CN102058453B - Electrical stimulation audition tone perception testing and estimating system - Google Patents

Electrical stimulation audition tone perception testing and estimating system Download PDF

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CN102058453B
CN102058453B CN 201010529299 CN201010529299A CN102058453B CN 102058453 B CN102058453 B CN 102058453B CN 201010529299 CN201010529299 CN 201010529299 CN 201010529299 A CN201010529299 A CN 201010529299A CN 102058453 B CN102058453 B CN 102058453B
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test
tone
perception
module
electricity irritation
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CN102058453A (en
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冯海泓
原猛
平利川
陈洪斌
李亚杰
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HANGZHOU NUROTRON NERVE ELECTRONIC TECHNOLOGY CO LTD
Institute of Acoustics CAS
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HANGZHOU NUROTRON NERVE ELECTRONIC TECHNOLOGY CO LTD
Institute of Acoustics CAS
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Abstract

The invention relates to an electrical stimulation audition tone perception testing and estimating system. By selecting a part tone testing and estimating module (8), a time tone testing and estimating module (9) or a part-time combined tone perception testing and estimating module (10), the testing and estimation are carried out by combining a testee basic information and electrical stimulation loudness information database (6) with an electrical stimulation audition tone perception experimental database (7); the part tone testing and estimating module (8) is used for testing the correlation between an implanted electrode position and electrical stimulation audition tone perception; the time tone testing and estimating module (9) is used for testing the correlation between an electric pulse stimulation rate and tone perception; and the part-time combined tone perception testing and estimating module (10) is used for testing the correlation between electrode position-electric pulse stimulation rate combination and tone perception. The method is accurate and effective.

Description

A kind of electricity irritation auditory tone perception test and evaluating system
Technical field
The present invention relates to the cochlear implant field, specifically, the present invention relates to a kind of electricity irritation auditory tone perception test and evaluating system.
Background technology
The cochlear implant technology is present unique neural prosthesis that can allow the deaf person recover audition, by directly stimulating acoustic nerve with electric current, makes the deaf person recover audition, has helped the whole world audition that surpassed the recovery in various degree of 120,000 electronic cochlea implant persons.As shown in Figure 1, the artificial cochlea is comprised of external machine parts and implant component two parts, wherein external machine parts mainly comprise microphone (such as mike etc.), speech processor and transmitting coil, and implant component comprises that mainly receiving coil, processor, stimulating electrode and reference electrode form.Connect in the normal situation in system, mike receives acoustical signal, by the speech processor, acoustical signal is carried out analyzing and processing and coding, see through the receiving coil that skin is sent to implant component by a part (transmitting coil), after the decoding processing through stimulator, the pulse signal that produces corresponding frequencies and current intensity also is sent to each stimulating electrode.By the electrode stimulating acoustic nerve, thereby being passed to auditory center, pulse signal produces audition for user.
The perception of electricity irritation auditory tone is the theoretical basis of cochlear implant simulation people ear function.About about 3000 ciliated cell is arranged in normal person's the cochlea, be tuned on respectively from the different frequency between 20~20, the 000Hz, simultaneously, 10~20 nerve fibers that stimulate audition are arranged in each ciliated cell, and they pass information to the central nervous system.According to place coding, the different frequency information of sound is by different auditory channel transmission.Suppose that each nerve fiber is a frequency transmission passage, than the frequency transmission path that a limited number of electrode of present cochlear implant (8~22) can provide, normal human ear can provide frequency discrimination force rate cochlear implant will exceed several orders of magnitude.Because at present electrode manufacturing technology and the how restriction of electrodes technology in cochlea, be difficult to increase again the quantity of implant electrode.This also just means, from the angle of signal processing strategy, fully according to place coding, is difficult to improve the frequency resolution of cochlear implant.Psychoacoustics experiment showed, time encoding the chances are in electricity irritation that stimulation rates simulates by changing, and its limited range is 300~500Hz.That is to say, under the prerequisite that electrodeplate does not increase, might encode to improve by conversion SR simulated time the frequency resolution of cochlear implant.
Abroad the research of electricity irritation auditory tone perception is started from Cochlear company and the test of a series of cooperations of the University of Melbourne eighties in last century, representative is the electricity irritation auditory psychology acoustical testing that the people such as Clack and Tong utilize the Cochlear product to do.After 2000, because the cochlear implant product is universal, the cooperation of cochlear implant company and R﹠D institution is strengthened day by day, and the research of electricity irritation auditory tone is developed rapidly at US and European.As a basic research, the perception of electricity irritation auditory tone is helping to have obtained certain achievement aspect the explanation human auditory mechanism; As the cochlear implant correlational study, the perception of electricity irritation auditory tone is being instructed and the development of revising cochlear implant acoustic coding strategy.At present external research to the tone perception is developed to the objective evaluation aspect in conjunction with brain electricity testing of equipment by traditional subjective psychology acoustical testing to implantation person.。
Summary of the invention
The object of the invention is to, a kind of electricity irritation auditory tone perception test and evaluating system are provided.
To achieve these goals, technical scheme of the present invention provides a kind of electricity irritation auditory tone perception test and evaluating system, it is characterized in that, described system is by selecting " position " tone test and evaluation module 8, " time " tone test and evaluation module 9 or " position-time " in conjunction with the test and evaluation module 10 of tone perception, carries out test and evaluation in conjunction with subjects's essential information and electricity irritation loudness information data base 6 and electricity irritation auditory tone perception experimental data base 7; As shown in Figure 3 and Figure 4,
Described " position " tone test and evaluation module 8 is for the mutual relation of test implant electrode position and the perception of electricity irritation auditory tone;
Described " time " tone test and evaluation module 9 is for the mutual relation of test electric pulse stimulation speed and tone perception;
Described " position-time " is in conjunction with the test and evaluation module 10 of tone perception, for the mutual relation of test electrode position-electric pulse stimulation speed combination with the tone perception;
Described subjects's essential information and electricity irritation loudness information data base 6 is used for record storage subjects's individual essential information and electricity irritation relevant parameter information, comprising: electronic cochlea implant persons Data Enter module 11, experiment parameter selection module 13 and loudness balance adjustment module 16 obtain data;
Described electricity irritation auditory tone perception experimental data base 7 comprises: tone perception test module 17, tone sensing results computing module 18 and tone perception evaluation module 19 obtain data;
Described electronic cochlea implant persons refers to wear the subjects of special electronic cochlea language processor.
Described experiment parameter selects module 13 to comprise: the electricity irritation information of selecting electric pulse stimulation pattern, electric pulse stimulation speed, electronic pulse width, electric pulse stimulation duration, electric pulse stimulation interval and test electrode;
Described test electrode number is 4-24 electrode; Described electric pulse stimulation duration is 200-1000ms; Described electric pulse stimulation is spaced apart 200-1000ms.
As a kind of preferred, described electric pulse stimulation duration is 500ms.Described electric pulse stimulation is spaced apart 500ms.
Described subjects's essential information and electricity irritation loudness information data base 6 comprise that also 15 couples of subjectss of clinical trial current value test module carry out clinical current value and measure the data that obtain;
Described clinical trial current value test module 15 is used for after experiment parameter is selected module 13 selected parameters, and optional several electrodes carry out the psychological physic test of threshold value and comfort value, carry out loudness by loudness balance adjustment module 16 again and regulate.
16 pairs of current values that are used for test electrode of described loudness balance adjustment module compare in twos, until the subjects is identical to the current value loudness impression of all test electrodes.Described relatively be in twos current value take selected the 1st electrode as reference current value, to the selected the 1st and the current value of the 2 two electrode regulate, again to the selected the 2nd and the current value of the 3 two electrode regulate, the rest may be inferred.
Described tone perception test module 17, be used for relatively from electrode-stimulation rates sequence selects at random two stimulation medium pitches " height " one more.The subjects need to select more " height " one of tone from two stimulations; Described two stimulations are selected from electrode-stimulation rates sequence at random, and retest 20 times is made up in every kind of test, and described every kind of test combination comprises two stimulations; Described test combination is respectively { 1-1000,4-1000}, { 4-1000,7-1000} and { wherein electrode-stimulation rates 1-1000 represents the 1st electrode for 7-1000,11-1000}, and stimulation rates is 1000Hz; Electrode-stimulation rates 4-1000 represents the 4th electrode, and stimulation rates is 1000Hz, and electrode-stimulation rates 7-1000 represents the 7th electrode, and stimulation rates is 1000Hz; Electrode-stimulation rates 11-1000 represents the 11st electrode, and stimulation rates is 1000Hz.
Described tone sensing results computing module 18 is used for determining tone perception level from low to high by calculating sensitivity indexes.
Described tone perception evaluation module 19 is used for collecting all detecting informations and data, generates the testing evaluation form.
The invention has the advantages that, a kind of electricity irritation auditory tone perception test of the present invention and evaluating system, assess the tone perception of cochlear implant user by the sensitivity index that adopts the perception of modern psychology physical methods electricity irritation auditory tone, comprise " position " tone, " time " tone are reached " position-time " in conjunction with the test and evaluation of tone perception, the method can be measured and the electricity irritation tone perception level of estimating the cochlear implant user accurately and effectively, for the further rehabilitation training of experimenter is offered suggestions.
Description of drawings
Fig. 1 is the cochlear implant entire system explanation frame sketch map of prior art;
Fig. 2 is electricity irritation auditory tone perception evaluating system frame sketch map of the present invention;
Fig. 3 is electricity irritation audition pitch perception test of the present invention and assessment software plateform system frame sketch map;
Fig. 4 is that electricity irritation audition pitch perception test of the present invention and appraisal procedure comprise the test module sketch map;
Fig. 5 is electricity irritation audition pitch perception test of the present invention and estimation flow figure;
Fig. 6 is the electric stimulation pulse sketch map in the embodiment test of the present invention;
Fig. 7 is " position " tone perception assessment curve synoptic diagram in the embodiment test of the present invention.
The specific embodiment
Further specify technical scheme provided by the present invention below in conjunction with embodiment.
As shown in Figure 2, be electricity irritation auditory tone perception evaluating system block diagram of the present invention; Before the test, at first build test macro as shown in Figure 2.Need the subjects to take off speech processor used in everyday, change into and wear the special-purpose speech processor of this test.After system connects normally, prepare to begin test;
As shown in Figure 5, be electricity irritation auditory tone perception test of the present invention and estimation flow figure; At first assist its essential information of subjects's typing by electronic cochlea implant persons Data Enter module 11 by the tester, comprise name, sex, age, cause deaf reason, the deaf persistent period, implant cochlear implant model etc.; Selecting test event module 12 to select " position " tone test and evaluation module 8 afterwards; Because the subjects is for the first time test, selecting 15 couples of subjectss of clinical trial current value test module to carry out clinical current value measures, after the parameters such as selected electrode number, stimulus modelity, stimulation rates, pulse width, optional 4 electrodes carry out the psychological physic test of threshold value and comfort value, and its result is shown in table 1 and table 2:
In the cochlear implant system, current unit represents the size of electric stimulation pulse amplitude.Common current unit value is 0-255, represents the electricity irritation amplitude range that cochlear implant can provide.
Table 1 electrical stimulation parameters is selected
Stimulus modelity Pulse width Stimulation rates Stimulate duration Stimulus intervals
MP1 (large feedback stimulus modelity) 50us The 1000pps/ passage 500ms 500ms
The clinical comfortable current value of table 2
Electrode 1 4 7 11
Comfortable current value 108 112 114 108
For guaranteeing test safety, reduce at first in right amount clinical comfortable current value, in the present invention, say that generally clinical comfortable current value multiply by 75%, then enter loudness balance adjustment module 16 and carry out the loudness adjusting, in this module, at first take the current value of selected the 1st electrode as reference current value, carry out the selected the 1st, 2 two current value adjustment, carry out afterwards the 2nd, 3 two current value adjustment, by that analogy; Table 3 is the measuring current value after regulating:
Table 3 measuring current value
Electrode 1 4 7 11
Comfortable current value 81 91 84 70
Enter subsequently tone perception test module 17, test, the combination of test is respectively { 1-1000,4-1000}, { 4-1000,7-1000} and { 7-1000,11-1000}.Wherein 1-1000 represents the 1st electrode, and stimulation rates is 1000Hz; 4-1000 represents the 4th electrode, and stimulation rates is 1000Hz, and 7-1000 represents the 7th electrode, and stimulation rates is 1000Hz; 11-1000 represents the 11st electrode, and stimulation rates is 1000Hz.In every kind of combination exercise question, two stimulation orders repeat 20 times at random; All exercise questions provide at random; As shown in Figure 6, be the electric stimulation pulse figure in the electricity irritation auditory tone perception test, { 1-1000,4-1000} electric stimulation pulse figure that oscillograph gathers; Wherein, the pulse of top is the 1-1000 stimulating pulsatile series, and the pulse of below is the 4-1000 stimulating pulsatile series; Each sequence persistent period 500ms, two sequences are spaced apart 500ms.Tone sensing results computing module 18 at first obtains the test accuracy such as table 4:
Table 4 test accuracy
4-1000 7-1000 11-1000
1-1000 Accuracy is 87.5%
4-1000 Accuracy is 62.5%
7-1000 Accuracy is 100%
Afterwards according to looking into PZO table (Green﹠amp; Swets, 1966:signal detection theory and psychophysics) obtain the test result that sensitivity indexes value (d prime) obtains table 5:
Table 5 test result
Sensitivity indexes value (d prime) 4-1000 7-1000 11-1000
1-1000 1.66
4-1000 0.47
7-1000 3.33
Tone perception evaluation module 19, associative list 1-5 obtains final assessment result, and draws out " position " tone perception assessment curve as shown in Figure 7." position " tone perception of subjects is good, meets " place coding " principle.
It should be noted last that above embodiment is only unrestricted in order to technical scheme of the present invention to be described.Although with reference to embodiment the present invention is had been described in detail, those of ordinary skill in the art is to be understood that, technical scheme of the present invention is made amendment or is equal to replacement, do not break away from the spirit and scope of technical solution of the present invention, it all should be encompassed in the middle of the claim scope of the present invention.

Claims (9)

1. an electricity irritation auditory tone perception test and evaluating system, it is characterized in that, described system is by selecting " position " tone test and evaluation module (8), " time " tone test and evaluation module (9) or " position-time " in conjunction with the test and evaluation module (10) of tone perception, carries out test and evaluation in conjunction with subjects's essential information and electricity irritation loudness information data base (6) and electricity irritation auditory tone perception experimental data base (7);
Described " position " tone test and evaluation module (8) is for the mutual relation of test implant electrode position and the perception of electricity irritation auditory tone;
Described " time " tone test and evaluation module (9) is for the mutual relation of test electric pulse stimulation speed and tone perception;
Described " position-time " is in conjunction with the test and evaluation module (10) of tone perception, for the mutual relation of test electrode position-electric pulse stimulation speed combination with the tone perception;
Described subjects's essential information and electricity irritation loudness information data base (6) are used for record storage subjects's individual essential information and electricity irritation relevant parameter information, comprising: the data that electronic cochlea implant persons Data Enter module (11), experiment parameter select module (13) and loudness balance adjustment module (16) to obtain;
Described electricity irritation auditory tone perception experimental data base (7) comprising: the data that tone perception test module (17), tone sensing results computing module (18) and tone perception evaluation module (19) obtain.
2. electricity irritation auditory tone perception test according to claim 1 and evaluating system, it is characterized in that described experiment parameter selects module (13) to comprise: the electricity irritation information of selecting electric pulse stimulation pattern, electric pulse stimulation speed, electronic pulse width, electric pulse stimulation duration, electric pulse stimulation interval and test electrode;
Described test electrode number is 4-24 electrode;
Described electric pulse stimulation duration is 200-1000ms;
Described electric pulse stimulation is spaced apart 200-1000ms.
3. electricity irritation auditory tone perception test according to claim 2 and evaluating system is characterized in that, described electric pulse stimulation duration is 500ms.
4. electricity irritation auditory tone perception test according to claim 2 and evaluating system is characterized in that, described electric pulse stimulation is spaced apart 500ms.
5. electricity irritation auditory tone perception test according to claim 1 and evaluating system, it is characterized in that described subjects's essential information and electricity irritation loudness information data base (6) comprise that also clinical trial current value test module (15) carries out clinical current value to the subjects and measures the data that obtain;
Described clinical trial current value test module (15), be used for after experiment parameter is selected the selected parameter of module (13), optional several electrodes carry out the psychological physic test of threshold value and comfort value, carry out loudness by loudness balance adjustment module (16) again and regulate.
6. electricity irritation auditory tone perception test according to claim 1 and evaluating system, it is characterized in that, described loudness balance adjustment module (16) compares in twos to being used for the current value of test electrode, until the subjects is identical to the current value loudness impression of all test electrodes.
7. electricity irritation auditory tone perception test according to claim 1 and evaluating system, it is characterized in that, described tone perception test module (17) is used for relatively more " height " one of two stimulation medium pitches selecting at random from electrode-stimulation rates sequence.
8. electricity irritation auditory tone perception test according to claim 1 and evaluating system is characterized in that, described tone sensing results computing module (18) is used for determining tone perception level from low to high by calculating sensitivity indexes.
9. electricity irritation auditory tone perception test according to claim 1 and evaluating system is characterized in that, described tone perception evaluation module (19) is used for collecting all detecting informations and data, generates the testing evaluation form.
CN 201010529299 2010-10-28 2010-10-28 Electrical stimulation audition tone perception testing and estimating system Expired - Fee Related CN102058453B (en)

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CN103099625B (en) * 2011-11-10 2015-04-15 中国科学院声学研究所 Test method and system for auditory time modulation transfer function
DK2826521T3 (en) * 2013-07-15 2020-03-02 Oticon Medical As Hearing aid device comprising an implanted portion for measuring and treating electrically induced nerve reactions
CN104783926B (en) * 2014-01-20 2016-09-28 中国科学院声学研究所 A kind of quickly multiple tracks synchronizes cochlear implant equipment performance assessment system
WO2015200599A1 (en) * 2014-06-25 2015-12-30 Med-El Elektromedizinische Geraete Gmbh Prefitting evaluation of cochlear implant patients
US10716934B2 (en) * 2016-11-18 2020-07-21 Cochlear Limited Recipient-directed electrode set selection
EP3589359A4 (en) * 2017-02-28 2021-01-06 Med-El Elektromedizinische Geraete GmbH Fast objective fitting measurements for cochlear implants
CN109200469B (en) * 2018-10-24 2020-05-05 山东大学 Optimized coding method and system for enhancing tone perception of cochlear prosthesis

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CN101692974A (en) * 2009-10-23 2010-04-14 中国科学院声学研究所 Music ability testing system for electronic cochlea implant persons
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