A psychophysical method for measuring spatial resolution in cochlear implants.

A novel psychophysical method was developed for assessing spatial resolution in cochlear implants. Spectrally flat and spectrally peaked pulse train stimuli were generated by interleaving pulses on 11 electrodes. Spectrally flat stimuli used loudness-balanced currents and the spectrally peaked stimuli had a single spatial ripple with the current of the middle electrode raised to create a peak while the currents on two electrodes equally spaced at variable distance from the peak electrode were reduced to create valleys. The currents on peak and valley electrodes were adjusted to balance the overall loudness with the spectrally flat stimulus, while keeping the currents on flanking electrodes fixed. The psychometric functions obtained from percent correct discrimination of peaked and flat stimuli versus the distance between peak and valley electrodes were used to quantify spatial resolution for each of the eight subjects. The ability to resolve the spatial ripple correlated strongly with current level difference limens measured on the peak electrode. The results were consistent with a hypothesis that a factor other than spread of excitation (such as neural response variance) might underlie much of the variability in spatial resolution. Resolution ability was not correlated with phoneme recognition in quiet or sentence recognition in quiet and background noise, consistent with a hypothesis that implantees rely on cues other than fine spectral detail to identify speech, perhaps because this detail is poorly accessible or unreliable.