InterlACE Sound Coding for Unilateral and Bilateral Cochlear Implants.

Abstract

Cochlear implant signal processing strategies define the rules of how acoustic signals are converted into electrical stimulation patterns. Technological and anatomical limitations, however, impose constraints on the signal transmission and the accurate excitation of the auditory nerve. Acoustic signals are degraded throughout cochlear implant processing, and electrical signal interactions at the electrode-neuron interface constrain spectral and temporal precision. In this work, we propose a novel InterlACE signal processing strategy to counteract the occurring limitations. By replacing the maxima selection of the Advanced Combination Encoder strategy with a method that defines spatially and temporally alternating channels, InterlACE can compensate for discarded signal content of the conventional processing. The strategy can be extended bilaterally by introducing synchronized timing and channel selection. InterlACE was explored unilaterally and bilaterally by assessing speech intelligibility and spectral resolution. Five experienced bilaterally implanted cochlear implant recipients participated in the Oldenburg Sentence Recognition Test in background noise and the spectral ripple discrimination task. The introduced alternating channel selection methodology shows promising outcomes for speech intelligibility but could not indicate better spectral ripple discrimination. InterlACE processing positively affects speech intelligibility, increases available unilateral and bilateral signal content, and may potentially counteract signal interactions at the electrode-neuron interface. This work shows how cochlear implant channel selection can be modified and extended bilaterally. The clinical impact of the modifications needs to be explored with a larger sample size.