Cited by 116Hearing Loss and RehabilitationHearing, Cochlea, Tinnitus, GeneticsHearing Impairment and Communication

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Cochlear-implant spatial selectivity with monopolar, bipolar and tripolar stimulation

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Zhu, Ziyan, Tang, Qing, Zeng, Fan-Gang, Guan, Tian, Ye, Datian·2012·Hearing Research

DOI 10.1016/j.heares.2011.11.005PMC PMC3277661

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Abstract

Sharp spatial selectivity is critical to auditory performance, particularly in pitch-related tasks. Most contemporary cochlear implants have employed monopolar stimulation that produces broad electric fields, which presumably contribute to poor pitch and pitch-related performance by implant users. Bipolar or tripolar stimulation can generate focused electric fields but requires higher current to reach threshold and, more interestingly, has not produced any apparent improvement in cochlear-implant performance. The present study addressed this dilemma by measuring psychophysical and physiological spatial selectivity with both broad and focused stimulations in the same cohort of subjects. Different current levels were adjusted by systematically measuring loudness growth for each stimulus, each stimulation mode, and in each subject. Both psychophysical and physiological measures showed that, although focused stimulation produced significantly sharper spatial tuning than monopolar stimulation, it could shift the tuning position or even split the tuning tips. The altered tuning with focused stimulation is interpreted as a result of poor electrode-to-neuron interface in the cochlea, and is suggested to be mainly responsible for the lack of consistent improvement in implant performance. A linear model could satisfactorily quantify the psychophysical and physiological data and derive the tuning width. Significant correlation was found between the individual physiological and psychophysical tuning widths, and the correlation was improved by log-linearly transforming the physiological data to predict the psychophysical data. Because the physiological measure took only one-tenth of the time of the psychophysical measure, the present model is of high clinical significance in terms of predicting and improving cochlear-implant performance.

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Authors: Zhu, Z., Tang, Q., Zeng, F.-G., Guan, T., & Ye, D.
Affiliations: University of California, Irvine (US)
Tsinghua Shenzhen International Graduate School (CN)
Corresponding author: Zhu, Ziyan
Zeng, Fan-Gang
Ye, Datian
ORCID: Zhu, Ziyan
Zeng, Fan-Gang
Guan, Tian
Venue: Hearing Research
Publisher: Elsevier BV
Published: 2012-01
Volume: 283
Issue: 1-2
Pages: 45-58
ISSN: 0378-5955 (ISSN-L)
DOI: 10.1016/j.heares.2011.11.005
PMC: PMC3277661
OpenAlex: W1973372355
Cited by: 115
References: 93
Citations by year: 2026: 5 · 2025: 12 · 2024: 7 · 2023: 6 · 2022: 11 · 2021: 5 · 2020: 8 · 2019: 10 · 2018: 8 · 2017: 13 · 2016: 9 · 2015: 10 · 2014: 7 · 2013: 3 · 2012: 1
FWCI: 1.79
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Hearing Research (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Natural Science Foundation of China (30800234, 60871083)
Ministry of Education of the People's Republic of China
National Institutes of Health (P30-DC008369, RO1-DC008858)
Topics: Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
Social Sciences › Psychology › Developmental and Educational Psychology › Hearing Impairment and Communication
Keywords: cochlear implants, spatial selectivity, monopolar stimulation, bipolar stimulation, electric field focusing, pitch perception, loudness growth
MeSH terms: Acoustic Stimulation, Aged, Cochlear Implants, Electric Stimulation, Female, Humans, Loudness Perception, Male, Middle Aged, Perceptual Masking, Pitch Perception, Prosthesis Design, Psychoacoustics, Correction of Hearing Impairment, Signal Processing, Computer-Assisted, Linear Models, Cochlear Implantation, Persons with Hearing Disabilities, Persons With Hearing Impairments

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Cochlear-implant spatial selectivity with monopolar, bipolar and tripolar stimulation

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