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频谱非重叠掩蔽下的言语感知可作为人工耳蜗使用者频谱分辨力的测量指标。

Speech Perception with Spectrally Non-overlapping Maskers as Measure of Spectral Resolution in Cochlear Implant Users.

机构信息

Department of Psychology, University of Minnesota, N218 Elliott Hall, 75 East River Parkway, Minneapolis, MN, 55455, USA.

出版信息

J Assoc Res Otolaryngol. 2019 Apr;20(2):151-167. doi: 10.1007/s10162-018-00702-2. Epub 2018 Nov 19.

Abstract

Poor spectral resolution contributes to the difficulties experienced by cochlear implant (CI) users when listening to speech in noise. However, correlations between measures of spectral resolution and speech perception in noise have not always been found to be robust. It may be that the relationship between spectral resolution and speech perception in noise becomes clearer in conditions where the speech and noise are not spectrally matched, so that improved spectral resolution can assist in separating the speech from the masker. To test this prediction, speech intelligibility was measured with noise or tone maskers that were presented either in the same spectral channels as the speech or in interleaved spectral channels. Spectral resolution was estimated via a spectral ripple discrimination task. Results from vocoder simulations in normal-hearing listeners showed increasing differences in speech intelligibility between spectrally overlapped and interleaved maskers as well as improved spectral ripple discrimination with increasing spectral resolution. However, no clear differences were observed in CI users between performance with spectrally interleaved and overlapped maskers, or between tone and noise maskers. The results suggest that spectral resolution in current CIs is too poor to take advantage of the spectral separation produced by spectrally interleaved speech and maskers. Overall, the spectrally interleaved and tonal maskers produce a much larger difference in performance between normal-hearing listeners and CI users than do traditional speech-in-noise measures, and thus provide a more sensitive test of speech perception abilities for current and future implantable devices.

摘要

较差的频谱分辨率导致人工耳蜗(CI)使用者在噪声中聆听言语时感到困难。然而,频谱分辨率与噪声中言语感知之间的相关性并不总是很稳健。在言语和噪声频谱不匹配的情况下,频谱分辨率与噪声中言语感知之间的关系可能会变得更加清晰,从而提高的频谱分辨率有助于将言语与掩蔽噪声区分开来。为了验证这一预测,采用与言语处于相同频谱通道或交错频谱通道的噪声或纯音掩蔽来测量言语可懂度。通过频谱波纹辨别任务来估计频谱分辨率。正常听力者的语音合成器模拟结果表明,随着频谱分辨率的提高,频谱重叠和交错掩蔽的言语可懂度之间的差异越来越大,同时频谱波纹辨别能力也得到提高。然而,在 CI 使用者中,并未观察到频谱交错和重叠掩蔽之间、以及纯音和噪声掩蔽之间的性能有明显差异。研究结果表明,目前 CI 中的频谱分辨率太低,无法利用频谱交错的言语和掩蔽噪声产生的频谱分离。总体而言,与传统的噪声下言语测听相比,频谱交错和纯音掩蔽在正常听力者和 CI 使用者之间产生了更大的性能差异,因此为当前和未来的植入式设备提供了一种更敏感的言语感知能力测试。

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