Ipsilateral masking between acoustic and electric stimulations

Residual acoustic hearing can be preserved in the same ear following cochlear implantation with minimally traumatic surgical techniques and short-electrode arrays. The combined electric-acoustic stimulation significantly improves cochlear implant performance, particularly speech recognition in noise. The present study measures simultaneous masking by electric pulses on acoustic pure tones, or vice versa, to investigate electric-acoustic interactions and their underlying psychophysical mechanisms. Six subjects, with acoustic hearing preserved at low frequencies in their implanted ear, participated in the study. One subject had a fully inserted 24 mm Nucleus Freedom array and five subjects had Iowa/Nucleus hybrid implants that were only 10 mm in length. Electric masking data of the long-electrode subject showed that stimulation from the most apical electrodes produced threshold elevations over 10 dB for 500, 625, and 750 Hz probe tones, but no elevation for 125 and 250 Hz tones. On the contrary, electric stimulation did not produce any electric masking in the short-electrode subjects. In the acoustic masking experiment, 125-750 Hz pure tones were used to acoustically mask electric stimulation. The acoustic masking results showed that, independent of pure tone frequency, both long- and short-electrode subjects showed threshold elevations at apical and basal electrodes. The present results can be interpreted in terms of underlying physiological mechanisms related to either place-dependent peripheral masking or place-independent central masking.     

The effects of sensory hearing loss on cochlear filter times estimated from auditory brainstem response latencies.

Derived-band auditory brainstem responses (ABRs) were obtained in 43 normal-hearing and 80 cochlear hearing-impaired individuals using clicks and high-pass noise masking. The response times across the cochlea [the latency difference between wave V's of the 5.7- and 1.4-kHz center frequency (CF) derived bands] were calculated for five levels of click stimulation ranging from 53 to 93 dB p.-p.e. SPL (23 to 63 dB nHL) in 10-dB steps. Cochlear response times appeared to shorten significantly with hearing loss, especially when the average pure tone (1 to 8 kHz) hearing loss exceeded 30 dB. Examination of derived-band latencies indicates that this shortening is due to a dramatic decrease of wave V latency in the lower CF derived band. Estimates of cochlear filter times in terms of the number of periods to maximum response (Nmax) were calculated from derived-band latencies corrected for gender-dependent cochlear transport and neural conduction times. Nmax decreased as a function of hearing loss, especially for the low CF derived bands. The functions were similar for both males and females. These results are consistent with broader cochlear tuning due to peripheral hearing loss. Estimating filter response times from ABR latencies enhances objective noninvasive diagnosis and allows delineation of the differential effects of pathology on the underlying cochlear mechanisms involved in cochlear transport and filter build-up times.     

The effect of broadband noise on the human brain-stem auditory evoked response. III. Anatomic locus

The effects of broadband noise on the brain-stem auditory evoked response (BAER) are reported for two experiments. Experiment 1 used a high-pass subtractive-masking technique and covaried derived bandwidth and continuous broadband noise level. Comparison of responses to half-octave wide derived bands in the presence of within-band noise showed that wave V latency changes were greater than could be explained on the basis of shifts in the cochlear region responsible for generating the response. The magnitude of within-band noise-induced wave V latency shift was independent of the frequency separation of the masker cutoffs. In experiment 2 the effects of noise level and rate on waves I, III, and V of the BAER were evaluated. Peak latencies increased and peak amplitudes decreased with increasing noise level and rate. Higher noise levels and rates produced an increased central (I-V) conduction time in which the wave III-V increase was greater than the wave I-III increase. Together, these results are most consistent with the hypothesis that a nonplace, central auditory mechanism produces most of the noise-induced latency shifts in normal-hearing adults.     

Psychophysical suppression effects for tonal and speech signals.

This experiment assessed the benefits of suppression and the impact of reduced or absent suppression on speech recognition in noise. Psychophysical suppression was measured in forward masking using tonal maskers and suppressors and band limited noise maskers and suppressors. Subjects were 10 younger and 10 older adults with normal hearing, and 10 older adults with cochlear hearing loss. For younger subjects with normal hearing, suppression measured with noise maskers increased with masker level and was larger at 2.0 kHz than at 0.8 kHz. Less suppression was observed for older than younger subjects with normal hearing. There was little evidence of suppression for older subjects with cochlear hearing loss. Suppression measured with noise maskers and suppressors was larger in magnitude and more prevalent than suppression measured with tonal maskers and suppressors. The benefit of suppression to speech recognition in noise was assessed by obtaining scores for filtered consonant-vowel syllables as a function of the bandwidth of a forward masker. Speech-recognition scores in forward maskers should be higher than those in simultaneous maskers given that forward maskers are less effective than simultaneous maskers. If suppression also mitigated the effects of the forward masker and resulted in an improved signal-to-noise ratio, scores should decrease less in forward masking as forward-masker bandwidth increased, and differences between scores in forward and simultaneous maskers should increase, as was observed for younger subjects with normal hearing. Less or no benefit of suppression to speech recognition in noise was observed for older subjects with normal hearing or hearing loss. In general, as suppression measured with tonal signals increased, the combined benefit of forward masking and suppression to speech recognition in noise also increased.     

Comparisons of frequency selectivity in simultaneous and forward masking for subjects with unilateral cochlear impairments

Two experiments are described in which frequency selectivity was estimated, in simultaneous and forward masking, for each ear of subjects with moderate (25-60 dB HL) unilateral cochlear hearing losses. In both experiments, the signal level was fixed for a given ear and type of masking (simultaneous or forward), and the masker level was varied to determine threshold, using an adaptive, two-alternative forced-choice procedure. In experiment I, the masker was a noise with a spectral notch centered at the signal frequency (either 1.0 or 1.5 kHz); threshold was determined as a function of notch width. Signal levels were chosen so that the noise level required at threshold for a notch width of zero was similar for the normal and impaired ear of each subject in both simultaneous and forward masking. The function relating threshold to notch width had a steeper slope for the normal ear than for the impaired ear of each subject. For the normal ears, these functions were steeper in forward masking than in simultaneous masking. This difference was interpreted as resulting from suppression. For the impaired ears, significant differences in the same direction were observed for three of the five subjects, but the differences were smaller. In experiment II, psychophysical tuning curves (PTCs) were determined in the presence of a fixed notched noise centered at the signal frequency (1.0 kHz). For the normal ears, the PTCs were sharper in forward masking than in simultaneous masking. For the impaired ears, the PTCs were similar in simultaneous and forward masking, but those in forward masking tended to be sharper at masker frequencies far removed from the signal frequency. Overall, the results suggest that suppression is reduced, but not completely absent in cases of moderate cochlear hearing loss.     

The effect of broadband noise on the human brainstem auditory evoked response. II. Frequency specificity

A series of experiments evaluated the effects of broadband noise (ipsilateral) on wave V of the brainstem auditory evoked response (BAER) elicited by tone bursts or clicks in the presence of high-pass masking noise. Experiment 1 used 1000- and 4000-Hz, 60-dB nHL tone bursts in the presence of broadband noise. With increasing noise level, wave V latency shift was greater for the 1000-Hz tone bursts, while amplitude decrements were similar for both tone-burst frequencies. Experiment 2 varied high-pass masker cutoff frequency and the level of subtotal masking in the presence of 50-dB nHL clicks. The effects of subtotal masking on wave V (increase in latency and decrease in amplitude) increased with increasing derived-band frequency. Experiment 3 covaried high-pass masker cutoff frequency and subtotal masking level for 1000- and 4000-Hz tone-burst stimuli. The effect of subtotal masking on wave V latency was reduced for both tone-burst frequencies when the response-generating region of the cochlear partition was limited by high-pass maskers. The results of these three experiments suggest that most of the wave V latency shift associated with increasing levels of broadband noise is mediated by a place mechanism when the stimulus is a moderate intensity (60 dB nHL), low-frequency (1000 Hz) tone burst. However, the interpretation of the latency shifts produced by broadband noise for 4000-Hz tone-burst stimuli is made more complex by multiple technical factors discussed herein.     

Modeling the growth rate of distortion product otoacoustic emissions by active nonlinear oscillators

In this work, growth-rate curves of the 2 f1-f2 distortion product otoacoustic emission (DPOAE) are analyzed in a population of 30 noise exposed subjects, including both normal-hearing and hearing impaired subjects. A particular embedded limit-cycle oscillator equation is used to model the cochlear resonant response at the cochlear places of the primary and secondary tone frequencies (f2 and 2 f1-f2). The parameters of the oscillator equation can be directly interpreted in terms of effectiveness of the cochlear feedback mechanisms associated with the active filter amplification. A two-sources paradigm is included in the model, in agreement with experimental evidence and with the assumptions of more detailed full cochlear models based on the transmission line formalism. According to this paradigm, DPOAEs are nonlinearly generated at the cochlear place that is resonant at frequency f2, and coherently reflected at the 2 f1-f2 place. The analysis shows that the model, which had been previously used to describe the relaxation dynamics of transient evoked otoacoustic emissions (TEOAEs), also correctly predicts the observed growth rate of the DPOAE response as a function of the primary tones amplitude. A significant difference is observed between normal and impaired ears. The comparison between the growth rate curves at different frequencies provides information about the dependence of cochlear tuning on frequency.     

Gap detection and masking in hearing-impaired and normal-hearing subjects

Subjects with cochlear impairments often show reduced temporal resolution as measured in gap-detection tasks. The primary goals of these experiments were: to assess the extent to which the enlarged gap thresholds can be explained by elevations in absolute threshold; and to determine whether the large gap thresholds can be explained by the same processes that lead to a slower-than-normal recovery from forward masking. In experiment I gap thresholds were measured for nine unilaterally and eight bilaterally impaired subjects, using bandlimited noise stimuli centered at 0.5, 1.0, and 2.0 kHz. Gap thresholds were usually larger for the impaired ears, even when the comparisons were made at equal sensation levels (SLs). Gap thresholds tended to increase with increasing absolute threshold, but the scatter of gap thresholds was large for a given degree of hearing loss. In experiment II threshold was measured as a function of the delay between the onset of a 210-ms masker and the onset of a 10-ms signal in both simultaneous- and forward-masking conditions. The signal frequency was equal to the center frequency of the bandlimited noise masker, which was 0.5, 1.0, or 2.0 kHz. Five subjects with unilateral cochlear impairments, two subjects with bilateral impairments, and two normal subjects were tested. The rate of recovery from forward masking, particularly the initial rate, was usually slower for the impaired ears, even when the maskers were presented at equal SLs. Large gap thresholds tended to be associated with slow rates of recovery from forward masking.     

Analysis of the click-evoked brainstem potentials in man unsing high-pass noise masking

Brainstem electrical responses (BSER) to 60-dB-SL click in noise high passed at various cutoff frequencies separated b 1/2-octave steps were recorded in normal-hearing adult subjects. By applying a derived response technique, narrow-band contributions to the BSER from specific portions of the basilar membrane were revealed. Latencies and amplitudes of the various waves in the derived BSER were recorded. Results indicate that nearly the whole cochlear partition can contribute to the brainstem response. The shifts in latency of waves I, III, and V and amplitude changes of waves I and III as a function of CF appear to be fully comparable to those of the AP. In contrast, the amplitude behavior of wave V as a function of CF is different from waves I and III depending upon frequency range. The discrepency in the behavior of wave V with respect to the earlier waves suggests some sort of neural reorganization at the level where was V is generated. The fact that there are contributions to the brainstem response from apical portions of the cochlea opens the possibility for extending the brainstem technique in assessing the higher cochlear turn function.     

Binaural unmasking with multiple adjacent masking electrodes in bilateral cochlear implant users

Bilateral cochlear implant (BiCI) users gain an advantage in noisy situations from a second implant, but their bilateral performance falls short of normal hearing listeners. Channel interactions due to overlapping electrical fields between electrodes can impair speech perception, but its role in limiting binaural hearing performance has not been well characterized. To address the issue, binaural masking level differences (BMLD) for a 125 Hz tone in narrowband noise were measured using a pair of pitch-matched electrodes while simultaneously presenting the same masking noise to adjacent electrodes, representing a more realistic stimulation condition compared to prior studies that used only a single electrode pair. For five subjects, BMLDs averaged 8.9 ± 1.0 dB (mean ± s.e.) in single electrode pairs but dropped to 2.1 ± 0.4 dB when presenting noise on adjacent masking electrodes, demonstrating a negative impact of the additional maskers. Removing the masking noise from only the pitch-matched electrode pair not only lowered thresholds but also resulted in smaller BMLDs. The degree of channel interaction estimated from auditory nerve evoked potentials in three subjects was significantly and negatively correlated with BMLD. The data suggest that if the amount of channel interactions can be reduced, BiCI users may experience some performance improvements related to binaural hearing.     

Relations among some psychoacoustic parameters in normal and cochlearly impaired listeners

Frequency resolution (viz., masking by low-pass-filtered noise and broadband noise) and temporal resolution (viz., masking by interrupted noise) were compared with hearing thresholds and acoustic reflex thresholds for four normally hearing and 13 cochlearly impaired subjects. Two models, one for frequency resolution (model I) and one for temporal resolution (model II), were introduced, and these provided a means of predicting individual frequency and temporal resolution from hearing thresholds for both normal-hearing and hearing-impaired listeners. Model I is based on the assumption that the upward spread of masking increases in cochlearly impaired hearing with an amount proportional to the hearing threshold in dB HL. Model II is based on the assumption that the poststimulatory masked thresholds return to the level of the hearing threshold within a duration of 200 ms, independent of the level of the masker and the amount of cochlear hearing loss. Model parameters were determined from results from other studies. Although some discrepancies between measured and predicted values were observed, the model predictions generally agree with measurements. Thus, to a first-order approximation, it seems possible to predict individual frequency and temporal resolution of cochlearly hearing-impaired listeners solely on the basis of their hearing thresholds.     

Forward- and simultaneous-masked thresholds in bandlimited maskers in subjects with normal hearing and cochlear hearing loss

Forward- and simultaneous-masked thresholds were measured at 0.5 and 2.0 kHz in bandpass maskers as a function of masker bandwidth and in a broadband masker with the goal of estimating psychophysical suppression. Suppression was operationally defined in two ways: (1) as a change in forward-masked threshold as a function of masker bandwidth, and (2) as a change in effective masker level with increased masker bandwidth, taking into account the nonlinear growth of forward masking. Subjects were younger adults with normal hearing and older adults with cochlear hearing loss. Thresholds decreased as a function of masker bandwidth in forward masking, which was attributed to effects of suppression; thresholds remained constant or increased slightly with increasing masker bandwidth in simultaneous masking. For subjects with normal hearing, slightly larger estimates of suppression were obtained at 2.0 kHz rather than at 0.5 kHz. For hearing-impaired subjects, suppression was reduced in regions of hearing loss. The magnitude of suppression was strongly correlated with the absolute threshold at the signal frequency, but did not vary with thresholds at frequencies remote from the signal. The results suggest that measuring forward-masked thresholds in bandlimited and broadband maskers may be an efficient psychophysical method for estimating suppression.     

On the detection of early cochlear damage by otoacoustic emission analysis

Theoretical considerations and experimental evidence suggest that otoacoustic emission parameters may be used to reveal early cochlear damage, even before it can be diagnosed by standard audiometric techniques. In this work, the statistical distributions of a set of otoacoustic emission parameters chosen as candidates for the early detection of cochlear damage (global and band reproducibility, response level, signal-to-noise ratio, spectral latency, and long-lasting otoacoustic emission presence) were analyzed in a population of 138 ears. These ears have been divided, according to a standard audiometric test, in three classes: (1) ears of nonexposed bilaterally normal subjects, (2) normal ears of subjects with unilateral noise-induced high-frequency hearing loss, and (3) their hearing impaired ears. For all analyzed parameters, a statistically significant difference was found between classes 1 and 2. This difference largely exceeds the difference observed between classes 2 and 3. This fact suggests that the noise exposure, which was responsible for the unilateral hearing loss, also caused subclinical damage in the contralateral, audiometrically normal, ear. This is a clear indication that otoacoustic emission techniques may be able to early detect subclinical damages.     

The effect of basilar-membrane nonlinearity on the shapes of masking period patterns in normal and impaired hearing

Masking period patterns (MPPs) were measured in listeners with normal and impaired hearing using amplitude-modulated tonal maskers and short tonal probes. The frequency of the masker was either the same as the frequency of the probe (on-frequency masking) or was one octave below the frequency of the probe (off-frequency masking). In experiment 1, MPPs were measured for listeners with normal hearing using different masker levels. Carrier frequencies of 3 and 6 kHz were used for the masker. The probe had a frequency of 6 kHz. For all masker levels, the off-frequency MPPs exhibited deeper and longer valleys compared with the on-frequency MPPs. Hearing-impaired listeners were tested in experiment 2. For some hearing-impaired subjects, masker frequencies of 1.5 kHz and 3 kHz were paired with a probe frequency of 3 kHz. MPPs measured for listeners with hearing loss had similar shapes for on- and off-frequency maskers. It was hypothesized that the shapes of MPPs reflect nonlinear processing at the level of the basilar membrane in normal hearing and more linear processing in impaired hearing. A model assuming different cochlear gains for normal versus impaired hearing and similar parameters of the temporal integrator for both groups of listeners successfully predicted the MPPs.     

Masking effects on ABR waves I and V in infants and adults

The effects of high- and low-pass masking on waves I and V of the auditory brain stem response (ABR) were measured in normal infants who were 2-4 weeks old, and in adults. The signal was a 4-kHz tone pip presented at 86 dB peak equivalent sound-pressure level (p.e.SPL). The masking patterns were different for latency and amplitude criteria, and were also different for infants and adults. The largest difference between infants and adults was seen in the wave I data. Low-pass maskers were very disruptive of the infant wave I, while little or no effect was noted on the adult wave I. High-pass maskers were very disruptive of the adult wave I, while less of an effect was measured on the infant wave I. The wave V data were similar between groups. Cochlear regions which contribute most importantly to wave I extend up to one octave above the frequency of the signal in adults, and to one-half octave above the signal frequency in infants. The reasons for the differences found between infants and adults are uncertain. Two possible mechanisms which can explain these data are differences in peripheral auditory sensitivity, and differences in tuning characteristics of the auditory system.     

Growth of masking as a measure of response growth in hearing-impaired listeners

Growth-of-masking functions were obtained from 19 normal and 5 hearing-impaired listeners using a simultaneous-masking paradigm. When masker and probe frequency are identical, the slope of masking approximates 1.0 for both normal-hearing and impaired listeners. For masker frequencies less than or greater than probe frequency, the slopes for impaired listeners are shallower than those of normals. These findings are consistent with previously reported physiological data (single-fiber rate versus level and AP masking functions) for animals with induced cochlear lesions. Results are discussed in terms of a potential masking technique to estimate the growth of response in normal and impaired ears.     

Psychophysical correlates of contralateral efferent suppression. I. The role of the medial olivocochlear system in "central masking" in nonhuman primates

An extensive physiological literature, including experimental and clinical studies in humans, demonstrates that activation of the medial olivocochlear (MOC) efferent system, by either contralateral sound or electrical stimulation, can produce significant alterations in cochlear function and suggests a role for the MOC system in influencing the auditory behavior of binaural hearing. The present data are from psychophysical studies in nonhuman primates which seek to determine if the noted physiological changes in response to contralateral acoustic stimulation have a perceptual counterpart. Four juvenile Japanese macaques were trained to respond to the presence of 1-s sinusoids, presented to the test ear, in an operant reinforcement paradigm. Thresholds were compared for frequencies ranging from 1.0 to 4.0 kHz in quiet, with thresholds measured when continuous, two octave-band noise, centered on the test tone frequency, was presented in the contralateral ear. Contralateral noise was presented at levels of 10-60 dB above detection threshold for the test-tone frequency. While some variability was evident across subjects, both in the frequency distribution and magnitude (as a function of contralateral noise level), all subjects exhibited an increase, or suppression of thresholds in the presence of contralateral noise. On average, thresholds increased systematically with contralateral noise level, to a peak of 7 dB. In one subject, the threshold increase seen with contralateral noise was significantly reduced when the MOC was surgically sectioned on the floor of the IVth ventricle. The characteristics of the measured shifts in behavioral thresholds, in the presence of contralateral noise reported here, are qualitatively and quantitatively similar to both efferent physiological suppression effects and psychophysical central masking threshold shifts which have been reported previously. These data suggest that at least some aspects of "central masking" are efferent-mediated peripheral processes, and that the term "central masking" may be incorrect.     

Narrow-band AP latencies in normal and recruiting human ears.

Derived narrow-band action potential latencies increase monotonically with decreasing central frequency, and can be interpreted as reflecting the traveling wave delay in the cochlea. It was found that, for recruiting human ears with average flat hearing losses around 40 dB, this accumulating latency increase was smaller than for normal ears. A comparison of 15 normal ears and 37 recruiting ears showed, however, that in only half of the recruiting ears this difference was significant. These recruiting ears were therefore divided in two groups based on the waveform of the narrow-band action potential AP, which correlated well with the subdivision according to latency. The findings have been explained on the basis that latency of the narrow-band APs is not determined solely by the mechanical traveling-wave delay, but also by the response time of the (second?) cochlear filter. When this filter broadens, one expects a decrease in its impulse response time. Since this impulse response time. Since this impulse response depends on the sum of the high- and low-frequency slope values of the cochlear filter, one expects only a latency decrease when the steep high-frequency slope also becomes more shallow. A support for the influence of the response times of the cochlear filter is found in the narrow-band AP latencies for restricted cochlear losses (e.g., in a 4-kHz noise dip). It appears that the latency in that area actually is shorter than for the higher central frequencies, a fact which cannot be explained solely on the basis of a traveling wave phenomenon.     

Measurement of the attenuation characteristics of nonlinear hearing protective devices using the auditory brain stem response

The purpose of this study was to determine the feasibility of using the auditory brain stem response (ABR) as a method of measuring the attenuation characteristics of nonlinear hearing protective devices. Sound field ABRs were recorded from seven normal hearing subjects with and without hearing protection. Three hearing protectors (two nonlinear and one linear) were evaluated. Test stimuli, consisting of 4000-Hz tone pips, were presented in a sound field. Linearity and the amount of attenuation for each hearing protector were derived by comparing the protected and unprotected latency-intensity functions for wave I of the ABR. Results indicate that the ABR may be used effectively to measure the attenuation characteristics of linear and nonlinear hearing protectors for high-frequency impulse-type stimuli.     

Frequency specificity of human auditory brainstem responses as revealed by pure-tone masking profiles

The frequency specificity of the auditory brainstem response (ABR) was examined by means of pure-tone masking profiles using click, 4000-Hz, and 1000-Hz filtered-click stimuli. Simultaneous pure-tone maskers were presented at one-half octave intervals around stimulus center frequency. Masking profiles at two intensities (60 and 40 dB SL) were obtained by measuring both latency and amplitude shifts in wave V as a result of the discrete-frequency maskers. Both latency and amplitude analyses showed masking profiles at 40 dB SL that were narrow and centered around stimulus frequency, whereas profiles at 60 dB SL showed high-frequency spread of the cochlear excitation area.