Audiovisual Speech Enhancement via Cross-Modal Suppression of Auditory Association Cortex by Visual Speech

Abstract

Abstract INTRODUCTION Speech is multisensory. The addition of visual speech to auditory speech greatly improves comprehension, especially under noisy auditory conditions. However, the neural mechanism for this visual enhancement of auditory speech is poorly understood. We used electrocorticography (ECoG) to study how auditory, visual, and audiovisual speech is processed in the posterior superior temporal gyrus (pSTG), an area of auditory association cortex involved in audiovisual speech integration. We hypothesized that early visual mouth movements modulate audiovisual speech integration through a mechanism of cross-modal suppression, suggesting that the pSTG response to early mouth movements should correlate with comprehension benefits gained by the addition of visual speech to auditory speech. METHODS Words were presented under auditory-only (AUD), visual-only (VIS), and audiovisual (AV) conditions to epilepsy patients (n = 8) implanted with intracranial electrodes for phase-2 monitoring. We measured high-frequency broadband activity (75-150 Hz), a marker for local neuronal firing, in 28 electrodes over the pSTG. RESULTS The early neural response to visual-only words was compared to the reduction in neural response seen from AUD to AV words, a reduction correlated with an improvement in speech comprehension that occurs with the addition of visual to auditory speech. In words that showed a comprehension benefit with the addition of visual speech, there was a strong early response to visual speech and a correlation between early visual response and the AUD-AV difference (r = 0.64, P = 104). In words where visual speech did not provide any comprehension benefit, there was a weak early visual response and no correlation (r = 0.18, P = .35). CONCLUSION Words with a visual speech comprehension benefit also elicit a strong neural response to early visual speech in pSTG, while words with no comprehension benefit do not cause a strong early response. This suggests that cross-modal suppression of auditory association cortex (pSTG) by early visual plays an important role in audiovisual speech perception.