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Biomedical subjects

G J Dooley

Publications and source records attributed to G J Dooley.

7 recordsLinked to original sources

Monaural and binaural loudness measures in cochlear implant users with contralateral residual hearing.

OBJECTIVE: The aim was to measure the loudness of monaural and binaural stimuli in a group of cochlear implant users who had residual hearing in the nonimplanted ear, and to consider the implications of these measures for a binaural fitting consisting of a hearing aid and an implant in opposite ears. Three independent hypotheses were addressed: that the shapes of the electric and acoustic loudness growth functions would be similar, although the dynamic ranges would differ; that standard implant and hearing aid fittings would result in substantial loudness mismatches between the acoustic and electric signals; and that loudness summation would occur for binaural combinations of electric and acoustic signals. DESIGN: A modified version of the "Loudness Growth in 1/2-Octave Bands" method (Allen, Hall, & Jeng, 1990) was used to measure loudness growth for each ear of nine subjects. At the time of the experiment, the subject group included all implant users in Melbourne and Denver who were available for research and who also had sufficient residual hearing to use a hearing aid in the nonimplanted ear. Five acoustic frequencies and five electrodes were measured for each subject. The same subjects also estimated the loudness of a set of stimuli including monaural and binaural signals chosen to cover the loudness range from very soft to loud. RESULTS: The shapes of the averaged loudness growth functions were similar in impaired and electrically stimulated ears, although the shapes of iso-loudness curves were quite different in the two ears, and dynamic ranges varied considerably. Calculations based on the psychophysical data demonstrated that standard fitting procedures for cochlear implants and hearing aids lead to a complex pattern of loudness differences between the ears. A substantial amount of loudness summation was observed for the binaural stimuli, with most summation occurring when the acoustic and electric components were of equal loudness. This is consistent with observations for subjects with normal hearing and subjects with bilaterally impaired hearing. CONCLUSIONS: These experiments provide data on which criteria and methods for the binaural fitting of cochlear implants and hearing aids may be based. It is unlikely that standard monaural fitting methods for cochlear implants and hearing aids will result in balanced loudness between the two ears across a reasonably broad range of frequencies and levels. It is also likely that output levels of both devices will need to be reduced relative to a monaural fitting to compensate for the binaural summation of loudness in some listeners.

Adult↗

Pitch comparisons of acoustically and electrically evoked auditory sensations.

Cochlear implant users with some residual hearing in the non-implanted ear compared the pitch sensations produced by acoustic pure tones and pulsatile electric stimuli. Pitch comparisons were obtained for pure tones and electrical stimuli presented at different positions (electrodes) in the scala tympani, keeping the electric pulse rate fixed at 100, 250, or 800 pps. Similarly, pitch comparisons were obtained for electrical stimuli with variable pulse rates presented to two fixed electrode positions (apical and basal) in the cochlea. Both electrode position and pulse rate influenced the perceived pitch of the electrical signal and 'matched' electric and acoustic signals were found over a wide range of frequencies. There was a large variation between listeners. For some stimuli, listeners had difficulty in deciding whether the acoustic or electric stimulus was higher in pitch. Despite the variability, consistent trends were obtained from the data: higher frequencies tended to be matched by more basal electrodes for all pulse rates. Higher frequencies tended to be matched by higher pulse rates for both electrode positions. The electrode positions that 'matched' pure tones were more basal than predicted from the characteristic frequency coordinates of the basilar membrane in a normal human cochlea.

Acoustic Stimulation↗

Combined electrical and acoustical stimulation using a bimodal prosthesis.

A new device incorporating a cochlear implant speech processor and a speech-processing hearing aid for the unimplanted ear has been designed and tested with four severely hearing-impaired patients. The aim of the device is to provide a more acceptable and effective combination of electrical and acoustic signals to the two ears. When used monaurally, and binaurally in conjunction with the cochlear implant, the speech-processing hearing aid mean scores for open-set sentences, words, and consonants were as good as or better than the mean scores for the patients' own conventional hearing aids. Some patients improved much more than did others. Although not conclusive, these results are encouraging, especially as they were achieved with a laboratory prototype that did not allow the patients to become accustomed to the processor in everyday situations.

Adult↗

Pattern recognition and masking in cochlear implant patients.

Studies of the temporal course of masking using pulsatile electrical stimulation provide a sensitive new technique for the investigation of central pattern recognition. The masked threshold for a single-pulse probe was studied for several different maskers as a function of the time between the probe and the start of the masker. These experiments showed the gradual development of a temporal pattern in the masked thresholds as the number of pulses in the masker was increased. For a 210 msec masker with pulses at 10 msec intervals, both backward and forward masking thresholds showed a well-defined peak at times 10 msec before and after the masker. Probe pulses presented at these times were probably perceived to be part of the masker pattern and therefore were not easily identified as probe pulses. This conclusion was confirmed by using a masker with pulses at 20 msec intervals. Only backward masking was tested, and the results showed a peak approximately 20 msec before the start of the masker, fitting in with the temporal pattern of the masker.

Cochlear Implants↗

Detection and discrimination of spectral peaks and notches at 1 and 8 kHz.

The ability of subjects to detect and discriminate spectral peaks and notches in noise stimuli was determined for center frequencies fc of 1 and 8 kHz. The signals were delivered using an insert earphone designed to produce a flat frequency response at the eardrum for frequencies up to 14 kHz. In experiment I, subjects were required to distinguish a broadband reference noise with a flat spectrum from a noise with either a peak or a notch at fc. The threshold peak height or notch depth was determined as a function of bandwidth of the peak or notch (0.125, 0.25, or 0.5 times fc). Thresholds increased with decreasing bandwidth, particularly for the notches. In experiment II, subjects were required to detect an increase in the height of a spectral peak or a decrease in the depth of a notch as a function of bandwidth. Performance was worse for notches than for peaks, particularly at narrow bandwidths. For both experiments I and II, randomizing (roving) the overall level of the stimuli had little effect at 1 kHz, but tended to impair performance at 8 kHz, particularly for notches. Experiments III-VI measured thresholds for detecting changes in center frequency of sinusoids, bands of noise, and spectral peaks or notches in a broadband background. Thresholds were lowest for the sinusoids and highest for the peaks and notches. The width of the bands, peaks, or notches had only a small effect on thresholds. For the notches at 8 kHz, thresholds for detecting glides in center frequency were lower than thresholds for detecting a difference in center frequency between two steady sounds. Randomizing the overall level of the stimuli made frequency discrimination of the sinusoids worse, but had little or no effect for the noise stimuli. In all six experiments, performance was generally worse at 8 kHz than at 1 kHz. The results are discussed in terms of their implications for the detectability of spectral cues introduced by the pinnae.

Adult↗

Duration discrimination of steady and gliding tones: a new method for estimating sensitivity to rate of change.

Thresholds for the detection of differences in duration were measured in a two-alternative, forced-choice task for four types of signals, all centered at 2000 Hz: (1) sinusoids fixed in frequency and level; (2) sinusoids of fixed frequency whose level was swept up or down by 5 or 10 dB; (3) sinusoids of fixed level whose frequency was swept up or down by 100 Hz; and (4) sinusoids whose level was swept up or down by 10 dB and whose frequency was swept up or down by 100 Hz. For types (2)-(4), the direction of the sweeps was fixed within a run. The duration of the standard was either fixed at 750 ms or was varied randomly from trial to trial by up to +/- 7% about 750 ms. The duration of the comparison signal was initially 100 ms greater than that of the standard and was varied adaptively to determine threshold. The pattern of results was similar for all four subjects tested. Duration-discrimination thresholds for the signals that were swept in level and/or frequency were lower than those for the fixed signal, typically by 15-20 ms. This indicates that subjects were sensitive to the rate of change of frequency and/or level and could use this as a cue for duration discrimination. The Weber fraction for rate of change was estimated to be about 0.05-0.06 and was similar for changes in level and in frequency.

Adult↗

Preliminary evaluation of a formant enhancement algorithm on the perception of speech in noise for normally hearing listeners.

The effects on speech perception in noise of dynamic filtering with bandpass filters centred at the first formant (f1) and second formant (f2) frequencies were evaluated with four normally hearing listeners. Multitalker babble was added to the speech signal with signal-to-noise ratios of -5 to -15 dB, chosen to reduce intelligibility to about 50%. The combined signal was then filtered with two-pole programmable bandpass filters centred at f1 and f2 under the control of a real-time speech processor. The f1 and f2 frequencies were estimated from the speech signal before noise was added to avoid hardware processing errors. Closed set vowel and consonant tests (using 11 /h/vowel/d/ and 12 /a/consonant/a/ stimuli), the Consonant-Nucleus-Consonant Monosyllabic Word Test and the Bamford-Kowal-Bench Sentence Test were carried out for three filter bandwidths (3/4, 1/3 and 1/6 octave) and for unprocessed speech in noise. The processing produced a small significant improvement for vowels in all three processed speech conditions and for monosyllables at the broadest filter setting compared to the unprocessed speech condition. There was no significant effect on consonants. A small negative effect was observed for sentences at the narrowest filter setting.

Adult↗