Spatial and temporal effects of interleaved masking in cochlear implants

Abstract

Modern cochlear implants utilize interleaved presentation of pulses on different electrodes to avoid physical interference among multiple current fields, yet neural interaction still exists. In the present study, masking was examined with four Nucleus24 users with the banded electrode array in an interleaved masking paradigm, where a probe stimulus was interleaved with a masker stimulus. Spatial and temporal aspects of masking were addressed by fixing the masker at the middle of the electrode array and changing the location of the probe and by testing various stimulation rates: 125, 500, 2,000, and 6,410 Hz. In addition, growth of masking (GOM) was assessed by changing the masker level in six steps. Results indicated that masking patterns were generally much wider, regardless of stimulation rate, than those in acoustic hearing. The amount of masking decreased from the peak at the rate of approximately 0.5 dB/mm even at the highest masker level. The pattern of GOM with the rates higher than 500 Hz was different from that observed in previous masking studies, characterized by markedly shallow growth at low masker levels or overall shallow growth. A facilitating effect of the masker (lowering the threshold) was suspected, except for the 125-Hz condition, due to the fibers that were subliminally excited, but not discharged, by the masker with local perturbations of membrane potentials, and were subsequently discharged easily by a lower level probe when the temporal gap between masker and probe was sufficiently short. These results suggest that both refractory characteristics of neurons and neural summation be considered in interleaved stimulation of pulses at high, but clinically relevant, stimulation rates. Overall, the present masking study might provide a basis for models in psychophysics and speech understanding in current cochlear implant systems utilizing high-rate interleaved stimulation. © 2009 Association for Research in Otolaryngology.