单耳颞电极不同步和通道相互作用对双侧和单侧人工耳蜗刺激的影响

IF 2.6 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Trends in Hearing Pub Date : 2024-01-01 DOI:10.1177/23312165241271340
Martin J Lindenbeck, Piotr Majdak, Bernhard Laback
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引用次数: 0

摘要

耳间时差(ITD)和时间音高等时间线索对于声音定位和声源分离至关重要,但与正常听力的听众相比,人工耳蜗植入者(CI)对这些线索的感知能力有所下降。在多电极刺激中,电极之间的耳内通道相互作用被认为是限制获得这些线索的一个重要因素。各电极间单耳不同步的刺激时间被认为会影响这些相互作用的程度。本研究调查了两个电极之间的单耳时间电极不同步(mTEA)对基于 ITD 的左/右辨别灵敏度的影响。测量双耳的前向掩蔽空间调谐曲线,以找到可引起受控程度的跨电极掩蔽的电极间距。当电极间距小于 3 毫米时,结果显示出 mTEA 的影响。模式呈 u/v 形,符合有效脉冲速率的解释,而有效脉冲速率似乎受到众所周知的电听速率限制的影响。对于大于 7 毫米的间隔,没有观察到 mTEA 的影响。在一组单独的听者和一个匹配的设置中与单耳速率-音高辨别进行的比较显示,不同的感知之间没有系统性的差异。总之,mTEA 在双耳和单耳双电极刺激中的重要作用与单耳脉冲速率限制一致,而单耳脉冲速率限制的影响是由通道相互作用介导的。未来旨在改进时间线索编码的 CI 刺激策略应尽量减少需要连续刺激的邻近电极之间的刺激延迟。
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Effects of Monaural Temporal Electrode Asynchrony and Channel Interactions in Bilateral and Unilateral Cochlear-Implant Stimulation.

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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来源期刊
Trends in Hearing
Trends in Hearing AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGYOTORH-OTORHINOLARYNGOLOGY
CiteScore
4.50
自引率
11.10%
发文量
44
审稿时长
12 weeks
期刊介绍: Trends in Hearing is an open access journal completely dedicated to publishing original research and reviews focusing on human hearing, hearing loss, hearing aids, auditory implants, and aural rehabilitation. Under its former name, Trends in Amplification, the journal established itself as a forum for concise explorations of all areas of translational hearing research by leaders in the field. Trends in Hearing has now expanded its focus to include original research articles, with the goal of becoming the premier venue for research related to human hearing and hearing loss.
期刊最新文献
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