Neural coding of space by time.

The intertwining of space and time poses a significant scientific challenge, transcending disciplines from philosophy and physics to neuroscience. Deciphering neural coding, marked by its inherent spatial and temporal dimensions, has proven to be a complex task. In this paper, we present insights into temporal and spatial modes of neural coding and their intricate interplay, drawn from neuroscientific findings. We illustrate the conversion of a purely spatial input into the temporal form of a singular spike train, demonstrating storage, transmission to remote locations, and recall through spike bursts corresponding to Sharp Wave Ripples. Moreover, the converted temporal representation can be transformed back into a spatiotemporal pattern. The principles of the transformation process are illustrated using a simple feed-forward spiking neural network. The frequencies and phases of Subthreshold Membrane potential Oscillations play a pivotal role in this framework. The model offers insights into information multiplexing and phenomena such as stretching or compressing time of spike patterns.

Intra-cochlear differences in the spread of excitation between biphasic and triphasic pulse stimulation in cochlear implants: A modeling and experimental study.

Triphasic pulse stimulation can prevent unpleasant facial nerve stimulation in cochlear implant users. Using electromyographic measurements on facial nerve effector muscles, previous studies have shown that biphasic and triphasic pulse stimulations produce different input-output functions. However, little is known about the intracochlear effects of triphasic stimulation and how these may contribute to the amelioration of facial nerve stimulation. The present study used a computational model of implanted human cochleae to investigate the effect of pulse shape on the intracochlear spread of excitation. Biphasic and triphasic pulse stimulations were simulated from three different cochlear implant electrode contact positions. To validate the model results, experimental spread of excitation measurements were conducted with biphasic and triphasic pulse stimulation from three different electrode contact positions in 13 cochlear implant users. The model results depict differences between biphasic and triphasic pulse stimulations depending on the position of the stimulating electrode contact. While biphasic and triphasic pulse stimulations from a medial or basal electrode contact caused similar extents of neural excitation, differences between the pulse shapes were observed when the stimulating contact was located in the cochlear apex. In contrast, the experimental results showed no difference between the biphasic and triphasic initiated spread of excitation for any of the tested contact positions. The model was also used to study responses of neurons without peripheral processes to mimic the effect of neural degeneration. For all three contact positions, simulated degeneration shifted the neural responses towards the apex. Biphasic pulse stimulation showed a stronger response with neural degeneration compared to without degeneration, while triphasic pulse stimulation showed no difference. As previous measurements have demonstrated an ameliorative effect of triphasic pulse stimulation on facial nerve stimulation from medial electrode contact positions, the results imply that a complementary effect located at the facial nerve level must be responsible for reducing facial nerve stimulation.

Modern Artificial Neural Networks: Is Evolution Cleverer?

Machine learning tools, particularly artificial neural networks (ANN), have become ubiquitous in many scientific disciplines, and machine learning-based techniques flourish not only because of the expanding computational power and the increasing availability of labeled data sets but also because of the increasingly powerful training algorithms and refined topologies of ANN. Some refined topologies were initially motivated by neuronal network architectures found in the brain, such as convolutional ANN. Later topologies of neuronal networks departed from the biological substrate and began to be developed independently as the biological processing units are not well understood or are not transferable to in silico architectures. In the field of neuroscience, the advent of multichannel recordings has enabled recording the activity of many neurons simultaneously and characterizing complex network activity in biological neural networks (BNN). The unique opportunity to compare large neuronal network topologies, processing, and learning strategies with those that have been developed in state-of-the-art ANN has become a reality. The aim of this review is to introduce certain basic concepts of modern ANN, corresponding training algorithms, and biological counterparts. The selection of these modern ANN is prone to be biased (e.g., spiking neural networks are excluded) but may be sufficient for a concise overview.

Effects of electrical pulse polarity shape on intra cochlear neural responses in humans: Triphasic pulses with anodic and cathodic second phase.

Modern cochlear implants employ charge-balanced biphasic and triphasic pulses. However, the effectiveness of electrical pulse shape and polarity is still a matter of debate. For this purpose, a previous study (Bahmer & Baumann, 2013) conducted electrophysiological and psychophysical measurements following triphasic pulse stimulation with constant cathodic second phase and varying anodic first and third phases. Pulse stimulation with constant anodic second phase was not investigated. Therefore, in this study, pulse stimulation with cathodic and anodic second phase was applied for the recording of electrically evoked compound action potentials (ECAPs) as well as for psychophysical thresholds in cochlear implant (CI) recipients. First it was investigated whether the temporal polarity distribution has a different effect on neuronal stimulation when the second phase is cathodic or anodic; second, whether the electrophysiological and psychophysical results show a comparable difference between triphasic stimulation with anodic and cathodic second phases. The results showed that variation of the temporal polarity distribution of the triphasic pulse had a smaller effect on the ECAP response when the second phase was anodic compared to when it was cathodic, whereas for psychophysical detection thresholds this variation had a similar effect for both polarities. While electrophysiological responses and psychophysical detection thresholds showed a high correlation for variations of the triphasic pulse with cathodic second phase, the results for variations of the triphasic pulse with anodic second phase showed only moderate correlation. Furthermore, the difference between triphasic stimulation with cathodic and anodic second phases did not correlate between the electrophysiological and psychophysical results. In summary, after stimulation with different configurations of triphasic pulses used in the present study, the polarity of the second phase has an effect on electrophysiological response at suprathreshold level but not on the psychophysical detection thresholds. Thus, at different stimulation levels a possible substitution of the psychophysical test by an electrophysiological measurement (e.g. neural health measurement of the cochlea) could not be corroborated by the present results.

Loudness Perception and Dynamic Range Depending on Interphase Gaps of Biphasic Pulses in Cochlear Implants.

OBJECTIVES: The human auditory nerve can be electrically stimulated by cochlear implants (CIs) with pulse trains consisting of biphasic pulses with small interphase gaps (IPGs). In animal experiments, lower electrically evoked compound action potential (ECAP) thresholds in implanted animals were found for increasing IPGs (2.1, 10, 20, 30 µs). ECAP thresholds may correlate with loudness thresholds. Therefore, in this study, the IPG effect on loudness and dynamic range was investigated in nine CI subjects. DESIGN: A loudness-matching procedure was designed with three different IPGs (2.1, 10, 30 µs) at three different pulse rates (200, 600, 1000 pps). An adaptive loudness-balancing test was performed at the 50% stimulus amplitude level of the dynamic range and most comfortable loudness level (MCL). RESULTS: Increasing the IPG or increasing the pulse rate led to a significant decrease in stimulus amplitude for 50% level and MCL in the adaptive test. Because the stimulus amplitudes for 50% level and MCL decreased in a different manner, the calculated upper dynamic range between MCL and 50% level significantly decreased for increasing IPG between 0.24 and 0.38 dB. This decrease in the upper dynamic range was observed for all pulse rates. CONCLUSIONS: It is possible to reduce the stimulus amplitude level for the same loudness impression using larger IPGs in CIs; however, larger IPGs decrease the dynamic range. These findings could help during the fitting process of CIs to find the balance between saving battery and a proper dynamic range.

Rate pitch discrimination in cochlear implant users with the use of double pulses and different interpulse intervals.

The rate pitch discrimination ability of cochlear implant (CI) users is poor compared to normal-hearing (NH) listeners. At low pulse rates, the just noticeable difference (JND) is on average 20% of the base rate, while NH listeners can discriminate small frequency differences of 0.2% at 1 kHz. Recent investigations suggest that double pulses with short interpulse intervals (IPIs) may have a beneficial effect on rate pitch discrimination in CI users. In a first experiment psychophysical tests were carried out to establish whether rate pitch in CI users could be improved by applying double pulses with equal amplitude and short IPIs. Pulse trains with base rates of 200 and 400 pps, composed of either single pulses or double pulses with IPIs of 15, 50, and 150 µs were presented. In a second experiment pairwise comparisons were carried out between pitch of a pulse train composed of alternating double and single pulses with pitch of pulse trains composed of single pulses. The alternating pulse train had a base rate of 400 pps, the pulse trains with solely single pulses had base rates of 200, 300, and 400 pps. The loudness and pitch perception of the different stimulus types were evaluated and compared. A significant loudness difference was found between single and double pulses for both pulse rates. The JND for pitch discrimination between double-pulse IPIs had a high inter-subject variability, and no significant group effect was found. No subject reported a pitch change between double pulse and single pulse stimulation. In contrast, most of the subjects recognized a change in pitch between single-pulse trains and pulse trains with alternating double and single pulses. The latter was lower in pitch than the single-pulse train stimulation. To conclude, using (equal amplitude) double pulses instead of single pulses in a pulse train does not effect pitch perception. Instead, loudness differs between double pulses and single pulses with the same amplitude.

Medical Apps in Oto-Rhino-Laryngology. / Medizinische Apps in der HNO-Heilkunde.

The implementation of mobile information and communication technology in the field of health services, e. g. in the form of apps, is becoming increasingly important. Unfortunately, the necessary quality criteria are often mising. Thus, it seems important, that in addition to an app controlling authority highly qualified health care professionals participate in the development of these applications. For reasons of liability, however, the physician must exercise great caution in the selection and recommendation of medical apps, especially considering, that only a few apps are certified as medical devices. There are a large number of medical apps on the market, with only a small proportion being assigned to the field of otorhinolaryngology. The areas of audiology, sleep medicine and allergology are most frequently represented. Althouhgh there is increasing scientific work on this topic in the field of otorhinolaryngology, there is a lack of scientific evidence of contents and results, as is generally the case of medical apps. However, there are other possibilities for users to rate medical apps regarding defined qualitiy criteria such as functionality, scientific integrity, but also data privacy. None of the apps assessed by such a evaluation tool met all the required quality criteria, but the applied instrument helped to better assess the application. However, it was possible to consider the quality criteria in the developmental process of an medical app for the field of otorhinolaryngoglogy. In summary, the present work provide a comprehensive insight into the topic "Apps in Otorhinolaryngology" with the aim to use these modern aids in a beneficial way.

Increase in Mutual Information During Interaction with the Environment Contributes to Perception.

Perception and motor interaction with physical surroundings can be analyzed by the changes in probability laws governing two possible outcomes of neuronal activity, namely the presence or absence of spikes (binary states). Perception and motor interaction with the physical environment are partly accounted for by a reduction in entropy within the probability distributions of binary states of neurons in distributed neural circuits, given the knowledge about the characteristics of stimuli in physical surroundings. This reduction in the total entropy of multiple pairs of circuits in networks, by an amount equal to the increase of mutual information, occurs as sensory information is processed successively from lower to higher cortical areas or between different areas at the same hierarchical level, but belonging to different networks. The increase in mutual information is partly accounted for by temporal coupling as well as synaptic connections as proposed by Bahmer and Gupta (Front. Neurosci. 2018). We propose that robust increases in mutual information, measuring the association between the characteristics of sensory inputs' and neural circuits' connectivity patterns, are partly responsible for perception and successful motor interactions with physical surroundings. The increase in mutual information, given the knowledge about environmental sensory stimuli and the type of motor response produced, is responsible for the coupling between action and perception. In addition, the processing of sensory inputs within neural circuits, with no prior knowledge of the occurrence of a sensory stimulus, increases Shannon information. Consequently, the increase in surprise serves to increase the evidence of the sensory model of physical surroundings.

Total spiking probability edges: A cross-correlation based method for effective connectivity estimation of cortical spiking neurons.

BACKGROUND: Connectivity is a relevant parameter for the information flow within neuronal networks. Network connectivity can be reconstructed from recorded spike train data. Various methods have been developed to estimate connectivity from spike trains. NEW METHOD: In this work, a novel effective connectivity estimation algorithm called Total Spiking Probability Edges (TSPE) is proposed and evaluated. First, a cross-correlation between pairs of spike trains is calculated. Second, to distinguish between excitatory and inhibitory connections, edge filters are applied on the resulting cross-correlogram. RESULTS: TSPE was evaluated with large scale in silico networks and enables almost perfect reconstructions (true positive rate of approx. 99% at a false positive rate of 1% for low density random networks) depending on the network topology and the spike train duration. A distinction between excitatory and inhibitory connections was possible. TSPE is computational effective and takes less than 3 min on a high-performance computer to estimate the connectivity of an 1 h dataset of 1000 spike trains. COMPARISON OF EXISTING METHODS: TSPE was compared with connectivity estimation algorithms like Transfer Entropy based methods, Filtered and Normalized Cross-Correlation Histogram and Normalized Cross-Correlation. In all test cases, TSPE outperformed the compared methods in the connectivity reconstruction accuracy. CONCLUSIONS: The results show that the accuracy of functional connectivity estimation of large scale neuronal networks has been enhanced by TSPE compared to state of the art methods. Furthermore, TSPE enables the classification of excitatory and inhibitory synaptic effects.

Role of Oscillations in Auditory Temporal Processing: A General Model for Temporal Processing of Sensory Information in the Brain?

We review the role of oscillations in the brain and in the auditory system showing that the ability of humans to distinguish changes in pitch can be explained as a precise analysis of temporal information in auditory signals by neural oscillations. The connections between auditory brain stem chopper neurons construct neural oscillators, which discharge spikes at various constant intervals that are integer multiples of 0.4 ms, contributing to the temporal processing of auditory cochlear output. This is subsequently spatially mapped in the inferior colliculus. Electrophysiological measurements of auditory chopper neurons in different species show oscillations with periods which are integer multiples of 0.4 ms. The constant intervals of 0.4 ms can be attributed to the smallest synaptic delay between interconnected simulated chopper neurons. We also note the patterns of similarities between microcircuits in the brain stem and other parts of the brain (e.g., the pallidum, reticular formation, locus coeruleus, oculomotor nuclei, limbic system, amygdala, hippocampus, basal ganglia and substantia nigra), dedicated to the processing of temporal information. Similarities in microcircuits across the brain reflect the importance of one of the key mechanisms in the information processing in the brain, namely the temporal coupling of different neural events via coincidence detection.

Evaluation of an artifact reduction strategy for electrically evoked auditory steady-state responses: Simulations and measurements.

BACKGROUND: Electrically evoked steady-state response (EASSR) recording is a measure of neuronal response strength after continuous electrical stimulation of the auditory system. In order to suppress the large electrical artifact generated by intracochlear electrical stimulation, a sophisticated artifact reduction processing strategy ("Hofmann procedure") has been proposed (Hofmann and Wouters, 2010). So far, EASSR recordings with artifact reduction procedures were reported only in cochlear implant (CI) users implanted with Cochlear devices (Macquarie, Australia). NEW METHOD: Here, we demonstrate the application of the Hofmann procedure in CI users implanted with MED-EL (Innsbruck, Austria) devices. To demonstrate potential limitations of the procedure, we calculated discrete time Fourier transformations (DTFT) of various pulse patterns which may be used for EASSR. RESULTS: EASSR recordings were obtained in three subjects and processed with the Hofmann procedure. Neural response amplitude growth functions and phase for modulated and unmodulated pulse trains at various stimulation rates could be assessed. Simulations of three different interpolation methods aimed to suppress the electrical artifact show that the interpolation of a sinusoidal signal in a temporal window between 0 and 1 ms has demonstrated negligible impact on the spectral amplitude of the signal with a superior performance of a spline interpolation. COMPARISON WITH EXISTING METHOD: The Hofmann procedure, initially developed for recording EASSRs with CIs from the manufacturer Cochlear, was validated for MED-EL devices. CONCLUSION: It is feasible to record EASSRs with the described measurement setup and CIs from the manufacturer MED-EL.

Spike-contrast: A novel time scale independent and multivariate measure of spike train synchrony.

BACKGROUND: Synchrony within neuronal networks is thought to be a fundamental feature of neuronal networks. In order to quantify synchrony between spike trains, various synchrony measures were developed. Most of them are time scale dependent and thus require the setting of an appropriate time scale. Recently, alternative methods have been developed, such as the time scale independent SPIKE-distance by Kreuz et al. NEW METHOD: In this study, a novel time-scale independent spike train synchrony measure called Spike-contrast is proposed. The algorithm is based on the temporal "contrast" (activity vs. non-activity in certain temporal bins) and not only provides a single synchrony value, but also a synchrony curve as a function of the bin size. RESULTS: For most test data sets synchrony values obtained with Spike-contrast are highly correlated with those of the SPIKE-distance (Spearman correlation value of 0.99). Correlation was lower for data containing multiple time scales (Spearman correlation value of 0.89). When analyzing large sets of data, Spike-contrast performed faster. COMPARISON OF EXISTING METHOD: Spike-contrast is compared to the SPIKE-distance algorithm. The test data consisted of artificial spike trains with various levels of synchrony, including Poisson spike trains and bursts, spike trains from simulated neuronal Izhikevich networks, and bursts made of smaller bursts (sub-bursts). CONCLUSIONS: The high correlation of Spike-contrast with the established SPIKE-distance for most test data, suggests the suitability of the proposed measure. Both measures are complementary as SPIKE-distance provides a synchrony profile over time, whereas Spike-contrast provides a synchrony curve over bin size.

Preventing Facial Nerve Stimulation by Triphasic Pulse Stimulation in Cochlear Implant Users: Intraoperative Recordings.

HYPOTHESIS: Triphasic pulse stimulation of the auditory nerve can prevent unintended facial nerve stimulation (FNS) due to a different electromyographic (EMG) input-output function compared with biphasic pulses. BACKGROUND: FNS is sometimes observed in cochlear implant (CI) users as an unpleasant side effect of electrical stimulation using biphasic pulse patterns (BPP). Clinical remedies to alleviate FNS are 1) to extend stimulus phase duration or 2) to completely deactivate the electrode. In some cases, these options do not provide sufficient FNS reduction or are detrimental to subject performance. Stimulation using triphasic pulse patterns (TPP) has been shown to prevent FNS more effectively, yet the underlying mechanism remains unclear. METHODS: EMG potentials of muscles innervated by the facial nerve (orbicularis oculi and oris muscles) were recorded to quantitatively compare the effect of BPP and TPP stimulation on FNS. Recordings were conducted in five subjects during CI surgery. In two exemplary cases, different leading phase polarities in alternating and non-alternating order were tested. RESULTS: Compared with our previous study in awake patients using surface electrodes (Bahmer and Baumann, 2016), intraoperative recordings using subdermal electrodes showed lower noise content and allowed higher sampling resolution. While inter-subject variation remained high, intra-subject results for different electrode positions were comparable: FNS was strongly reduced for cathodic-first TPP stimulation. In contrast, exemplary cases showed little reduction for anodic-first TPP as well as for alternating stimulation. CONCLUSION: FNS in CI users can be reduced using TPP stimulation, but the ameliorative effect appears to be dependent on the leading stimulus polarity.

The Underlying Mechanism of Preventing Facial Nerve Stimulation by Triphasic Pulse Stimulation in Cochlear Implant Users Assessed With Objective Measure.

HYPOTHESIS: Triphasic pulse stimulation prevents from facial nerve stimulation (FNS) because of a different electromyographic input-output function compared with biphasic pulse stimulation. BACKGROUND: FNS is sometimes observed in cochlear implant users as an unwanted side effect of electrical stimulation of the auditory nerve. The common stimulation applied in current cochlear implant consists of biphasic pulse patterns. Two common clinical remedies to prevent unpleasant FNS caused by activation of certain electrodes are to expand their pulse phase duration or simply deactivate them. Unfortunately, in some patients these methods do not provide sufficient FNS prevention. In these patients triphasic pulse can prevent from FNS. The underlying mechanism is yet unclear. METHODS: Electromyographic (EMG) recordings of muscles innervated by the facial nerve (musculi orbicularis ori and oculi) were applied to quantitatively assess the effects on FNS. Triphasic and biphasic fitting maps were compared in four subjects with severe FNS. Based on the recordings, a model is presented which intends to explain the beneficial effects of triphasic pulse application. RESULTS: Triphasic stimulation provided by fitting of an OPUS 2 speech processor device. For three patients, EMG was successfully recorded depending on stimulation level up to uncomfortable and intolerable FNS stimulation as upper boarder. The obtained EMG recordings demonstrated high individual variability. However, a difference between the input-output function for biphasic and triphasic pulse stimulation was visually observable. Compared with standard biphasic stimulation, triphasic pulses require higher stimulation levels to elicit an equal amount of FNS, as reflected by EMG amplitudes. In addition, we assume a steeper slope of the input-output function for biphasic pulse stimulation compared with triphasic pulse stimulation. CONCLUSION: Triphasic pulse stimulation prevents from FNS because of a smaller gradient of EMG input-output function compared with biphasic pulse stimulation. The underlying mechanism can be modeled by differences in spatiotemporal spread of the electrical field.

A setup for simultaneous measurement of electrophysiological and psychometric temporal encoding in the auditory system.

BACKGROUND: Simultaneous assessment of psychometric tasks and electrophysiological recordings is challenging because each requires specific technical and physiological preconditions. Electrophysiological recordings require a comparatively long test time duration to gain sufficient signal-to-noise ratios, whereas test duration of psychometric measurements should be limited to prevent challenges to the attention of the subject. In order to investigate immediate correlation between both measurements a method is described, which combines electrophysiological and psychometrical measurements in a single test procedure. The test may be applied to subjects with deficits in temporal resolution (e.g. auditory neuropathy spectrum disorder, ANSD). NEW METHOD: Auditory steady state responses (ASSR) and a pitch discrimination task were combined in a single procedure. The setup employed two short-time ASSR sub-stimuli with different fixed modulation frequencies but same carrier frequencies (signal 1 and 2). Simultaneously to the recording of ASSR, the test subject had to determine the signal interval which generated the perception of higher pitch. RESULTS: The developed setup was successfully tested by means of an artificial EEG signal and in one human subject. ASSR signal as well as pitch discrimination performance. COMPARISON WITH EXISTING METHODS: To our knowledge the presented method has not yet been described elsewhere. CONCLUSIONS: The feasibility of a setup to simultaneously perform a pitch discrimination task and electrophysiological measurements was demonstrated for the first time. The method provides the facility to apply sinusoidal amplitude modulated stimuli (SAM) with jittered modulation period lengths.

Psychometric function of jittered rate pitch discrimination.

The impact of jitter on rate pitch discrimination (JRPD) is still a matter of debate. Previous studies have used adaptive procedures to assess pitch discrimination abilities of jittered rate pulses (Dobie and Dillier, 1985; Chen et al., 2005) or have used jitter detection thresholds (Fearn, 2001). Previous studies were conducted in a relatively small number of subjects using either a single-electrode cochlear implant (Dobie and Dillier, 1985, n = 2) or the Nucleus multi-channel devices (Fearn, 2001, n = 3; Chen et al., 2005, n = 5). The successful application of an adaptive procedure requires a monotone psychometric function to achieve asymptotic results. The underlying psychometric function of rate jitter has not been investigated so far. In order to close this knowledge gap, the present study determines psychometric functions by measuring of JRPD with a fixed stimulus paradigm. A rather large range of temporal, Gaussian distributed jitter standard deviation 0, 1, 2, 3, 4 ms was applied to electrical pulse patterns. Since the shape of the underlying probability density function (PDF) may also effect JRPD, a uniform PDF was alternatively applied. 7 CI users (8 ears, high-level performers with open-speech perception, MED-EL Pulsar/Sonata devices, Innsbruck, Austria) served as subjects for the experiment. JRPD was assessed with a two-stage forced choice procedure. Gross results showed decreasing JRPD with increasing amounts of jitter independent of the applied jitter distribution. In conclusion, pulse rate jitter affects JRPD and therefore should be considered in current coding strategies.

Effects of electrical pulse polarity shape on intra cochlear neural responses in humans: triphasic pulses with cathodic second phase.

Charge balanced pulses are used in modern cochlear implants to avoid direct current (DC) stimulation that may damage neural tissues. In this context the effect of electrical pulse shape and polarity is still a matter of debate and the most effective pulse shape needs to be determined (Bahmer et al., 2010a; Undurraga et al., 2010; Wieringen et al., 2008; Macherey et al., 2008). Therefore, we conducted electrophysiological measurements, namely electrical compound action potentials (ECAPs) to assess response strength elicited by various pulse shapes and polarities in five cochlear implant recipients (SonataTI100/PulsarCI100 devices, MED-EL Innsbruck). ECAP response strength depending on pulse shape was compared with individual psychophysical thresholds. Results indicated the weakest response amplitude and highest thresholds for symmetric triphasic pulse shapes (with cathodic second phase), and the strongest response amplitude and lowest thresholds for biphasic pulses with anodic first phase. Biphasic pulses with cathodic first phase generated intermediate response amplitude and thresholds.

New parallel stimulation strategies revisited: effect of synchronous multi electrode stimulation on rate discrimination in cochlear implant users.

OBJECTIVES: Most cochlear implants implement stimulation strategies which apply sequential electrical pulses to encode acoustic signals such as speech, noise, and sounds via electrical stimulation of the auditory nerve. Parallel stimulation of adjacent electrodes has been employed in recent cochlear implant (CI) systems in an endeavor to improve coding of pitch information (e.g. FS4-p fine structure with parallel signal processing MED-EL, Innsbruck, Austria; VCIS, AB Corp., Sylmar, CA, USA). We investigated whether parallel stimulation of three adjacent electrodes enhances rate pitch perception compared with single electrode stimulation. Methods Most comfortable loudness (MCLs) levels were assessed in single and multi electrode condition in 12 subjects (15 ears, PULSARci100/SONATAti100 implant, MED-EL). Rate pitch discrimination was determined by means of an adaptive procedure (two-interval two-alternative forced choice, 2I2AFC) at individual MCL in the single- and multi-electrode condition at base frequencies of 100, 200, 283, 400, and 566 pulses per second (pps) (single electrode condition: electrode 5, multi electrode condition: electrode 4, 5, 6; PULSARci100/SONATAti100 implant: 12 electrode contacts; 1, most apical; 12, most basal). RESULTS: To achieve MCL in the multi-electrode condition significantly higher stimulation current compared with single stimulation was required. No significant difference between single- and multi-electrode condition just noticeable differences in rate discrimination (JNDR) group was found. In contrast, a pairwise comparison of individual results in a subgroup recruited out of successfully completed runs at high base rates showed statistically an improved rate discrimination in 17 of 24 runs in the multi-electrode condition. Therefore, a potential effect of parallel stimulation on rate discrimination is conceivable. DISCUSSION: The results in a subgroup of this study indicate that, compared with single-electrode stimulation, synchronous multi-electrode stimulation of three adjacent electrodes shows improvement rate discrimination in 17 of 24 test runs (binomial and χ(2) test, P = 0.05) but did not result in statistically better JNDRs (best averaged improvement 19.8% at base rate 400 pps).

Application of triphasic pulses with adjustable phase amplitude ratio (PAR) for cochlear ECAP recording: I. amplitude growth functions.

This study describes the use of triphasic electrical stimulation pulses with an adjustable phase amplitude ratio (PAR) for the reduction of electrical stimulus artifacts. It is hypothesized that the setting of a certain PAR can facilitate a nearly artifact-free recording of electrically evoked compound action potentials (ECAP) in the cochlea. Artifact reduction with triphasic pulses using single epochs is expected to prevent latency or polarity effects, which are seen in standard forward masking or alternating polarity strategies. Although the application of a third phase is already implemented in implants manufactured by MED-EL (Zierhofer, 2003) and Cochlear (Sydney, Nucleus 5 System; van Dijk et al. (2007)) for the reduction of stimulation artifacts generated with these stimulators in ECAP measurements, an elaborate systematic evaluation of PAR for artifact reduction has not yet been conducted (compare evaluation for one subject Schoesser et al. (2001)). In the present paper, the effect of PAR variation on human ECAP recording and the feasibility of amplitude growth function recording with triphasic pulses and an optimized PAR are evaluated. Measurements were accomplished in five subjects, whereby more detailed test series were carried out in one subject. All subjects were implanted with devices from the company MED-EL, Innsbruck. A comparison of PAR optimized triphasic pulses was carried out against two other measurement techniques (biphasic alternating polarity stimulation and biphasic stimulation according to Miller) for apical, middle, and basal electrodes. ECAP thresholds were estimated by means of amplitude growth functions. However, recording of ECAP with triphasic pulses showed drawbacks: additional artifacts depending on stimulation and/or recording parameters are introduced, the ratio between the additional artifact and improved detectability of neural responses is dependent on PAR, and response thresholds obtained with triphasic pulses--although similar in shape--are in most cases substantially higher compared to thresholds measured with the Miller method. Higher thresholds most probably occur because the triphasic pulse patterns seem to less effectively stimulate neural structures compared to biphasic pulses since measured response thresholds are higher. For certain electrode groups threshold profiles obtained with triphasic pulses were found to be similar compared to stimulation with biphasic pulses.