Blind binary masking for reverberation suppression in cochlear implants.
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ABSTRACT:
SUBMITTER: Hazrati O
PROVIDER: S-EPMC3606256 | biostudies-other | 2013 Mar
REPOSITORIES: biostudies-other
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Project description:Reverberation severely degrades speech intelligibility for cochlear implant (CI) users. The ideal reverberant mask (IRM), a binary mask for reverberation suppression which is computed using signal-to-reverberant ratio, was found to yield substantial intelligibility gains for CI users even in highly reverberant environments (e.g., T60 = 1.0 s). Motivated by the intelligibility improvements obtained from IRM, a monaural blind channel-selection criterion for reverberation suppression is proposed. The proposed channel-selection strategy is blind, meaning that prior knowledge of neither the room impulse response nor the anechoic signal is required. By the use of a residual signal obtained from linear prediction analysis of the reverberant signal, the residual-to-reverberant ratio (RRR) of individual frequency channels was employed as the channel-selection criterion. In each frame, the channels with RRR less than an adaptive threshold were retained while the rest were zeroed out. Performance of the proposed strategy was evaluated via intelligibility listening tests conducted with CI users in simulated rooms with two reverberation times of 0.6 and 0.8 s. The results indicate significant intelligibility improvements in both reverberant conditions (over 30 and 40 percentage points in T60 = 0.6 and 0.8 s, respectively). The improvement is comparable to that obtained with the IRM strategy.
| S-EPMC3689789 | biostudies-other
Project description:Cochlear implant (CI) recipients' ability to identify words is reduced in noisy or reverberant environments. The speech identification task for CI users becomes even more challenging in conditions where both reverberation and noise co-exist as they mask the spectro-temporal cues of speech in a rather complementary fashion. Ideal channel selection (ICS) was found to result in significantly more intelligible speech when applied to the noisy, reverberant, as well as noisy reverberant speech. In this study, a blind single-channel ratio masking strategy is presented to simultaneously suppress the negative effects of reverberation and noise on speech identification performance for CI users. In this strategy, noise power spectrum is estimated from the non-speech segments of the utterance while reverberation spectral variance is computed as a delayed and scaled version of the reverberant speech spectrum. Based on the estimated noise and reverberation power spectra, a weight between 0 and 1 is assigned to each time-frequency unit to form the final mask. Listening experiments conducted with CI users in two reverberant conditions (T60 = 0.6 and 0.8 s) at a signal-to-noise ratio of 15 dB indicate substantial improvements in speech intelligibility in both reverberant-alone and noisy reverberant conditions considered.
| S-EPMC3829893 | biostudies-other
Project description:Across bilateral cochlear implants, contralateral threshold shift has been investigated as a function of electrode difference between the masking and probe electrodes. For contralateral electric masking, maximum threshold elevations occurred when the position of the masker and probe electrode was approximately place-matched across ears. The amount of masking diminished with increasing masker-probe electrode separation. Place-dependent masking occurred in both sequentially implanted ears, and was not affected by the masker intensity or the time delay from the masker onset. When compared to previous contralateral masking results in normal hearing, the similarities between place-dependent central masking patterns suggest comparable mechanisms of overlapping excitation in the central auditory nervous system.
| S-EPMC3574098 | biostudies-other
Project description:Little is known about the extent to which reverberation affects speech intelligibility by cochlear implant (CI) listeners. Experiment 1 assessed CI users' performance using Institute of Electrical and Electronics Engineers (IEEE) sentences corrupted with varying degrees of reverberation. Reverberation times of 0.30, 0.60, 0.80, and 1.0 s were used. Results indicated that for all subjects tested, speech intelligibility decreased exponentially with an increase in reverberation time. A decaying-exponential model provided an excellent fit to the data. Experiment 2 evaluated (offline) a speech coding strategy for reverberation suppression using a channel-selection criterion based on the signal-to-reverberant ratio (SRR) of individual frequency channels. The SRR reflects implicitly the ratio of the energies of the signal originating from the early (and direct) reflections and the signal originating from the late reflections. Channels with SRR larger than a preset threshold were selected, while channels with SRR smaller than the threshold were zeroed out. Results in a highly reverberant scenario indicated that the proposed strategy led to substantial gains (over 60 percentage points) in speech intelligibility over the subjects' daily strategy. Further analysis indicated that the proposed channel-selection criterion reduces the temporal envelope smearing effects introduced by reverberation and also diminishes the self-masking effects responsible for flattened formants.
| S-EPMC3108395 | biostudies-other
Project description:In hereditary retinal diseases photoreceptors progressively degenerate, often causing blindness without therapy being available. Newly developed subretinal implants can substitute functions of photoreceptors. Retina implant extraocular surgical technique relies strongly on cochlear-implant know-how. However, a completely new surgical approach providing safe handling of the photosensor array had to be developed. The Retina Implant Alpha IMS consisting of a subretinal microphotodiode array and cable linked to a cochlear-implant-like ceramic housing was introduced via a retroauricular incision through a subperiosteal tunnel above the zygoma into the orbit using a specially designed trocar. Implant housing was fixed in a bony bed within a tight subperiosteal pocket in all patients. Primary outcomes were patient short term safety as well as effectiveness. Nine patients participated in the first part of the multicenter trial and received the subretinal visual implant in one eye. In all cases microphotodiode array pull-through procedure and stable positioning were possible without affecting the device function. No intraoperative complications were encountered. The minimally invasive suprazygomatic tunneling technique for the sensor unit as well as a subperiosteal pocket fixation of the implant housing provides a safe extraocular implantation approach of a subretinal device with a transcutaneous extracorporeal power supply.
| S-EPMC4689969 | biostudies-literature
Project description:The performance of current channel selection criteria used in cochlear implant (CI) devices (e.g., maximum selection criterion used in ACE) degrades significantly in the presence of noise. In noisy backgrounds, coding strategies that select the "right" channels for stimulation could potentially produce substantial improvements in intelligibility. In this study, the performance of two alternative channel selection criteria is assessed in terms of intelligibility and subjective quality with CI users in noise. The performance is compared against that of the maximum selection scheme employed in the ACE strategy (comparison is also made with the CIS strategy). Sentences were presented to seven CI users in speech weighted noise (-5, 0, and 5 dB SNR). Both channel selection criteria were implemented under ideal conditions where a priori knowledge of the target and masker was assumed. This was done to assess the full potential benefit of selecting the "right" channels for stimulation in noisy backgrounds. Substantial intelligibility improvement relative to the CI users' daily strategy (i.e., ACE or CIS) was achieved with the two different channel selection criteria under all noisy conditions considered. No significant difference in subjective quality of noisy speech processed by the two channel selection criteria was observed.
| S-EPMC3606270 | biostudies-other
Project description:Direct stimulation of the auditory nerve via a Cochlear Implant (CI) enables profoundly hearing-impaired people to perceive sounds. Many CI users find language comprehension satisfactory, but music perception is generally considered difficult. However, music contains different dimensions which might be accessible in different ways. We aimed to highlight three main dimensions of music processing in CI users which rely on different processing mechanisms: (1) musical discrimination abilities, (2) access to meaning in music, and (3) subjective music appreciation. All three dimensions were investigated in two CI user groups (post- and prelingually deafened CI users, all implanted as adults) and a matched normal hearing control group. The meaning of music was studied by using event-related potentials (with the N400 component as marker) during a music-word priming task while music appreciation was gathered by a questionnaire. The results reveal a double dissociation between the three dimensions of music processing. Despite impaired discrimination abilities of both CI user groups compared to the control group, appreciation was reduced only in postlingual CI users. While musical meaning processing was restorable in postlingual CI users, as shown by a N400 effect, data of prelingual CI users lack the N400 effect and indicate previous dysfunctional concept building.
| S-EPMC4997320 | biostudies-literature
Project description:IntroductionMost cochlear implants are currently compatible with magnetic resonance imaging (MRI) up to 3 T. Nevertheless, this does not completely eliminate the risk of serious accidents. Implant displacements and other adverse events with compatible implants have been reported in the literature.Case reportsAmong the six patients who had MRI after receiving implants at our center, we report three cases with adverse events related to the examination. The first case was complicated by magnet displacement with partial demagnetization. The second case showed total demagnetization, which necessitated removal and reimplantation of the implant. The third case involved severe pain sensation which disrupted the MRI scan. The smallest artifact was found with 3D MRI angiography, and largest artifact was found with diffusion and T2 FLASH.DiscussionMoving the patient into the MRI apparatus must be supervised by an otorhinolaryngology specialist or an experienced radiologist. It is important to consider the magnetic field directions, so that angle between the implant magnetic fields and the MRI B0 always remains less than or equal to 90°. In addition, we recommend the use of an "arrow drawing" to facilitate the orientation of the magnetic field directions. Furthermore, to prevent magnet displacement, we recommend systematic use of a protective splint in addition to bandaging.
| S-EPMC6424707 | biostudies-literature
Project description:A key ingredient to academic success is being able to read. Deaf individuals have historically failed to develop literacy skills comparable with those of their normal-hearing (NH) peers, but early identification and cochlear implants (CIs) have improved prospects such that these children can learn to read at the levels of their peers. The goal of this study was to examine early, or emergent, literacy in these children.Twenty-seven deaf children with CIs, who had just completed kindergarten were tested on emergent literacy, and on cognitive and linguistic skills that support emergent literacy, specifically ones involving phonological awareness, executive functioning, and oral language. Seventeen kindergartners with NH and eight with hearing loss, but who used hearing aids served as controls. Outcomes were compared for these three groups of children, regression analyses were performed to see whether predictor variables for emergent literacy differed for children with NH and those with CIs, and factors related to the early treatment of hearing loss and prosthesis configuration were examined for children with CIs.The performance of children with CIs was roughly 1 SD or more below the mean performance of children with NH on all tasks, except for syllable counting, reading fluency, and rapid serial naming. Oral language skills explained more variance in emergent literacy for children with CIs than for children with NH. Age of first implant explained moderate amounts of variance for several measures. Having one or two CIs had no effect, but children who had some amount of bimodal experience outperformed children who had none on several measures.Even deaf children who have benefitted from early identification, intervention, and implantation are still at risk for problems with emergent literacy that could affect their academic success. This finding means that intensive language support needs to continue through at least the early elementary grades. Also, a period of bimodal stimulation during the preschool years can help boost emergent literacy skills to some extent.
| S-EPMC3419773 | biostudies-literature
Project description:ImportanceChildren who receive a cochlear implant (CI) for early severe to profound sensorineural hearing loss may achieve age-appropriate spoken language skills not possible before implantation. Despite these advances, reduced access to auditory experience may have downstream effects on fundamental neurocognitive processes for some children with CIs.ObjectiveTo determine the relative risk (RR) of clinically significant executive functioning deficits in children with CIs compared with children with normal hearing (NH).Design, setting, and participantsIn this prospective, cross-sectional study, 73 children at a hospital-based clinic who received their CIs before 7 years of age and 78 children with NH, with average to above average mean nonverbal IQ scores, were recruited in 2 age groups: preschool age (age range, 3-5 years) and school age (age range, 7-17 years). No children presented with other developmental, cognitive, or neurologic diagnoses.InterventionsParent-reported checklist measures of executive functioning were completed during psychological testing sessions.Main outcomes and measuresEstimates of the RR of clinically significant deficits in executive functioning (≥1 SDs above the mean) for children with CIs compared with children with NH were obtained based on 2 parent-reported child behavior checklists of everyday problems with executive functioning.ResultsIn most domains of executive functioning, children with CIs were at 2 to 5 times greater risk of clinically significant deficits compared with children with NH. The RRs for preschoolers and school-aged children, respectively, were greatest in the areas of comprehension and conceptual learning (RR [95% CI], 3.56 [1.71-7.43] and 6.25 [2.64-14.77]), factual memory ( 4.88 [1.58-15.07] and 5.47 [2.03-14.77]), attention (3.38 [1.03-11.04] and 3.13 [1.56-6.26]), sequential processing (11.25 [1.55-81.54] and 2.44 [1.24-4.76]), working memory (4.13 [1.30-13.06] and 3.64 [1.61-8.25] for one checklist and 1.77 [0.82-3.83] and 2.78 [1.18-6.51] for another checklist), and novel problem-solving (3.93 [1.50-10.34] and 3.13 [1.46-6.67]). No difference between the CI and NH samples was found for visual-spatial organization (2.63 [0.76-9.03] and 1.04 [0.45-2.40] on one checklist and 2.86 [0.98-8.39] for school-aged children on the other checklist).Conclusions and relevanceA large proportion of children with CIs are at risk for clinically significant deficits across multiple domains of executive functioning, a rate averaging 2 to 5 times that of children with NH for most domains. Screening for risk of executive functioning deficits should be a routine part of the clinical evaluation of all children with deafness and CIs.
| S-EPMC5701781 | biostudies-literature