral deaf subjects provided with a CI reduces the need for central auditory compensation and can improve speech recognition.
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