Abstract

Auditory masking occurs when one sound is perceptually altered by the presence of another sound. Auditory masking in the frequency domain is known as simultaneous masking and in the time domain is known as temporal masking or non-simultaneous masking. This works presents a sound coding strategy that incorporates a temporal masking model to select the most relevant channels for stimulation in a cochlear implant (CI). A previous version of the strategy, termed psychoacoustic advanced combination encoder (PACE), only used a simultaneous masking model for the same purpose, for this reason the new strategy has been termed temporal-PACE (TPACE). We hypothesized that a sound coding strategy that focuses on stimulating the auditory nerve with pulses that are as masked as possible can improve speech intelligibility for CI users. The temporal masking model used within TPACE attenuates the simultaneous masking thresholds estimated by PACE over time. The attenuation is designed to fall exponentially with a strength determined by a single parameter, the temporal masking half-life T½. This parameter gives the time interval at which the simultaneous masking threshold is halved. The study group consisted of 24 postlingually deaf subjects with a minimum of six months experience after CI activation. A crossover design was used to compare four variants of the new temporal masking strategy TPACE (T½ ranging between 0.4 and 1.1 ms) with respect to the clinical MP3000 strategy, a commercial implementation of the PACE strategy, in two prospective, within-subject, repeated-measure experiments. The outcome measure was speech intelligibility in noise at 15 to 5 dB SNR. In two consecutive experiments, the TPACE with T½ of 0.5 ms obtained a speech performance increase of 11% and 10% with respect to the MP3000 (T½ = 0 ms), respectively. The improved speech test scores correlated with the clinical performance of the subjects: CI users with above-average outcome in their routine speech tests showed higher benefit with TPACE. It seems that the consideration of short-acting temporal masking can improve speech intelligibility in CI users. The half-live with the highest average speech perception benefit (0.5 ms) corresponds to time scales that are typical for neuronal refractory behavior.

Highlights

  • We evaluated whether there is a relationship between the refractoriness of the auditory nerve fibers (ANFs) measured by Neural Response Telemetry (NRT) and different slopes of masking decay used in the TPACE implementation

  • Median speech intelligibility in noise was better with TPACE using T1⁄2 = 0.5 ms than with MP3000 by 11% in the first (Quade Test of three conditions; significant with p = 0.02) and by 10% (Quade Test of five conditions; not significant with p = 0.3) in the second study (Fig 5)

  • The results from this study indicate that the incorporation of temporal masking with a half-live T1⁄2 of 0.5 ms into the MP3000 sound coding strategy can improve speech intelligibility in noise by 10% to 11% in cochlear implant (CI) users

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Summary

Objectives

Our goal was to compare the speech intelligibility outcomes of the new TPACE with respect to the existing MP3000 strategy in CI subjects

Methods
Results
Conclusion
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