Graeme Clark Collection
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ItemSpeech processing for a multiple-channel cochlear implant( 1980)A laboratory speech processor has been developed for a multiple-channel cochlear implant prosthesis. The speech processor accepts the speech waveform as an input and produces a pattern of electrical stimulus data as output. The electrical stimulus data are transmitted to the implanted receiver-stimulator by a transmitter which is external to the speech processor. Four speech signal parameters were estimated every 20 ms in the parameter estimation section of the speech processor. These parameters included the fundamental frequency (FO), a low frequency energy measure (AO) , the second formant frequency (F2) and its amplitude (A2).
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ItemSpeech processing for a totally deaf patient with a multiple-electrode cochlear implant [Abstract]( 1980)A patient with a total hearing loss had a multiple-electrode cochlear implant performed on 1 August 1978 (Clark et. Al. 1979). Preliminary findings (Tong et al 1979) have shown that low and high pitch are discriminated on a place basis. Stimulating different electrodes produced the vowel colours.......
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ItemSpeech perception in implanted children: effects of preoperative residual hearing and speech processing strategy [Abstract]( 1997)Since the first child was implanted with the Nucleus 22-channel cochlear prosthesis in Melbourne in 1985, the number of implanted children world-wide has rapidly expanded. Over this period, more effective paediatric assessment and management procedures have developed, allowing cochlear implants to be offered to children under the age of 2 years. In addition, a succession of improved speech processing strategies have been implemented in the Nucleus implant system, resulting in increased mean speech perception benefits for implanted adults. Research in the Melbourne and Sydney Cochlear Implant Clinics has also demonstrated that young children can adapt to and benefit from improved speech processing strategies such as the Speak strategy. Reported speech perception results for implanted children show that a considerable proportion (60%) of paediatric patients in the Melbourne and Sydney clinics are able to understand some open set speech using electrical stimulation alone. These results, and the upward trend of speech perception benefits to improve over time with advances in speech processing. have raised questions as to whether severely, or severely-to-profoundly deaf children currently using hearing aids would in fact benefit more from a cochlear implant. To investigate the potential effect of the level of preoperative residual hearing on postoperative speech perception. results for all implanted children in the Melbourne and Sydney cochlear implant programs were analysed. Results showed that as 8 group, children with higher levels of preoperative residual hearing were consistently more likely to achieve open-set speech perception benefits. Potential factors in this finding could be higher levels of ganglion cell survival or greater patterning of the auditory pathways using conventional hearing aids prior to implantation. Conversely, children with the least preoperative residual hearing were less predictable, with some children achieving open-set perception, and others showing more limited closed-set benefits to perception. For these children, it is likely that preoperative residual hearing is of less significance than other factors in outcomes.
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ItemAdvances in cochlear implant speech processing [Abstract]( 1997)Our early research emphasized there was a restriction on the amount of speech and other acoustic information that could be transmitted to the nervous system by electrical stimulation of the auditory nerve. It also showed the need to use multiple-channel stimulation, and minimize channel interaction. As a result our research over the last 30 years has been directed towards optimizing the information presented to the auditory nervous system. This has involved extracting the energy of the first and second formants (FO/F2-WSP II; FO/FI/F2-WSP III; Multipeak-MSP) as well as the outputs of high band pass fixed filters (Multipeak - MSP) and coding these outputs as cochlear place of stimulation. The voicing frequency was coded as rate of stimulation. Our most recent speech processing strategy (SPEAK) extracts a specified number of .maximal outputs from a series of band pass filters, rather than selecting the peaks of energy which was the case with the other strategies. The voltages from the maximal outputs are used to stimulate appropriate electrodes on a place coding basis. The stimuli are presented at a constant stimulus rate to reduce channel interaction. Voicing is conveyed as amplitude variations.
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ItemA stimulation of spatio-temporal firing across auditory nerve fibres( 1997)Present cochlear implant speech processing strategies give recipients a perception of sound inferior to that of the normal hearing population. Since it is beyond current technology to achieve an electrically evoked auditory-nerve output identical to that of normal hearing, stimulation strategies are limited to approximating certain features of the neural firing patterns. The importance of the spatio-temporal firing patterns of an ensemble of auditory nerve fibres to speech perception has been stated in previous studies (1,2). This paper utilises a composite model of the cochlea and hair-cell/auditory nerve transduction using artificial and speech signals as input to produce a spatio-temporal excitation pattern which represents the fluctuating firing probability of the auditory neurons. A model of electrical stimulation of the auditory nerve is then used to show how stimulation strategies currently used produce neural firing patterns qualitatively different to those produced by normal hearing. Our investigations indicate that it is possible to generate electrical stimulation parameters that cause the spatio-temporal responses of the neural population to better approximate normal hearing. These responses enable us to identify stimulation parameters required to obtain the chosen neural firing patterns. A number of examples illustrate the utility of this method, revealing the spatio-temporal responses for varying numbers of neurons and electrode displacements.
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ItemTemporal coding in auditory neurons to electrical stimulation [Abstract]( 1997)The temporal response of the auditory pathway following intracochlear electrical stimulation will reflect the level of encoded temporal information, which is important for the further developmentof cochlear implant speech processing strategies, and in tum lead to a better understanding of temporal coding of acoustic stimuli Temporal coding of sound frequencies is based on the phase or time locked neural response seen to low frequency acoustic stimuli. The ability of neurons to respond in a time locked manner may determine the degree of encoded temporal frequency information. Electrophysiological studies have shown that the degree of response synchrony to charge balanced biphasic electrical stimuli is far greater than that seen to acoustic stimuli. We have investigated the temporal response properties of single units in the anteroventral cochlear nucleus (AVCN) in the cat to rates of electrical stimulation up to 800 pulses/s.
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ItemHigh rate electrical stimulation of the auditory nerve: physiological and pathological results [Abstract]( 1995)Previous experimental studies have shown that chronic electrical stimulation of the auditory nerve using charge balanced biphasic current pulses at rates of up to 500 pulses per second (pps) do not adversely affect the adjacent spiral ganglion population. More recently, a number of clinical trials have indicated that speech processing strategies based on high pulse rates (1000 pps and more), can further improve speech perception. In this paper we summarize our results following acute and chronic electrical stimulation of the auditory nerve using high pulse rates.
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ItemLatest results and future directions in speech processing for the Nucleus multichannel cochlear prosthesis [Abstract]( 1995)The past two years has seen the introduction of the Speak speech encoding scheme for most patients using the Nucleus 22-channel cochlear prosthesis. This scheme, based on the Spectral Maxima Speech Processor (SMSP) developed at the University of Melbourne, uses a bank of 20 band-pass filters to present detailed spectral information to the intracochlear electrode array. Clinical trials of this speech processor have shown highly significant improvements over the previous Multipeak scheme in English, German, French and Japanese speaking patients. The largest improvements were evident for open-set testing in background noise, which represents a more realistic measure of everyday benefit than testing in quiet. The latest results for adults who have changed from Multipeak to Speak will be presented, along with results over time for newly-implanted patients using the Speak scheme. New research aimed at improving the speech processing in both the spectral and temporal domains will also be discussed.
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ItemSpeech perception benefits for children using an advanced cochlear implant speech processing strategy in quiet and in noise [Abstract]( 1994)A new speech processing strategy (SPEAK) has been developed by the University of Melbourne and Cochlear Pty Ltd for use with the Nucleus 22-channel electrode array. In this strategy, 20 programmable filters are repetitively scanned at an average rate of 250Hz and the largest spectral components or maxima are selected from the incoming speech signal. This new speech processing strategy has been shown to provide significantly improved benefits in adult implant patients, particularly in the presence of background noise. This report presents data of a preliminary paediatric clinical trial of the new SPEAK speech processing strategy.
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ItemPhysiological and histopathological response of the cochlea to chronic electrical stimulation of the auditory nerve at high stimulus rates [Abstract]( 1994)Previous research has shown that chronic electrical stimulation of the auditory nerve using charge balanced biphasic current pulses at rates of up to 500 pulses per second (pps) does not adversely affect the adjacent spiral ganglion population. More recently, a number of clinical trials have suggested that speech processing strategies based on high pulse rates (e.g. 1000 pps), can further improve speech perception. In the present study we evaluated the physiological and histopathological response of the cochlea following long-term stimulation using rates of 1000 pps. Thirteen normal hearing cats were bilaterally implanted with scala tympani electrodes and unilaterally stimulated using 25-50 �s per phase charge balanced biphasic current pulses presented at 1000 pps. Additional charge balance was achieved by shorting the electrodes between current pulses. Each animal was stimulated for periods ranging from 700 - 2100 hours at current levels within its dynamic range. Auditory brainstem responses to both acoustic (ABR) and electrical (EABR) stimuli were periodically recorded throughout the chronic stimulation program. At completion of the program the cochleas were prepared for histological examination. While all animals exhibited an increase in acoustic thresholds following surgery, click evoked ABR's returned to near normal levels in half the animals. Frequency specific stimuli indicated that the most extensive hearing loss occurred adjacent to the array (>12 kHz) while lower frequency thresholds appeared at or near normal Our EABR data showed that the majority of animals exhibited slight increases in threshold, although response amplitudes remained very stable for the duration of the stimulus program. The physiological data reported here will be correlated with cochlear histopathology. These initial findings suggest that chronic intracochlear electrical stimulation at high pulse rates, using a carefully designed charge balanced stimulator, does not appear to adversely affect the implanted cochlea.