Effects of electro-acoustical hearing on Mandarin speech recognition under background noise for patients with cochlear implants-simulation and clinical studies

Chao Min Wu, Kuo Yuan Huang, Wei Lin Tsai, Che Ming Wu, Hung Ching Lin

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

The purpose of this study is to investigate the effects of electro-acoustic hearing in cochlear implant (CI) simulation on Mandarin speech recognition under background noise. This study modeled the ACE strategy with 900 Hz stimulation rate and 8 stimulation channels, used the white noise vocoder for CI processing, and simulated HA signals with a low-pass filter (cut off frequency 500 Hz). Disyllabic Chinese words and sentences were processed with the ACE with the speech-shaped-noise (SSN) as the background noise to test on four signal-to-noise ratios (SNR, 10 dB, 5 dB, 0 dB, and -5 dB) for both the CI only and CI+HA conditions. There were eight normal hearing (NH) adults participating in this simulation experiment. For comparison purpose, ten prelingually deafened CI subjects were tested on four different SNR conditions (Quiet, 10 dB, 5 dB, 0 dB) with disyllabic words and sentences for the same test conditions. Our simulation study showed that the word recognition rates of the NH subjects on the CI only condition decreased with the descending SNR (86%, 76%, 50%, 19%). However, the word recognition rates of the CI+HA stimulation on NH subjects were 99%, 97% 91%, and 44% for the descending SNR, respectively. In addition, the sentence recognition results of the NH subjects indicated that the speech recognition rate decreased (88%, 68%, 32%, 4%) with the descending SNR for the CI only condition. The test scores all rose up and were statistically significant (100%, 99%, 96%, 67%, p<0.001) for the CI+HA condition. Our clinical results show that the speech (words and sentence) recognition rate increases with the electro-acoustic hearing (CI+HA) and increasing SNR, but not statistically significant. However, both our simulation and clinical results suggest that Mandarin speech recognition could be enhanced if more speech information are provided from the HA to the CI users.

Original languageEnglish
Title of host publication19th International Congress on Sound and Vibration 2012, ICSV 2012
Pages1668-1674
Number of pages7
StatePublished - 2012
Event19th International Congress on Sound and Vibration 2012, ICSV 2012 - Vilnius, Lithuania
Duration: 8 Jul 201212 Jul 2012

Publication series

Name19th International Congress on Sound and Vibration 2012, ICSV 2012
Volume2

Conference

Conference19th International Congress on Sound and Vibration 2012, ICSV 2012
Country/TerritoryLithuania
CityVilnius
Period8/07/1212/07/12

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