Søren Laugesen

Building and Testing a Statistical Shape Model of the Human Ear Canal

Today the design of custom in-the-ear hearing aids is based on personal experience and skills and not on a systematic description of the variation of the shape of the ear canal. In this paper it is described how a dense surface point distribution model of the human ear canal is built based on a training set of laser scanned ear impressions and a sparse set of anatomical landmarks placed by an expert. The landmarks are used to warp a template mesh onto all shapes in the training set. Using the vertices from the warped meshes, a 3D point distribution model is made. The model is used for testing for gender related differences in size and shape of the ear canal.

Laboratory and Field Study of the Potential Benefits of Pinna Cue-Preserving Hearing Aids

The potential benefits of preserving high-frequency spectral cues created by the pinna in hearing-aid fittings were investigated in a combined laboratory and field test. In a single-blind crossover design, two settings of an experimental hearing aid were compared. One setting was characterized by a pinna cue-preserving microphone position, whereas the other was characterized by a microphone position not preserving pinna cues. Participants were allowed 1 month of acclimatization to each setting before measurements of localization and spatial release from speech-on-speech masking were completed in the laboratory. Real-world experience with the two settings was assessed by means of questionnaires. Seventeen participants with mild to moderate sensorineural hearing impairments completed the study. An inconsistent pinna cue benefit pattern was observed across the outcome measures. In the localization test, the pinna cue-preserving setting provided a significant mean reduction of 22° in the root mean square (RMS) error in the front–back dimension, with 13 of the 17 participants showing a reduction of at least 15°. No significant mean difference in RMS error between settings was observed in the left–right dimension. No significant differences between settings were observed in the spatial-unmasking test conditions. The questionnaire data indicated a small, but nonsignificant, benefit of the pinna cue-preserving setting in certain real-life situations, which corresponded with a general preference for that setting. No significant real-life localization benefit was observed. The results suggest that preserving pinna cues can offer benefit in some conditions for individual hearing-aid users with mild to moderate hearing loss and is unlikely to harm performances for the rest.

Temporal Fine-Structure Coding and Lateralized Speech Perception in Normal-Hearing and Hearing-Impaired Listeners

This study investigated the relationship between speech perception performance in spatially complex, lateralized listening scenarios and temporal fine-structure (TFS) coding at low frequencies. Young normal-hearing (NH) and two groups of elderly hearing-impaired (HI) listeners with mild or moderate hearing loss above 1.5 kHz participated in the study. Speech reception thresholds (SRTs) were estimated in the presence of either speech-shaped noise, two-, four-, or eight-talker babble played reversed, or a nonreversed two-talker masker. Target audibility was ensured by applying individualized linear gains to the stimuli, which were presented over headphones. The target and masker streams were lateralized to the same or to opposite sides of the head by introducing 0.7-ms interaural time differences between the ears. TFS coding was assessed by measuring frequency discrimination thresholds and interaural phase difference thresholds at 250 Hz. NH listeners had clearly better SRTs than the HI listeners. However, when maskers were spatially separated from the target, the amount of SRT benefit due to binaural unmasking differed only slightly between the groups. Neither the frequency discrimination threshold nor the interaural phase difference threshold tasks showed a correlation with the SRTs or with the amount of masking release due to binaural unmasking, respectively. The results suggest that, although HI listeners with normal hearing thresholds below 1.5 kHz experienced difficulties with speech understanding in spatially complex environments, these limitations were unrelated to TFS coding abilities and were only weakly associated with a reduction in binaural-unmasking benefit for spatially separated competing sources.

Own voice qualities (OVQ) in hearing-aid users: There is more than just occlusion

Abstract Objective: Hearing-aid users’ problems with their own voice caused by occlusion are well known. Conversely, it remains essentially undocumented whether hearing-aid users expected not to have occlusion-related problems experience own-voice issues. Design: To investigate this topic, a dedicated Own Voice Qualities (OVQ) questionnaire was developed and used in two experiments with stratified samples. Study sample: In the main experiment, the OVQ was administered to 169 hearing-aid users (most of whom were expected not to have occlusion-related problems) and to a control group of 56 normally-hearing people. In the follow-up experiment, the OVQ was used in a cross-over study where 43 hearing-aid users rated own voice for an open fitting and a small-vent earmould fitting. Results: The results from the main experiment show that hearing-aid users (without occlusion) have more problems than the normal-hearing controls on several dimensions of own voice. The magnitude of these differences was found to be generally larger than the differences observed between the open fitting and the small-vent fitting in the follow-up experiment. Conclusions: This suggests that own voice is a potentially important concern, even for hearing-aid users who are not expected to have occlusion-related problems. Sumario Objetivo: Son bien conocidos los problemas que tienen los usuarios de auxiliares auditivos con su propia voz, causada por la oclusión. Por el contrario, ha permanecido esencialmente indocumentado, si los usuarios de auxiliares auditivos que no tienen problemas relacionados con la oclusión, experimentan estos problemas con su propia voz. Diseño: Para investigar este tema, se desarrolló un cuestionario de Cualidades de la Propia Voz (OVQ) y se usó en dos experimentos con muestras estratificadas. Muestra de Estudio: En el experimento principal, el OVQ se presentó a 169 usuarios de auxiliares auditivos (la mayoría de los cuales se esperaba no tuviera problemas relacionados con la oclusión) y a un grupo control de 56 normo-oyentes. En el experimento de seguimiento, el OVQ se usó en un estudio cruzado en el que 43 usuarios de auxiliares auditivos clasificaron sus voces a partir de una adaptación abierta y una con molde de baja ventilación. Resultados: Los resultados del experimento principal muestran que los usuarios de auxiliares auditivos (sin oclusión) tienen más problemas que los normo-oyentes del grupo control, en algunos parámetros de su propia voz. Se encontró que la magnitud de estas diferencias fue generalmente mayor que las observadas entre la adaptación abierta y la de baja ventilación, en el experimento de seguimiento. Conclusiones: Esto sugiere que la propia voz es un tema potencialmente importante incluso para usuarios de auxiliares auditivos en quienes no se espera que tengan problemas relacionados con la oclusión.

Using a Shape Model in the Design of Hearing Aids

Today the design of custom completely-in-the-canal hearing aids is a manual process and therefore there is a variation in the quality of the finished hearing aids. Especially the placement of the so-called faceplate on the hearing aid strongly influences the size and shape of the hearing aid. Since the future hearing aid production will be less manual there is a need for algorithms that mimic the craftsmanship of skilled operators. In this paper it is described how a statistical shape model of the ear canal can be used to predict the placement of the faceplate on a hearing aid made for a given ear canal. The shape model is a point distribution model built using a training set of shapes with manually placed landmarks. An interpolation method is used to generate dense landmark correspondence over the training set prior to building the shape model. Faceplates have also been placed on the training shapes by a skilled operator. These faceplate planes are aligned to the average shape from the shape model and an average faceplate plane is calculated. Given a surface representation of a new ear canal, the shape model is fitted using a combination of the iterative closest point algorithm and the active shape model approach. The average faceplate from the training set can now be placed on the new ear canal using the position of the fitted shape model. A leave-one-out study shows that the algorithm is able to produce results comparable to a human operator.

Sensitivity to Angular and Radial Source Movements as a Function of Acoustic Complexity in Normal and Impaired Hearing

In contrast to static sounds, spatially dynamic sounds have received little attention in psychoacoustic research so far. This holds true especially for acoustically complex (reverberant, multisource) conditions and impaired hearing. The current study therefore investigated the influence of reverberation and the number of concurrent sound sources on source movement detection in young normal-hearing (YNH) and elderly hearing-impaired (EHI) listeners. A listening environment based on natural environmental sounds was simulated using virtual acoustics and rendered over headphones. Both near-far (‘radial’) and left-right (‘angular’) movements of a frontal target source were considered. The acoustic complexity was varied by adding static lateral distractor sound sources as well as reverberation. Acoustic analyses confirmed the expected changes in stimulus features that are thought to underlie radial and angular source movements under anechoic conditions and suggested a special role of monaural spectral changes under reverberant conditions. Analyses of the detection thresholds showed that, with the exception of the single-source scenarios, the EHI group was less sensitive to source movements than the YNH group, despite adequate stimulus audibility. Adding static sound sources clearly impaired the detectability of angular source movements for the EHI (but not the YNH) group. Reverberation, on the other hand, clearly impaired radial source movement detection for the EHI (but not the YNH) listeners. These results illustrate the feasibility of studying factors related to auditory movement perception with the help of the developed test setup.

Incorporating evanescent modes and flow losses into reference impedances in acoustic Thévenin calibration

This paper proposes an alternative approach to acoustic Thévenin calibration of an ear probe. An existing methodology derives the Thévenin-equivalent source parameters from the measured probe pressures in a number of short waveguides by solving an overdetermined system of equations. This existing methodology is affected by errors caused by evanescent modes when the waveguide model lengths are estimated. These errors introduce a parallel acoustic compliance into the source parameters. The proposed methodology takes into account evanescent modes and flow losses in the transition between the probe tube and waveguides during calibration. This is achieved by positioning the probe tube, without an ear tip, flush with the input plane in waveguides of well-defined dimensions and utilizing the physical rather than estimated lengths to calculate the analytical waveguide models. Terms that model evanescent modes and flow losses are added to the plane-wave impedance and adjusted to minimize the calibration error. It is shown that this method can reduce the calibration error across a wide frequency range and remove the parallel compliance from the source parameters. This approach leads to an independence of the source parameters on the calibration waveguide radius, though subsequent impedance measurements are still affected by evanescent modes.

A framework for geometry acquisition, 3-D printing, simulation, and measurement of head-related transfer functions with a focus on hearing-assistive devices

Individual head-related transfer functions (HRTFs) are essential in applications like fitting hearing-assistive devices (HADs) for providing accurate sound localization performance. Individual HRTFs are usually obtained through intricate acoustic measurements. This paper investigates the use of a three-dimensional (3D) head model for acquisition of individual HRTFs. Two aspects were investigated; whether a 3D-printed model can replace measurements on a human listener and whether numerical simulations can replace acoustic measurements. For this purpose, HRTFs were acoustically measured for four human listeners and for a 3D printed head model of one of these listeners. Further, HRTFs were simulated by applying the finite element method to the 3D head model. The monaural spectral features and spectral distortions were very similar between re-measurements and between human and printed measurements, however larger deviations were observed between measurement and simulation. The binaural cues were in agreement among all HRTFs of the same listener, indicating that the 3D model is able to provide localization cues potentially accessible to HAD users. Hence, the pipeline of geometry acquisition, printing, and acoustic measurements or simulations, seems to be a promising step forward towards in-silico design of HADs.

Minimum Audible Angles Measured with Simulated Normally-Sized and Oversized Pinnas for Normal-Hearing and Hearing-Impaired Test Subjects

The human pinna introduces spatial acoustic cues in terms of direction-dependent spectral patterns that shape the incoming sound. These cues are specifically useful for localization in the vertical dimension. Pinna cues exist at frequencies above approximately 5 kHz, a frequency range where people with hearing loss typically have their highest hearing thresholds. Since increased thresholds often are accompanied by reduced frequency resolution, there are good reasons to believe that many people with hearing loss are unable to discriminate these subtle spectral pinna--cue details, even if the relevant frequency region is amplified by hearing aids.One potential solution to this problem is to provide hearing-aid users with artificially enhanced pinna cues-as if they were listening through oversized pinnas. In the present study, it was tested whether test subjects were better at discriminating spectral patterns similar to enlarged-pinna cues. The enlarged-pinna patterns were created by transposing (T) generic normal-sized pinna cues (N) one octave down, or by using the approach (W) suggested by Naylor and Weinrich (System and method for generating auditory spatial cues, United States Patent, 2011). The experiment was cast as a determination of simulated minimum audible angle (MAA) in the median saggital plane. 13 test subjects with sloping hearing loss and 11 normal-hearing test subjects participated. The normal-hearing test subjects showed similar discrimination performance with the T, W, and N-type simulated pinna cues, as expected. However, the results for the hearing-impaired test subjects showed only marginally lower MAAs with the W and T-cues compared to the N-cues, while the overall discrimination thresholds were much higher for the hearing-impaired compared to the normal-hearing test subjects.

On the Cost of Introducing Speech-Like Properties to a Stimulus for Auditory Steady-State Response Measurements

Validating hearing-aid fittings in prelingual infants is challenging because typical measures (aided audiometry, etc.) are impossible with infants. One objective alternative uses an aided auditory steady-state response (ASSR) measurement. To make an appropriate measurement, the hearing aid’s signal-processing features must be activated (or deactivated) as if the ASSR stimulus was real speech. Rather than manipulating the hearing-aid settings to achieve this, an ASSR stimulus with speech-like properties was developed. This promotes clinical simplicity and face validity of the validation. The stimulus consists of narrow-band CE-Chirps®, modified to mimic the International Speech Test Signal (ISTS). This study examines the cost of introducing the speech-like features into the ASSR stimulus. Thus, 90 to 100 Hz ASSRs were recorded to the ISTS-modified stimulus as well as an equivalent stimulus without the ISTS modification, presented through insert phones to 10 young normal-hearing subjects. Noise-corrected ASSR magnitudes and clinically relevant detection times were estimated and analyzed with mixed-model analyses of variance. As a supplement, the observed changes to the ASSR magnitudes were compared with an objective characterization of the stimuli based on modulation power. The main findings were a reduction in ASSR magnitude of 4 dB and an increase in detection time by a factor of 1.5 for the ISTS-modified stimulus compared with the standard. Detection rates were unaffected given sufficient recording time. For clinical use of the hearing-aid validation procedure, the key metric is the detection time. While this varied considerably across subjects, the observed 50% mean increase corresponds to less than 1 min of additional recording time.