No abstract

Numerical estimations of pitch were obtained from nine postlinguistically deafened adults using the 22-electrode cochlear implant manufactured by Cochlear Pty. Limited. A series of electrodes on the array were stimulated using three modes of stimulation: Bipolar (BP), common ground (CG), and monopolar (MONO). In BP stimulation, an electric current was passed between two electrodes separated by one electrode for eight patients and two electrodes for one patient. In CG stimulation, a single electrode was activated and the other electrodes on the array were connected together to serve as the return path for the current. In MONO stimulation, an electric current was passed between a single electrode and the most basal electrode on the array. Pitch estimations were generally consistent with the tonotopic organization of the cochlea. There was a marked reversal in pitch for electrodes in the middle of the array using CG stimulation for three patients. A reduced range of pitch using MONO stimulation was recorded for patients where the most basal electrode was internal to the cochlea. There were also individual differences in pitch estimations between the three modes of stimulation for most patients. The current levels required to elicit threshold (T) and comfortable listening (C) levels were, in general, higher for BP stimulation than for CG stimulation and were lowest for MONO stimulation. For CG stimulation, there was a tendency for T and C levels to be higher for electrodes in the middle of the array than at the basal or apical ends. For MONO stimulation, T and C levels uniformly increased in an apical to basal direction for the majority of patients. There was no consistent pattern in T and C levels for BP stimulation. The size of the range of usable hearing using CG stimulation tended to be similar to that using BP stimulation and was usually higher than that using MONO stimulation.

The feasibility of using the electrically evoked compound action potential (ECAP), measured with the NRT system (Neural Response Telemetry) and the NRT software (version 2.04), to quantify the longitudinal spread of neural excitation was examined in four subjects fitted with the Nucleus C124M cochlear implant. The ECAP and psychophysical forward-masking profiles were measured using stimulation on each of three electrodes, in basal, middle and apical positions. Spatial spread profiles derived from the ECAP measure produced broader functions than those derived from the psychophysical measure. These results, together with investigation of the change of ECAP spread pattern with stimulation current, suggest that functions derived from this 'simple' method were more influenced by the spread of electric field from excited neuron to electrode array than by breadth of the neural excitation pattern. The recently released NRT version 3.0 permits the masker and probe pulses to be delivered to separate electrodes, thus removing a fundamental limitation of version 2.04. Results from a pilot study, in which this capability was exploited, suggest that the spatial functions from this 'advanced' method may provide a better correlation with results from psychophysical forward masking.

The aim of this study was to determine whether detection thresholds for amplitude modulated signals on a single electrode were influenced by a masking modulation on a second electrode in cochlear implant users. Data were collected from four post-linguistically deafened subjects using the Cochlear Limited prosthesis. Investigated were the effects of the spatial separation between test and masker electrodes, 0 to 5 electrodes (0 to 3.75 mm), and the amount of masking modulation: 24%, 48%, 72%, and 96% above detection thresholds. Initially, modulation detection thresholds for stimulation on a single electrode without masking modulation were obtained for a set of six electrodes in the middle of the array. Modulation detection thresholds on a fixed test electrode were then obtained with unmodulated and modulated masking on a second electrode, which was one of the six electrodes in the initial study. In both studies, thresholds were measured for modulated pulse duration at the modulation frequencies of 10-200 Hz. In the first study, the shape of the detection thresholds as a function of modulation frequency, the temporal modulation transfer function, generally resembled a low-pass filter for two subjects. For the other two subjects, the functions were relatively flat across modulation frequencies. In the second study, unmodulated masking resulted in a small elevation in detection thresholds across electrodes. Modulation detection interference (MDI), the difference between thresholds for the modulated maskers and the unmodulated masker, was greater for larger amounts of masking modulation than for smaller amounts of masking modulation. For three of the four subjects, MDI was higher for smaller spatial separations between the two electrodes than for larger spatial separations suggesting that a portion of MDI may be due to overlap of neural excitation distributions produced by stimulation on two electrodes in close proximity on the array.