The relationship between electrical auditory brainstem responses and perceptual thresholds in Digisonic®SP cochlear implant users
Abstract
Determining the electrical stimulation levels is often a difficult and time-consuming task because they are normally determined behaviorally - a particular challenge when dealing with pediatric patients. The evoked stapedius reflex threshold and the evoked compound action potential have already been shown to provide reasonable estimates of the C- and T-levels, although these estimates tend to overestimate the C- and T-levels. The aim of this study was to investigate whether the evoked auditory brainstem response (eABR) can also be used to reliably estimate a patient's C- and T-levels. The correlation between eABR detection thresholds and behaviorally measured perceptual thresholds was statistically significant (r = 0.71; P < 0.001). In addition, eABR Wave-V amplitude increased with increasing stimulation level for the three loudness levels tested. These results show that the eABR detection threshold can be used to estimate a patient's T-levels. In addition, Wave-V amplitude could provide a method for estimating C-levels in the future. The eABR objective measure may provide a useful cochlear implant fitting method - particularly for pediatric patients.
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Other measures like ECAP, EABR, and CAEPs have been studied to automatically fit cochlear implants, but none of them reached a clinical application.
“Other measures like ECAP (McKay et al., 2013), electrically evocated auditory brainstem response (EABR) (Guenser et al., 2015), cortical auditory evoked potentials (CAEPs) (Visram et al., 2015) have been studied to automatically fit cochlear implants, but none of them reached a clinical application.”
From Toward a personalized closed-loop stimulation of the visual cortex: Advances and challenges (2022) · cites this paper as Guenser et al., 2015
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Toward a personalized closed-loop stimulation of the visual cortex: Advances and challenges
Grani, F., Soto-Sánchez, C., Fimia, A., & Fernández, E. (2022) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2022.1034270 · Cited by 16 · see citing works
- Authors
- Guenser, G., Laudanski, J., Phillipon, B., Backus, B. C., Bordure, P., Romanet, P., & Parietti-Winkler, C.
- Affiliations
- Oticon Medical (Sweden) (SE)
- Centre Hospitalier Universitaire de Nantes (FR)
- CHU Dijon Bourgogne (FR)
- Corresponding author
- Guenser, Geoffrey
- ORCID
- Backus, Bradford C
- Venue
- Cochlear Implants International
- Publisher
- Informa UK Limited
- Published
- 2014-05-25
- Volume
- 16
- Issue
- 1
- Pages
- 32-38
- ISSN
- 1467-0100 (ISSN-L)
- 1754-7628
- OpenAlex
- W2078833502
- Cited by
- 11
- References
- 34
- Citations by year
- 2025: 2 · 2022: 3 · 2021: 3 · 2020: 1 · 2017: 2
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cochlear Implants International (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › 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 implant fitting, T Levels, perceptual thresholds, pediatric cochlear implant users
- MeSH terms
- Action Potentials, Adult, Auditory Threshold, Cochlear Implants, Electric Stimulation, Female, Humans, Loudness Perception, Male, Middle Aged, Stapedius, Evoked Potentials, Auditory, Brain Stem, Cochlear Implantation
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