Stimulus Presentation Rate Research Articles

Superior semicircular canal dehiscence and subsequent closure induces reversible impaired decision-making.

Vestibular loss and dysfunction has been associated with cognitive deficits, decreased spatial navigation, spatial memory, visuospatial ability, attention, executive function, and processing speed among others. Superior semicircular canal dehiscence (SSCD) is a vestibular-cochlear disorder in humans in which a pathological third mobile window of the otic capsule creates changes to the flow of sound pressure energy through the perilymph/endolymph. The primary symptoms include sound-induced dizziness/vertigo, inner ear conductive hearing loss, autophony, headaches, and visual problems; however, individuals also experience measurable deficits in basic decision-making, short-term memory, concentration, spatial cognition, and depression. These suggest central mechanisms of impairment are associated with vestibular disorders; therefore, we directly tested this hypothesis using both an auditory and visual decision-making task of varying difficulty levels in our model of SSCD. Adult Mongolian gerbils (n = 33) were trained on one of four versions of a Go-NoGo stimulus presentation rate discrimination task that included standard ("easy") or more difficult ("hard") auditory and visual stimuli. After 10 days of training, preoperative ABR and c+VEMP testing was followed by a surgical fenestration of the left superior semicircular canal. Animals with persistent circling or head tilt were excluded to minimize effects from acute vestibular injury. Testing recommenced at postoperative day 5 and continued through postoperative day 15 at which point final ABR and c+VEMP testing was carried out. Behavioral data (d-primes) were compared between preoperative performance (training day 8-10) and postoperative days 6-8 and 13-15. Behavioral performance was measured during the peak of SSCD induced ABR and c + VEMP impairment and the return towards baseline as the dehiscence began to resurface by osteoneogenesis. There were significant differences in behavioral performance (d-prime) and its behavioral components (Hits, Misses, False Alarms, and Correct Rejections). These changes were highly correlated with persistent deficits in c + VEMPs at the end of training (postoperative day 15). The controls demonstrated additional learning post procedure that was absent in the SSCD group. These results suggest that aberrant asymmetric vestibular output results in decision-making impairments in these discrimination tasks and could be associated with the other cognitive impairments resulting from vestibular dysfunction.

Flexible structure learning under uncertainty.

Experience is known to facilitate our ability to interpret sequences of events and make predictions about the future by extracting temporal regularities in our environments. Here, we ask whether uncertainty in dynamic environments affects our ability to learn predictive structures. We exposed participants to sequences of symbols determined by first-order Markov models and asked them to indicate which symbol they expected to follow each sequence. We introduced uncertainty in this prediction task by manipulating the: (a) probability of symbol co-occurrence, (b) stimulus presentation rate. Further, we manipulated feedback, as it is known to play a key role in resolving uncertainty. Our results demonstrate that increasing the similarity in the probabilities of symbol co-occurrence impaired performance on the prediction task. In contrast, increasing uncertainty in stimulus presentation rate by introducing temporal jitter resulted in participants adopting a strategy closer to probability maximization than matching and improving in the prediction tasks. Next, we show that feedback plays a key role in learning predictive statistics. Trial-by-trial feedback yielded stronger improvement than block feedback or no feedback; that is, participants adopted a strategy closer to probability maximization and showed stronger improvement when trained with trial-by-trial feedback. Further, correlating individual strategy with learning performance showed better performance in structure learning for observers who adopted a strategy closer to maximization. Our results indicate that executive cognitive functions (i.e., selective attention) may account for this individual variability in strategy and structure learning ability. Taken together, our results provide evidence for flexible structure learning; individuals adapt their decision strategy closer to probability maximization, reducing uncertainty in temporal sequences and improving their ability to learn predictive statistics in variable environments.

Assessing the feasibility of high stimulus presentation rates for contrasting conditions in functional MRI studies

Assessing the feasibility of high stimulus presentation rates for contrasting conditions in functional MRI studies

Optimization of signal-to-noise ratio in short-duration SEP recordings by variation of stimulation rate

ObjectiveThe intraoperative averaging of the somatosensory evoked potential (SEP) requires reliable recordings within the shortest possible duration. We here systematically optimized the repetition rate of stimulus presentation. MethodsWe recorded medianus and tibial nerve SEP during 22 surgeries and varied the rate of stimulus presentation between 2.7 Hz and 28.7 Hz. We randomly sampled a number of sweeps corresponding to recording durations up to 20 s and calculated the signal-to-noise ratio (SNR). ResultsFor the medianus nerve at 5 s recording duration, SEP stimulation rate at 12.7 Hz obtained the highest median SNR = 22.9 for the N20, which was higher than for rate 4.7 Hz (p = 1.5e-4). When increasing the stimulation rate, latency increased and amplitude decayed for cortical but not for peripheral recording sites. For the tibial nerve, the rate 4.7 Hz achieved the highest SNR for all durations. ConclusionsWe determined the time-dependence of SNR for N20 and elucidated the underlying physiology. For short recordings, rapid reduction of noise through averaging at high stimulation rate outweighs the disadvantage of smaller amplitude. SignificanceFor a short duration of medianus nerve SEP recording only, it may be advantageous to stimulate with a repetition rate of 12.7 Hz.

Optimizing the rate of visual stimulus presentation in MEG experiments

Optimizing the rate of visual stimulus presentation in MEG experiments

Do temporal factors affect whether our performance accurately reflects our underlying knowledge? The effects of stimulus presentation rates on the performance versus competence dissociation.

Ample evidence shows that the momentary performance can dissociate from the underlying knowledge (competence). Under what circumstances such dissociation occurs, however, remains unclear. Here we tested how temporal factors, and more specifically, the elapsed time between subsequent events affects the dissociation between performance and competence by systematically manipulating the stimulus presentation rates during and after learning. Participants completed a probabilistic sequence learning task with a fast (120msec) or a slow (850msec) response-to-stimulus-interval (RSI) during the Learning phase and they were tested with both RSIs 24h later (Testing phase). We also tested whether they gained explicit knowledge about the sequence or their knowledge remained implicit. Our results revealed higher reaction time learning scores when tested with the fast RSI, irrespective of the RSI during learning, suggesting that faster presentation rates can help better express the acquired knowledge, leading to increased performance measures. For accuracy, participants showed higher learning scores when tested with the same presentation rate as the one that they encountered during learning. The acquired knowledge remained implicit in both groups, suggesting that the observed findings were not confounded by differences in awareness gained in the two groups. Overall, our study highlights that the momentary performance does not always accurately reflect the underlying knowledge, and temporal factors seem to influence this dissociation. Our findings have theoretical, methodological, and translational implications that likely extend beyond learning and memory to other functions and domains as well, including aspects of decision-making, perception, theory of mind, and language.

Comparable repetition blindness effect in patients with schizophrenia

Background and objectivesRepetition blindness (RB) refers to the difficulty to report repetitions of stimuli visually presented in a rapid list. To date only two studies have examined RB in patients with schizophrenia and the results are not clear-cut. The current study was designed to employ a task with reduced memory load, more trials in each experimental condition, and more participants to obtain a more reliable RB effect. MethodsA 2x2x3x2 mixed factor repeated measure design was used, with stimulus repetition, lag, and presentation rate as within-subject factors, and group (patient or control) as a between-subject factor. A rapid serial visual presentation (RSVP) procedure was used. Twenty eight inpatients with schizophrenia and 28 healthy controls participated in the experiment. ResultsThe patient group showed significantly impaired performance when compared tothe control group in every experimental condition. Nevertheless, the patient group demonstrated similar RB effect as the control group. Furthermore, the overall RB effect observed in patients did not relate to their illness severity or psychotic symptoms. Neither was it related to their age or education. LimitationsIt was difficult to match the age and education of the control group to that of the inpatient group. ConclusionsPatients with schizophrenia performed worse than healthy controls in each experimental condition. Both the control and patient group showed robust RB effect in the short lag with faster rates. In addition, RB effect seemed to be irrelevant to patients’ illness severity and clinical symptoms.

Audiologic characterization using clinical physiological measures: Normative data from macaque monkeys

Clinical auditory physiological measures (e.g., auditory brainstem responses, ABRs, and distortion product otoacoustic emissions, DPOAEs) provide diagnostic specificity for differentially diagnosing overt hearing impairments, but they remain limited in their ability to detect specific sites of lesion and subtle levels of cochlear damage. Studies in animal models may hold the key to improve differential diagnosis due to the ability to induce tightly controlled and histologically verifiable subclinical cochlear pathologies. Here, we present a normative set of traditional and clinically novel physiological measures using ABRs and DPOAEs measured in a large cohort of male macaque monkeys. Given the high similarities between macaque and human auditory anatomy, physiology, and susceptibility to hearing damage, this normative data set will serve as a crucial baseline to investigate novel physiological measures to improve diagnostics. DPOAE amplitudes were robust at f2 = 1.22, L1/L2 = 65/55, increased with frequency up to 10 kHz, and exhibited high test re-test reliability. DPOAE thresholds were lowest from 2-10 kHz and highest < 2 kHz. ABRs with a standard clinical electrode montage (vertex-to-mastoid, VM) produced Waves I-IV with a less frequently observed Wave-I, and lower thresholds. ABRs with a vertex-to-tympanic membrane (VT) electrode montage produced a more robust Wave-I, but absent Waves II-IV and higher thresholds. Further study with the VM montage revealed amplitudes that increased with stimulus level and were largest in response to click stimuli, with Wave-II showing the largest ABR amplitude, followed by -IV and -I, with high inter- and intra-subject variability. ABR wave latencies decreased with stimulus level and frequency. When stimulus presentation rate increased or stimuli were presented in close temporal proximity, ABR amplitude decreased, and latency increased. These findings expand upon existing literature of normative clinical physiological data in nonhuman primates and lay the groundwork for future studies investigating the effects of noise-induced pathologies in macaques.

Characterizing subcutaneous cortical auditory evoked potentials in mice

Auditory Brainstem Responses (ABRs) are a reliably robust measure of auditory thresholds in the mammalian hearing system and can be used to determine deficits in the auditory periphery. However, because these measures are limited to the lower stages of the auditory pathway, they are insensitive to changes or deficits that occur in the thalamic and cortical regions. Cortical Auditory Evoked Potentials (CAEPs), as longer latency responses, capture information from these regions. However they are less frequently used as a diagnostic tool, particularly in rodent models, due to their inherent variability and subsequent difficult interpretation.The purpose of this study was to develop a consistent measure of subcutaneous CAEPs to auditory stimuli in mice and to determine their origin. To this end, we investigated the effect on the CAEPs recorded in response to different stimuli (noise, click, and tone (16 kHz) bursts), stimulus presentation rates (2/s, 6/s, 10/s) and electrode placements. Recordings were examined for robust CAEP components to determine the optimal experimental paradigm. We argue that CAEPs can measure robust and replicable cortical responses. Furthermore, by deactivating the auditory cortex with lidocaine we demonstrated that the contralateral cortex is the main contributor to the CAEP. Thus CAEP measurements could prove to be of value diagnostically in future for deficits in higher auditory areas.

Automatic detection of code-modulated visual evoked potentials using novel covariance estimators and short-time EEG signals

Background and Objective:Over the last years, code-modulated visual evoked potentials (cVEP)-based brain–computer interfaces (BCIs) have been developed as robust and non-invasive tools to construct high-speed communication systems. Recently, beamforming-based algorithms have extensively been used in cVEP-based BCI systems because of the need for short-time stimulation and less training data. One of the main drawbacks of the beamforming-based approaches is that their performance highly depends on estimating data covariance matrix and calculating activation patterns. Methods:In the present study, two novel covariance estimators (i.e., the modified convex combination (MCC) and the maximum likelihood (ML) techniques) are proposed to estimate a robust and more reliable covariance matrix. In the ML method, a new sparsity constraint is considered to express the specific eigendecomposition of the covariance matrix as a sparse matrix transform (SMT). Then, the SMT is calculated using the product of pairwise coordinate rotations. These rotations can be constructed by a cross-validation method. Two stimulation presentation rates of 60 and 120 Hz are used for the coding sequence. Results:Both of the suggested approaches (i.e., the MCC and SMT-based techniques) can efficiently improve the performance of the conventional spatiotemporal beamforming-based methods by providing a robust estimate of the covariance matrix in short stimulation times. Based on the experimental results, it can be concluded that the proposed SMT and MCC methods achieve the best results for the 60 and 120 Hz stimulus presentation rates, respectively. However, for both stimulus presentation rates, the proposed SMT and MCC-based methods remarkably outperform other state-of-the-art methods in cVEP-based BCI, such as conventional spatiotemporal beamforming and optimized support vector machines (SVM). Also, the results showed that the 120 Hz stimulus presentation rate provided faster communication. This procedure is performed by obtaining a maximal Information Transfer Rate (ITR) of 187.38 bits/minute. Conclusion:Finally, the present study suggested that the proposed MCC and SMT-based techniques could automatically detect the gazed targets. Also, these methods could be used as non-invasive alternatives over conventional methods.

Classification of code-modulated visual evoked potentials using adaptive modified covariance beamformer and EEG signals

Objective: In general, brain computer interface (BCI) studies based on code-modulated Visual Evoked Potentials (c-VEP) use m-sequences to decode EEG responses to visual stimuli. BCI systems based on the c-VEP paradigm can simultaneously present a large number of commands, which results in a significantly high information transfer rate (ITR). Spatiotemporal beamforming (STB) is one of the commonly used approaches in c-VEP-based BCI systems. Approach: In the current work, a novel STB-based technique is proposed to detect the gazed targets. The proposed method improves the performance of conventional STB-based techniques by providing a robust estimation of the covariance matrix in short stimulation times. Different user parameter-free methods, including the convex combination (CC), the general linear combination (GLC), and the modified versions of these techniques, are used to estimate a reliable and robust covariance matrix when a small number of repetitions are available. Main results: The stimulus presentation rate of 120 Hz is used to assess the performance of the proposed structures. Our proposed methods improved the classification accuracy by an average of 20% compared to the conventional STB method at the shortest stimulation time. The proposed method achieves an average ITR of 157.07 bits/min by using only two repetitions of the m-sequences. Significance: The results show that our proposed methods perform significantly better than the conventional STB technique in all stimulation times.

Atypical beta power fluctuation while listening to an isochronous sequence in dyslexia

ObjectiveDevelopmental dyslexia is a reading disorder that features difficulties in perceiving and tracking rhythmic regularities in auditory streams, such as speech and music. Studies on typical healthy participants have shown that power fluctuations of neural oscillations in beta band (15–25 Hz) reflect an essential mechanism for tracking rhythm or entrainment and relate to predictive timing and attentional processes. Here we investigated whether adults with dyslexia have atypical beta power fluctuation. MethodsThe electroencephalographic activities of individuals with dyslexia (n = 13) and typical control participants (n = 13) were measured while they passively listened to an isochronous tone sequence (2 Hz presentation rate). The time–frequency neural activities generated from auditory cortices were analyzed. ResultsThe phase of beta power fluctuation at the 2 Hz stimulus presentation rate differed and appeared opposite between individuals with dyslexia and controls. ConclusionsAtypical beta power fluctuation might reflect deficits in perceiving and tracking auditory rhythm in dyslexia. SignificanceThese findings extend our understanding of atypical neural activities for tracking rhythm in dyslexia and could inspire novel methods to objectively measure the benefits of training, and predict potential benefit of auditory rhythmic rehabilitation programs on an individual basis.

Aging Effects on Cortical Responses to Tones and Speech in Adult Cochlear-Implant Users.

Age-related declines in auditory temporal processing contribute to speech understanding difficulties of older adults. These temporal processing deficits have been established primarily among acoustic-hearing listeners, but the peripheral and central contributions are difficult to separate. This study recorded cortical auditory evoked potentials from younger to middle-aged (< 65years) and older (≥ 65years) cochlear-implant (CI) listeners to assess age-related changes in temporal processing, where cochlear processing is bypassed in this population. Aging effects were compared to age-matched normal-hearing (NH) listeners. Advancing age was associated with prolonged P2 latencies in both CI and NH listeners in response to a 1000-Hz tone or a syllable /da/, and with prolonged N1 latencies in CI listeners in response to the syllable. Advancing age was associated with larger N1 amplitudes in NH listeners. These age-related changes in latency and amplitude were independent of stimulus presentation rate. Further, CI listeners exhibited prolonged N1 and P2 latencies and smaller P2 amplitudes than NH listeners. Thus, aging appears to degrade some aspects of auditory temporal processing when peripheral-cochlear contributions are largely removed, suggesting that changes beyond the cochlea may contribute to age-related temporal processing deficits.

During vigilance to painful stimuli: slower response rate is related to high trait anxiety, whereas faster response rate is related to high state anxiety.

A pathological increase in vigilance, or hypervigilance, may be related to pain intensity in some clinical pain syndromes and may result from attention bias to salient stimuli mediated by anxiety. During a continuous performance task where subjects discriminated painful target stimuli from painful nontargets, we measured detected targets (hits), nondetected targets (misses), nondetected nontargets (correct rejections), and detected nontargets (false alarms). Using signal detection theory, we calculated response bias, the tendency to endorse a stimulus as a target, and discriminability, the ability to discriminate a target from nontarget. Owing to the relatively slow rate of stimulus presentation, our primary hypothesis was that sustained performance would result in a more conservative response bias reflecting a lower response rate over time on task. We found a more conservative response bias with time on task and no change in discriminability. We predicted that greater state and trait anxiety would lead to a more liberal response bias. A multivariable model provided partial support for our prediction; high trait anxiety related to a more conservative response bias (lower response rate), whereas high state anxiety related to a more liberal bias. This inverse relationship of state and trait anxiety is consistent with reports of effects of state and trait anxiety on reaction times to threatening stimuli. In sum, we report that sustained attention to painful stimuli was associated with a decrease in the tendency of the subject to respond to any stimulus over time on task, whereas the ability to discriminate target from nontarget remains unchanged.NEW & NOTEWORTHY During a series of painful stimuli requiring subjects to respond to targets, we separated response willingness from ability to discriminate targets from nontargets. Response willingness declined during the task, with no change in subjects' ability to discriminate, consistent with previous vigilance studies. High trait anxious subjects were less willing to respond and showed slower reaction times to hits than low anxious subjects. This study reveals an important role of trait anxiety in pain vigilance.

Sensory evoked potentials in patients with Rett syndrome through the lens of animal studies: Systematic review

ObjectiveSystematically review the abnormalities in event related potential (ERP) recorded in Rett Syndrome (RTT) patients and animals in search of translational biomarkers of deficits related to the particular neurophysiological processes of known genetic origin (MECP2 mutations). MethodsPubmed, ISI Web of Knowledge and BIORXIV were searched for the relevant articles according to PRISMA standards. ResultsERP components are generally delayed across all sensory modalities both in RTT patients and its animal model, while findings on ERPs amplitude strongly depend on stimulus properties and presentation rate. Studies on RTT animal models uncovered the abnormalities in the excitatory and inhibitory transmission as critical mechanisms underlying the ERPs changes, but showed that even similar ERP alterations in auditory and visual domains have a diverse neural basis. A range of novel approaches has been developed in animal studies bringing along the meaningful neurophysiological interpretation of ERP measures in RTT patients. ConclusionsWhile there is a clear evidence for sensory ERPs abnormalities in RTT, to further advance the field there is a need in a large-scale ERP studies with the functionally-relevant experimental paradigms. SignificanceThe review provides insights into domain-specific neural basis of the ERP abnormalities and promotes clinical application of the ERP measures as the non-invasive functional biomarkers of RTT pathophysiology.

In-air and underwater auditory evoked cortical responses in the dolphin

Auditory signal processing in dolphins is of special interest because these animals echolocate and possess high upper-cutoffs of hearing (∼140 kHz). The few previous measurements of auditory cortical responses (ACRs) in dolphins have been performed in air or with a restrained dolphin half submerged in water. Our goal was to record ACRs from an unrestrained dolphin fully submerged in water utilizing far-field sound stimulation. We performed a series of experiments in air and under water manipulating stimulus presentation rate and level. An increasing stimulus rate from 2 to 4 Hz showed only a nominal decrease in ACR potential; a greater decrease in ACR amplitude occurred with an 8-Hz rate. Decreasing stimulus sound pressure level (SPL) decreased the ACR in a manner consistent with auditory brainstem responses to similar SPLs. Taken together, these findings support the idea that valid cortical potentials can be obtained in air and underwater, though differences in ACR amplitude and polarity require further investigation. Brainstem responses are consistent between both environments; however, the cortical response is attenuated underwater, and a polarity reversal along the anterior-posterior axis observed in air is not present underwater.

Auditory sensory memory span for duration is severely curtailed in females with Rett syndrome

Rett syndrome (RTT), a rare neurodevelopmental disorder caused by mutations in the MECP2 gene, is typified by profound cognitive impairment and severe language impairment, rendering it very difficult to accurately measure auditory processing capabilities behaviorally in this population. Here we leverage the mismatch negativity (MMN) component of the event-related potential to measure the ability of RTT patients to decode and store occasional duration deviations in a stream of auditory stimuli. Sensory memory for duration, crucial for speech comprehension, has not been studied in RTT.High-density electroencephalography was successfully recorded in 18 females with RTT and 27 age-matched typically developing (TD) controls (aged 6–22 years). Data from seven RTT and three TD participants were excluded for excessive noise. Stimuli were 1 kHz tones with a standard duration of 100 ms and deviant duration of 180 ms. To assess the sustainability of sensory memory, stimulus presentation rate was varied with stimulus onset asynchronies (SOAs) of 450, 900, and 1800 ms. MMNs with maximum negativity over fronto-central scalp and a latency of 220–230 ms were clearly evident for each presentation rate in the TD group, but only for the shortest SOA in the RTT group. Repeated-measures ANOVA revealed a significant group by SOA interaction. MMN amplitude correlated with age in the TD group only. MMN amplitude was not correlated with the Rett Syndrome Severity Scale. This study indicates that while RTT patients can decode deviations in auditory duration, the span of this sensory memory system is severely foreshortened, with likely implications for speech decoding abilities.

Effects of high stimulus presentation rate on EEG template characteristics and performance of c-VEP based BCIs

Objective: This study aims at investigating the effects of high stimulus presentation rates on the characteristics of c-VEP responses along with the change in performance depending on the stimulus presentation rate by utilizing a c-VEP based speller BCI. Approach: Twenty subjects participated in three different experiments with refresh rates of 60 Hz (E1), 120 Hz (E2) and 240 Hz (E3), where a 127-bit m-sequence is used. To observe the change in frequency content of c-VEP responses, PSD estimates of c-VEP responses were evaluated. Principal component analysis (PCA) was applied to observe how many distinguishable responses could be evoked with a 127-bit length m-sequence for three different refresh rates. Main Results: Average ITR and accuracy values are 85.87 bits min−1 and 92% for E1, 94.21 bits min−1 and 97% for E2, and 78.65 bits min−1 and 87% for E3 respectively. The c-VEP responses are band-limited although the bandwidth of the input signal significantly increases as the refresh rate increases. The spectral densities of c-VEP templates are concentrated on several frequency intervals, especially for E3, which eventually results in a target misclassification. PCA shows that the number of well distinguishable responses decreases with the increasing refresh rate. Considering all results and observations, we suggest that 120 Hz refresh rate is best to use in BCIs with high number of targets whereas 240 Hz refresh rate may be prefered for low number of targets. Significance: This study mainly investigates the alterations in the characteristics of c-VEP responses according to the stimulus presentation rate which have never been investigated thoroughly before. Our results show that increasing refresh rate does not necessarily increase the overall performance of the system due to the changes in characteristics of c-VEP responses. Further applications and designs of a c-VEP based BCIs will benefit from the observations and results of this study.

Sodium salicylate alters temporal integration measured through increasing stimulus presentation rates

Objective: High doses of sodium salicylate (SS) are known to induce tinnitus, general hyperexcitability in the central auditory system, and to cause mild hearing loss. We used the auditory brainstem response (ABR) to assess the effects of SS on auditory sensitivity and temporal processing in the auditory nerve and brainstem. ABRs were evoked using tone burst stimuli varying in frequency and intensity with presentation rates from 11/s to 81/s.Design: ABRs were recorded and analysed prior to and after SS treatment in each animal, and peak 1 and peak 4 amplitudes and latencies were determined along with minimal response threshold.Study Sample: Nine young adult CBA/CaJ mice were used in a longitudinal within-subject design.Results: No measurable effects of presentation rate were found on ABR threshold prior to SS; however, following SS administration increasing stimulus rates lowered ABR thresholds by as much as 10 dB and compressed the peak amplitude by intensity level functions.Conclusions: These results suggest that SS alters temporal integration and compressive nonlinearity, and that varying the stimulus rate of the ABR may prove to be a useful diagnostic tool in the study of hearing disorders that involve hyperexcitability.

Influence of stimulus presentation rate on intraoperative ECAP thresholds in cochlear implant users

Objective: The objective is to evaluate the influence of the presentation rate on intraoperative ECAP thresholds in cochlear implant users.Design: The design was data on the ECAP thresholds (t-NRT) as well as the behavioural T- and C-levels have been collected in CI patients of a quaternary otologic referral centre. Measurements of the tNRT thresholds were performed intraoperatively for 250 Hz and 80 Hz presentation rates and correlated to the stabilised T- and C-levels measured at the 5th fitting session, 4-6 months after surgery.Study sample: There was a study sample of 35 consecutive CI patients. All patients were users of the Nucleus 24RECA (Freedom) or Nucleus CI512 cochlear implants with the Contour Advance-of-Stylet electrode.Results: The result showed that the t-NRT thresholds were higher for the 250 Hz pulse rate typically used during the intraoperative stimulation under general anaesthesia than for the 80 Hz rate used typically during the postoperative fitting sessions. This difference was more pronounced for the basal electrodes where it exceeded 10 current levels (CL). Pearson’s correlation coefficients between the t-NRT-measurements and the stabilised T- and C-levels r ranged between 0.34 and 0.47.Conclusion: In conclusion, the magnitude of the ECAP thresholds (t-NRT) recorded intraoperatively depends significantly on the stimulus presentation rate.