Chris van den Honert

Focused intracochlear electric stimulation with phased array channels.

A method is described for producing focused intracochlear electric stimulation using an array of N electrodes. For each electrode site, N weights are computed that define the ratios of positive and negative electrode currents required to produce cancellation of the voltage within scala tympani at all of the N-1 other sites. Multiple sites can be stimulated simultaneously by superposition of their respective current vectors. The method allows N independent stimulus waveforms to be delivered to each of the N electrode sites without spatial overlap. Channel interaction from current spread associated with monopolar stimulation is substantially eliminated. The method operates by inverting the spread functions of individual monopoles as measured with the other electrodes. The method was implemented and validated with data from three human subjects implanted with 22-electrode perimodiolar arrays. Results indicate that (1) focusing is realizable with realistic precision; (2) focusing comes at the cost of increased total stimulation current; (3) uncanceled voltages that arise beyond the ends of the array are weak except when stimulating the two end channels; and (4) close perimodiolar positioning of the electrodes may be important for minimizing stimulation current and sensitivity to measurement errors.

Effect of electrode configuration on psychophysical forward masking in cochlear implant listeners

Bipolar stimulation has been thought to be more beneficial than monopolar stimulation for speech coding in cochlear implants, on the basis of its more restricted current flow. The present study examined whether bipolar stimulation would indeed lead to reduced channel interaction in a behavioral forward masking experiment tested in four Nucleus 24 users. The masker was fixed on one channel and three masker levels that were balanced for loudness between the configurations were chosen. As expected, masking was maximal when the masker and probe channels were spatially close and decreased as they were separated. However, overall masking patterns did not consistently demonstrate sharper tuning with bipolar stimulation than monopolar. This implies that the spatial extent of a bipolar current field is not consistently narrower than that of an equally loud monopolar stimulus; therefore, it should not be assumed that bipolar stimulation leads to reduced channel interaction. Notably, bipolar masking patterns appeared to display more variations across channels, possibly influenced more by anatomical and neural irregularities near electrode contacts than monopolar masking patterns. The present psychophysical results provide a theoretical basis regarding the widespread use (and success) of monopolar configurations by implant users.

Evaluation of a model of the cochlear neural membrane. I. Physiological measurement of membrane characteristics in response to intrameatal electrical stimulation.

To understand the auditory neural response to electrical stimuli similar to those used in a cochlear implant, it will be necessary to understand the neural refraction and summation response kinetics. Evidence exists indicating that the cell soma may alter the auditory neural response kinetics and could be the site of conduction failure for excitation initiated on the peripheral process. There is, however, reason to believe that the excitation site in some healthy, type I neurons and in pathological, type III neurons is the central process of the cell. To characterize the neural response to activation at a controlled central process site, cat auditory neurons were stimulated with an intrameatal electrode, and the summation and refraction response kinetics were measured. This approach was used to: (1) characterize the behavior of the neural response to central process excitation; (2) make comparisons between intrameatal excitation at a known central site and scala tympani excitation at an unknown site; and (3) provide membrane characterization free from the possible alteration of membrane kinetics produced by the cell soma. The membrane kinetics measured using intrameatal stimulation differ from those recorded with scala tympani stimulation indicating that the mechanisms for scala tympani and intrameatal stimulation differ.

Spiral ganglion cell site of excitation I: comparison of scala tympani and intrameatal electrode responses.

To determine the site of excitation on the spiral ganglion cell in response to electrical stimulation similar to that from a cochlear implant, single-fiber responses to electrical stimuli delivered by an electrode positioned in the scala tympani were compared to responses from stimuli delivered by an electrode placed in the internal auditory meatus. The response to intrameatal stimulation provided a control set of data with a known excitation site, the central axon of the spiral ganglion cell. For both intrameatal and scala tympani stimuli, the responses to single-pulse, summation, and refractory stimulus protocols were recorded. The data demonstrated that summation pulses, as opposed to single pulses, are likely to give the most insightful measures for determination of the site of excitation. Single-fiber summation data for both scala tympani and intrameatally stimulated fibers were analyzed with a clustering algorithm. Combining cluster analysis and additional numerical modeling data, it was hypothesized that the scala tympani responses corresponded to central excitation, peripheral excitation adjacent to the cell body, and peripheral excitation at a site distant from the cell body. Fibers stimulated by an intrameatal electrode demonstrated the greatest range of jitter measurements indicating that greater fiber independence may be achieved with intrameatal stimulation.

Genetic algorithms for adaptive psychophysical procedures: Recipient-directed design of speech-processor MAPs

Objectives: The goal of the research is to evaluate the application of genetic algorithms (GAs) in listener-directed optimization of audio-processing designs. We hypothesize that cochlear-implant recipients can use a GA-guided adaptive psychophysical search procedure to select useful designs from among a large number of speech processor MAPS. Design: An adaptive psychophysical procedure was developed in which a listener’s preferred four out of eight speech processor MAPs were updated according to a genetic algorithm. Experiments involving cochlear-implant recipients were conducted to characterize both the convergence behavior of the adaptive procedure as well as properties of the MAPs optimized by the recipient. Results: Results from five cochlear-implant recipients indicate that the adaptive procedure converges to useful speech processor MAPs within twenty iterations. Conclusion: The results suggest a means whereby a potentially large number of audio-processing designs can be searched efficiently by a human listener without requiring excessive amounts of feedback or prior knowledge about the listener’s preferences. In the case of cochlear-implant recipients, it may be possible to use this procedure as an aid to the clinician in the fitting of a speech processor MAP.

Growth of interleaved masking patterns for cochlear implant listeners at different stimulation rates

This study investigates the pattern of growth of masking (GOM) for interleaved masking with Nucleus cochlear implant users. For an interleaved masking paradigm, where the masker and probe overlap in a same time window, the masker may have contrasting effects: it may increase the threshold (as a masker normally does) or decrease it due to a neural summation effect, facilitating detection of the probe. Several stimulation rates and masker levels were tested to examine under what conditions what phenomenon would occur. The results indicated that, in most of the conditions, the amount of masking was positive, i.e., the facilitating effect was not consistently observed. However, the slope of the GOM appears to be dependent upon the stimulation rate: the higher the stimulation rate, the lower the slope, implying that the facilitating effect might be always present and make a bigger impact on overall masking as the stimulation rate becomes high. The amount of masking was also often nonzero (positive) even when t...