The role of head-induced interaural time and level differences in the speech reception threshold for multiple interfering sound sources

Three experiments investigated the roles of interaural time differences (ITDs) and level differences (ILDs) in spatial unmasking in multi-source environments. In experiment 1, speech reception thresholds (SRTs) were measured in virtual-acoustic simulations of an anechoic environment with three interfering sound sources of either speech or noise. The target source lay directly ahead, while three interfering sources were (1) all at the target's location (0 degrees,0 degrees,0 degrees), (2) at locations distributed across both hemifields (-30 degrees,60 degrees,90 degrees), (3) at locations in the same hemifield (30 degrees,60 degrees,90 degrees), or (4) co-located in one hemifield (90 degrees,90 degrees,90 degrees). Sounds were convolved with head-related impulse responses (HRIRs) that were manipulated to remove individual binaural cues. Three conditions used HRIRs with (1) both ILDs and ITDs, (2) only ILDs, and (3) only ITDs. The ITD-only condition produced the same pattern of results across spatial configurations as the combined cues, but with smaller differences between spatial configurations. The ILD-only condition yielded similar SRTs for the (-30 degrees,60 degrees,90 degrees) and (0 degrees,0 degrees,0 degrees) configurations, as expected for best-ear listening. In experiment 2, pure-tone BMLDs were measured at third-octave frequencies against the ITD-only, speech-shaped noise interferers of experiment 1. These BMLDs were 4-8 dB at low frequencies for all spatial configurations. In experiment 3, SRTs were measured for speech in diotic, speech-shaped noise. Noises were filtered to reduce the spectrum level at each frequency according to the BMLDs measured in experiment 2. SRTs were as low or lower than those of the corresponding ITD-only conditions from experiment 1. Thus, an explanation of speech understanding in complex listening environments based on the combination of best-ear listening and binaural unmasking (without involving sound-localization) cannot be excluded.     

Speech perception,localization, and lateralization with bilateral cochlear implants

Five bilateral cochlear implant users were tested for their localization abilities and speech understanding in noise, for both monaural and binaural listening conditions. They also participated in lateralization tasks to assess the impact of variations in interaural time delays (ITDs) and interaural level differences (ILDs) for electrical pulse trains under direct computer control. The localization task used pink noise bursts presented from an eight-loudspeaker array spanning an arc of approximately 108 degrees in front of the listeners at ear level (0-degree elevation). Subjects showed large benefits from bilateral device use compared to either side alone. Typical root-mean-square (rms) averaged errors across all eight loudspeakers in the array were about 10 degrees for bilateral device use and ranged from 20 degrees to 60 degrees using either ear alone. Speech reception thresholds (SRTs) were measured for sentences presented from directly in front of the listeners (0 degrees) in spectrally matching speech-weighted noise at either 0 degrees, +90 degrees or -90 degrees for four subjects out of five tested who could perform the task. For noise to either side, bilateral device use showed a substantial benefit over unilateral device use when noise was ipsilateral to the unilateral device. This was primarily because of monaural head-shadow effects, which resulted in robust SRT improvements (P<0.001) of about 4 to 5 dB when ipsilateral and contralateral noise positions were compared. The additional benefit of using both ears compared to the shadowed ear (i.e., binaural unmasking) was only 1 or 2 dB and less robust (P = 0.04). Results from the lateralization studies showed consistently good sensitivity to ILDs; better than the smallest level adjustment available in the implants (0.17 dB) for some subjects. Sensitivity to ITDs was moderate on the other hand, typically of the order of 100 micros. ITD sensitivity deteriorated rapidly when stimulation rates for unmodulated pulse-trains increased above a few hundred Hz but at 800 pps showed sensitivity comparable to 50-pps pulse-trains when a 50-Hz modulation was applied. In our opinion, these results clearly demonstrate important benefits are available from bilateral implantation, both for localizing sounds (in quiet) and for listening in noise when signal and noise sources are spatially separated. The data do indicate, however, that effects of interaural timing cues are weaker than those from interaural level cues and according to our psychophysical findings rely on the availability of low-rate information below a few hundred Hz.     

Subcomponent cues in binaural unmasking

The addition of a signal in the N0Sπ binaural configuration gives rise to fluctuations in interaural phase and amplitude. Sensitivity to these individual cues was measured by applying sinusoidal amplitude modulation (AM) or quasi-frequency modulation (QFM) to a band of noise. Discrimination between interaurally in-phase and out-of-phase modulation was measured using an adaptive task for narrow bands of noise at center frequencies from 250 to 1500 Hz, for modulation rates of 2-40 Hz, and with or without flanking bands of diotic noise. Discrimination thresholds increased steeply for QFM with increasing center frequency, but increased only modestly for AM, and mainly for modulation rates below 10 Hz. Flanking bands of noise increased thresholds for AM, but had no consistent effect for QFM. The results suggest that two underlying mechanisms may support binaural unmasking: one most sensitive to interaural amplitude modulations that is susceptible to across-frequency interference, and a second, most sensitive to interaural phase modulations that is immune to such effects.     

Speech segregation in rooms: monaural, binaural, and interacting effects of reverberation on target and interferer

Speech reception thresholds were measured in virtual rooms to investigate the influence of reverberation on speech intelligibility for spatially separated targets and interferers. The measurements were realized under headphones, using target sentences and noise or two-voice interferers. The room simulation allowed variation of the absorption coefficient of the room surfaces independently for target and interferer. The direct-to-reverberant ratio and interaural coherence of sources were also varied independently by considering binaural and diotic listening. The main effect of reverberation on the interferer was binaural and mediated by the coherence, in agreement with binaural unmasking theories. It appeared at lower reverberation levels than the effect of reverberation on the target, which was mainly monaural and associated with the direct-to-reverberant ratio, and could be explained by the loss of amplitude modulation in the reverberant speech signals. This effect was slightly smaller when listening binaurally. Reverberation might also be responsible for a disruption of the mechanism by which the auditory system exploits fundamental frequency differences to segregate competing voices, and a disruption of the "listening in the gaps" associated with speech interferers. These disruptions may explain an interaction observed between the effects of reverberation on the targets and two-voice interferers.     

Binaural sensitivity as a function of interaural electrode position with a bilateral cochlear implant user

Experiments were conducted with a single, bilateral cochlear implant user to examine interaural level and time-delay cues that putatively underlie the design and efficacy of bilateral implant systems. The subject's two implants were of different types but custom equipment allowed presentation of controlled bilateral stimuli, particularly those with specified interaural time difference (ITD) and interaural level difference (ILD) cues. A lateralization task was used to measure the effect of these cues on the perceived location of the sensations elicited. For trains of fixed-amplitude, biphasic current pulses at 100 pps, the subject demonstrated sensitivity to an ITD of 300 micros, providing evidence of access to binaural information. The choice of bilateral electrode pair greatly influenced ITD sensitivity, suggesting that electrode pairings are likely to be an important consideration in the effort to provide binaural advantages. The selection of bilateral electrode pairs showing sensitivity to ITD was partially aided by comparisons of the pitch elicited by individual electrodes in each ear (when stimulated alone with fixed-amplitude current pulses at 813 pps): specifically, interaural electrodes with similar pitches were more likely (but not certain) to show ITD sensitivity. Significant changes in lateral position occurred with specific electrode pairs. With five bilateral electrode pairs of 14 tested, ITDs of 300 and 600 micros moved an auditory image significantly from right to left. With these same pairs, ILD changes of approximately 11% of the dynamic range (in microApp) moved an auditory image from the far left to the far right-significantly farther than the nine pairs not showing significant ITD sensitivity. However, even these nine pairs did show response changes as a function of the interaural (or confounding monaural) level cue. Overall, insofar as the access to bilateral cues demonstrated herein generalizes to other subjects, it provides hope that the normal binaural advantages for speech recognition and sound localization can be made available to bilateral implant users.     

Monaural and interaural temporal modulation transfer functions measured with 5-kHz carriers

Temporal modulation transfer functions (TMTFs) were measured for detection of monaural sinusoidal amplitude modulation and dynamically varying interaural level differences for a single set of listeners. For the interaural TMTFs, thresholds are the modulation depths at which listeners can just discriminate interaural envelope-phase differences of 0 and 180 degrees. A 5-kHz pure tone and narrowband noises, 30- and 300-Hz wide centered at 5 kHz, were used as carriers. In the interaural conditions, the noise carriers were either diotic or interaurally uncorrelated. The interaural TMTFs with tonal and diotic noise carriers exhibited a low-pass characteristic but the cutoff frequencies changed nonmonotonically with increasing bandwidth. The interaural TMTFs for the tonal carrier began rolling off approximately a half-octave lower than the tonal monaural TMTF (approximately 80 Hz vs approximately 120 Hz). Monaural TMTFs obtained with noise carriers showed effects attributable to masking of the signal modulation by intrinsic fluctuations of the carrier. In the interaural task with dichotic noise carriers, similar masking due to the interaural carrier fluctuations was observed. Although the mechanisms responsible for differences between the monaural and interaural TMTFs are unknown, the lower binaural TMTF cutoff frequency suggests that binaural processing exhibits greater temporal limitation than monaural processing.     

The effect of diotic and dichotic level-randomization on the binaural masking-level difference

Detection thresholds for tones in narrow-band noise were measured for two binaural configurations: N(o)S(o) and N(o)S(pi). The 30-Hz noise band had a mean overall level of 65 dB SPL and was centered on 250, 500, or 5000 Hz. Signals and noise were simultaneously gated for 500, 110, or 20 ms. Three conditions of level randomization were tested: (1) no randomization; (2) diotic randomization--the stimulus level (common to both ears) was randomly chosen from an uniformly distributed 40-dB range every presentation interval; and (3) dichotic randomization--the stimulus levels for each ear were each independently and randomly chosen from the 40-dB range. Regardless of binaural configuration, level randomization had small effects on thresholds at 500 and 110 ms, implying that binaural masking-level differences (BMLDs) do not depend on interaural level differences for individual stimuli. For 20-ms stimuli, both diotic and dichotic randomization led to markedly poorer performance than at 500- and 110-ms durations; BMLDs diminished with no randomization and dichotic randomization but not with diotic randomization. The loss of BMLDs at 20 ms, with degrees-of-freedom (2WT) approximately 1, implies that changes in intracranial parameters occurring during the course of the observation interval are necessary for BMLDs when mean-level and mean-intracranial-position cues have been made unhelpful.     

Speech perception from monaural and binaural information

Two experiments explored the concept of the binaural spectrogram [Culling and Colburn, J. Acoust. Soc. Am. 107, 517-527 (2000)] and its relationship to monaurally derived information. In each experiment, speech was added to noise at an adverse signal-to-noise ratio in the NoS pi binaural configuration. The resulting monaural and binaural cues were analyzed within an array of spectro-temporal bins and then these cues were resynthesized by modulating the intensity and/or interaural correlation of freshly generated noise. Experiment 1 measured the intelligibility of the resynthesized stimuli and compared them with the original NoSo and NoS pi stimuli at a fixed signal-to-noise ratio. While NoS pi stimuli were approximately equal to 50% intelligible, each cue in isolation produced similar (very low) intelligibility to the NoSo condition. The resynthesized combination produced approximately equal to 25% intelligibility. Modulation of interaural correlation below 1.2 kHz and of amplitude above 1.2 kHz was not as effective as their combination across all frequencies. Experiment 2 measured three-point psychometric functions in which the signal-to-noise ratio of the original NoS pi stimulus was increased in 3-dB steps from the level used in experiment 1. Modulation of interaural correlation alone proved to have a flat psychometric function. The functions for NoS pi and for combined monaural and binaural cues appeared similar in slope, but shifted horizontally. The results indicate that for sentence materials, neither fluctuations in interaural correlation nor in monaural intensity are sufficient to support speech recognition at signal-to-noise ratios where 50% intelligibility is achieved in the NoS pi configuration; listeners appear to synergistically combine monaural and binaural information in this task, to some extent within the same frequency region.     

Binaural sluggishness in the perception of tone sequences and speech in noise

The binaural system is well-known for its sluggish response to changes in the interaural parameters to which it is sensitive. Theories of binaural unmasking have suggested that detection of signals in noise is mediated by detection of differences in interaural correlation. If these theories are correct, improvements in the intelligibility of speech in favorable binaural conditions is most likely mediated by spectro-temporal variations in interaural correlation of the stimulus which mirror the spectro-temporal amplitude modulations of the speech. However, binaural sluggishness should limit the temporal resolution of the representation of speech recovered by this means. The present study tested this prediction in two ways. First, listeners' masked discrimination thresholds for ascending vs descending pure-tone arpeggios were measured as a function of rate of frequency change in the NoSo and NoSpi binaural configurations. Three-tone arpeggios were presented repeatedly and continuously for 1.6 s, masked by a 1.6-s burst of noise. In a two-interval task, listeners determined the interval in which the arpeggios were ascending. The results showed a binaural advantage of 12-14 dB for NoSpi at 3.3 arpeggios per s (arp/s), which reduced to 3-5 dB at 10.4 arp/s. This outcome confirmed that the discrimination of spectro-temporal patterns in noise is susceptible to the effects of binaural sluggishness. Second, listeners' masked speech-reception thresholds were measured in speech-shaped noise using speech which was 1, 1.5, and 2 times the original articulation rate. The articulation rate was increased using a phase-vocoder technique which increased all the modulation frequencies in the speech without altering its pitch. Speech-reception thresholds were, on average, 5.2 dB lower for the NoSpi than for the NoSo configuration, at the original articulation rate. This binaural masking release was reduced to 2.8 dB when the articulation rate was doubled, but the most notable effect was a 6-8 dB increase in thresholds with articulation rate for both configurations. These results suggest that higher modulation frequencies in masked signals cannot be temporally resolved by the binaural system, but that the useful modulation frequencies in speech are sufficiently low (<5 Hz) that they are invulnerable to the effects of binaural sluggishness, even at elevated articulation rates.     

Lateralization and detection of pulse trains with alternating interaural time delays

The effect of onset interaural time differences (ITDs) on lateralization and detection was investigated for broadband pulse trains 250 ms long with a binaural fundamental frequency of 250 Hz. Within each train, ITDs of successive binaural pulse pairs alternated between two of three values (0 micros, 500 micros left-leading, and 500 micros right-leading) or were invariant. For the alternating conditions, the experimental manipulation was the choice of which of two ITDs was presented first (i.e., at stimulus onset). Lateralization, which was estimated using a broadband noise pointer with a listener adjustable interaural delay, was determined largely by the onset ITD. However, detection thresholds for the signals in left-leading or diotic continuous broadband noise were not affected by where the signals were lateralized. A quantitative analysis suggested that binaural masked thresholds for the pulse trains were well accounted for by the level and phase of harmonic components at 500 and 750 Hz. Detection thresholds obtained for brief stimuli (two binaural pulse or noise burst pairs) were also independent of which of two ITDs was presented first. The control of lateralization by onset cues appears to be based on mechanisms not essential for binaural detection.     

Using blind source separation techniques to improve speech recognition in bilateral cochlear implant patients

Bilateral cochlear implants seek to restore the advantages of binaural hearing by improving access to binaural cues. Bilateral implant users are currently fitted with two processors, one in each ear, operating independent of one another. In this work, a different approach to bilateral processing is explored based on blind source separation (BSS) by utilizing two implants driven by a single processor. Sentences corrupted by interfering speech or speech-shaped noise are presented to bilateral cochlear implant users at 0 dB signal-to-noise ratio in order to evaluate the performance of the proposed BSS method. Subjects are tested in both anechoic and reverberant settings, wherein the target and masker signals are spatially separated. Results indicate substantial improvements in performance in both anechoic and reverberant settings over the subjects' daily strategies for both masker conditions and at various locations of the masker. It is speculated that such improvements are due to the fact that the proposed BSS algorithm capitalizes on the variations of interaural level differences and interaural time delays present in the mixtures of the signals received by the two microphones, and exploits that information to spatially separate the target from the masker signals.     

Interaural correlation discrimination: II. Relation to binaural unmasking

Many theoretical models of binaural interaction assume that sensitivity to interaural correlation underlies binaural unmasking. This paper explores the extent to which sensitivity to changes in interaural correlation implied by results from binaural detection experiments are consistent with sensitivity to changes in interaural correlation implied by results from binaural detection experiments are consistent with sensitivity to changes in interaural correlation measured directly in correlation discrimination experiments. The vehicle for this exploration is a simplified model of the underlying processes assumed by many models of binaural unmasking for the detection of narrow-band signals in the presence of broadband noise. Consideration is given to psychometric function slopes, detection thresholds, bandwidth effects, duration effects, level effects, and interaural-parameter effects. Although many of the results obtained from our analysis are consistent with the notion that the cue in binaural detection tasks is a change in interaural correlation, some significant inconsistencies are noted.     

The effect of head-induced interaural time and level differences on speech intelligibility in noise

A study was made of the effect of interaural time delay (ITD) and acoustic headshadow on binaural speech intelligibility in noise. A free-field condition was simulated by presenting recordings, made with a KEMAR manikin in an anechoic room, through earphones. Recordings were made of speech, reproduced in front of the manikin, and of noise, emanating from seven angles in the azimuthal plane, ranging from 0 degree (frontal) to 180 degrees in steps of 30 degrees. From this noise, two signals were derived, one containing only ITD, the other containing only interaural level differences (ILD) due to headshadow. Using this material, speech reception thresholds (SRT) for sentences in noise were determined for a group of normal-hearing subjects. Results show that (1) for noise azimuths between 30 degrees and 150 degrees, the gain due to ITD lies between 3.9 and 5.1 dB, while the gain due to ILD ranges from 3.5 to 7.8 dB, and (2) ILD decreases the effectiveness of binaural unmasking due to ITD (on the average, the threshold shift drops from 4.6 to 2.6 dB). In a second experiment, also conducted with normal-hearing subjects, similar stimuli were used, but now presented monaurally or with an overall 20-dB attenuation in one channel, in order to simulate hearing loss. In addition, SRTs were determined for noise with fixed ITDs, for comparison with the results obtained with head-induced (frequency dependent) ITDs.(ABSTRACT TRUNCATED AT 250 WORDS)     

The effects of spatial separation in distance on the informational and energetic masking of a nearby speech signal

Although many studies have shown that intelligibility improves when a speech signal and an interfering sound source are spatially separated in azimuth, little is known about the effect that spatial separation in distance has on the perception of competing sound sources near the head. In this experiment, head-related transfer functions (HRTFs) were used to process stimuli in order to simulate a target talker and a masking sound located at different distances along the listener's interaural axis. One of the signals was always presented at a distance of 1 m, and the other signal was presented 1 m, 25 cm, or 12 cm from the center of the listener's head. The results show that distance separation has very different effects on speech segregation for different types of maskers. When speech-shaped noise was used as the masker, most of the intelligibility advantages of spatial separation could be accounted for by spectral differences in the target and masking signals at the ear with the higher signal-to-noise ratio (SNR). When a same-sex talker was used as the masker, the intelligibility advantages of spatial separation in distance were dominated by binaural effects that produced the same performance improvements as a 4-5-dB increase in the SNR of a diotic stimulus. These results suggest that distance-dependent changes in the interaural difference cues of nearby sources play a much larger role in the reduction of the informational masking produced by an interfering speech signal than in the reduction of the energetic masking produced by an interfering noise source.     

The effect of overlap-masking on binaural reverberant word intelligibility

Reverberation interferes with the ability to understand speech in rooms. Overlap-masking explains this degradation by assuming reverberant phonemes endure in time and mask subsequent reverberant phonemes. Most listeners benefit from binaural listening when reverberation exists, indicating that the listener's binaural system processes the two channels to reduce the reverberation. This paper investigates the hypothesis that the binaural word intelligibility advantage found in reverberation is a result of binaural overlap-masking release with the reverberation acting as masking noise. The tests utilize phonetically balanced word lists (ANSI-S3.2 1989), that are presented diotically and binaurally with recorded reverberation and reverberation-like noise. A small room, 62 m3, reverberates the words. These are recorded using two microphones without additional noise sources. The reverberation-like noise is a modified form of these recordings and has a similar spectral content. It does not contain binaural localization cues due to a phase randomization procedure. Listening to the reverberant words binaurally improves the intelligibility by 6.0% over diotic listening. The binaural intelligibility advantage for reverberation-like noise is only 2.6%. This indicates that binaural overlap-masking release is insufficient to explain the entire binaural word intelligibility advantage in reverberation.     

Detectability of interaural delays over select spectral regions: effects of flanking noise

Zurek [P. M. Zurek, J. Acoust. Soc. Am. Suppl. 1 78, S18 (1985)] noted what he termed "spectral dominance" in sensitivity to interaural delay for broadband stimuli. He found that interaural delays presented solely within high-frequency spectral regions were difficult, if not impossible, to detect in the presence of spectrally flanking, gated, diotic noise. In order to see if spectral dominance is a general result of the processing of interaural delays in broadband stimuli, similar experiments were conducted utilizing both gated and continuous flanking noises that were interaurally identical (diotic) or completely uncorrelated. Beyond replicating Zurek's basic findings, the data strongly suggest that the processing of interaural delays was largely unaffected when the flanking sounds were continuous and diotic. When the flanking sounds were interaurally uncorrelated, sensitivity was affected, but not drastically, for both gated and continuous conditions. Consequently, it appears that any inability to cope with conflicting interaural cues across spectral regions may be observed only under restricted conditions.     

The spatial unmasking of speech: evidence for within-channel processing of interaural time delay

Across-frequency processing by common interaural time delay (ITD) in spatial unmasking was investigated by measuring speech reception thresholds (SRTs) for high- and low-frequency bands of target speech presented against concurrent speech or a noise masker. Experiment 1 indicated that presenting one of these target bands with an ITD of +500 micros and the other with zero ITD (like the masker) provided some release from masking, but full binaural advantage was only measured when both target bands were given an ITD of + 500 micros. Experiment 2 showed that full binaural advantage could also be achieved when the high- and low-frequency bands were presented with ITDs of equal but opposite magnitude (+/- 500 micros). In experiment 3, the masker was also split into high- and low-frequency bands with ITDs of equal but opposite magnitude (+/-500 micros). The ITD of the low-frequency target band matched that of the high-frequency masking band and vice versa. SRTs indicated that, as long as the target and masker differed in ITD within each frequency band, full binaural advantage could be achieved. These results suggest that the mechanism underlying spatial unmasking exploits differences in ITD independently within each frequency channel.     

The comparative effects of signal sensation level and sound-pressure level on interaural time discrimination

A series of experiments was performed to examine the extent to which precision of interaural time discrimination depends on the sound-pressure level (SPL) and/or sensation level (SL) of the signal. All experiments used a tone burst signal and a continuous white noise masker, which was either diotic or interaurally phase reversed. Results of the first experiment indicate that (1) at equal signal SLs, interaural time and intensity discrimination is more precise when measured with the added diotic noise, and (2) addition of the phase reversed noise, previously shown to cause less precise interaural time discrimination, has a similar effect on interaural intensity discrimination. In the second experiment, interaural time JNDs for a signal of constant SPL were measured as a function of noise level. Results show that a low-level diotic noise can benefit interaural time discrimination, particularly at 500 Hz. The third and fourth experiments were performed to measure interaural time discrimination as a function of increasing signal SPL but constant signal-to-noise ratio. The data show the JND decreasing with increasing signal SPL at nearly the same rate with or without the added noise, indicating that an increase in signal-to-noise ratio is not necessary for improved discrimination.     

Binaural speech intelligibility in noise for hearing-impaired listeners

The effect of head-induced interaural time delay (ITD) and interaural level differences (ILD) on binaural speech intelligibility in noise was studied for listeners with symmetrical and asymmetrical sensorineural hearing losses. The material, recorded with a KEMAR manikin in an anechoic room, consisted of speech, presented from the front (0 degree), and noise, presented at azimuths of 0 degree, 30 degrees, and 90 degrees. Derived noise signals, containing either only ITD or only ILD, were generated using a computer. For both groups of subjects, speech-reception thresholds (SRT) for sentences in noise were determined as a function of: (1) noise azimuth, (2) binaural cue, and (3) an interaural difference in overall presentation level, simulating the effect of a monaural hearing acid. Comparison of the mean results with corresponding data obtained previously from normal-hearing listeners shows that the hearing impaired have a 2.5 dB higher SRT in noise when both speech and noise are presented from the front, and 2.6-5.1 dB less binaural gain when the noise azimuth is changed from 0 degree to 90 degrees. The gain due to ILD varies among the hearing-impaired listeners between 0 dB and normal values of 7 dB or more. It depends on the high-frequency hearing loss at the side presented with the most favorable signal-to-noise (S/N) ratio. The gain due to ITD is nearly normal for the symmetrically impaired (4.2 dB, compared with 4.7 dB for the normal hearing), but only 2.5 dB in the case of asymmetrical impairment. When ITD is introduced in noise already containing ILD, the resulting gain is 2-2.5 dB for all groups. The only marked effect of the interaural difference in overall presentation level is a reduction of the gain due to ILD when the level at the ear with the better S/N ratio is decreased. This implies that an optimal monaural hearing aid (with a moderate gain) will hardly interfere with unmasking through ITD, while it may increase the gain due to ILD by preventing or diminishing threshold effects.