Improving the Speech Intelligibility By Cochlear Implant Users

In this thesis, we focus on improving the intelligibility of speech for cochlear implants (CI) users. As an auditory prosthetic device, CI can restore hearing sensations for most patients with profound hearing loss in both ears in a quiet background. However, CI users still have serious problems in understanding speech in noisy and reverberant environments. Also, bandwidth limitation, missing temporal fine structures, and reduced spectral resolution due to a limited number of electrodes are other factors that raise the difficulty of hearing in noisy conditions for CI users, regardless of the type of noise. To mitigate these difficulties for CI listener, we investigate several contributing factors such as the effects of low harmonics on tone identification in natural and vocoded speech, the contribution of matched envelope dynamic range to the binaural benefits and contribution of low-frequency harmonics to tone identification in quiet and six-talker babble background. These results revealed several promising methods for improving speech intelligibility for CI patients. In addition, we investigate the benefits of voice conversion in improving speech intelligibility for CI users, which was motivated by an earlier study showing that familiarity with a talker’s voice can improve understanding of the conversation. Research has shown that when adults are familiar with someone’s voice, they can more accurately – and even more quickly – process and understand what the person is saying. This theory identified as the “familiar talker advantage” was our motivation to examine its effect on CI patients using voice conversion technique. In the present research, we propose a new method based on multi-channel voice conversion to improve the intelligibility of transformed speeches for CI patients

The Speech Critical Band (S-CB) in Cochlear Implant Users: Frequency Resolution Employed During the Reception of Everyday Speech

It is widely recognized that cochlear implant (CI) users have limited spectral resolution and that this represents a primary limitation. In contrast to traditional measures, Healy and Bacon [(2006) 119, J. Acoust. Soc. Am.] established a procedure for directly measuring the spectral resolution employed during processing of running speech. This Speech-Critical Band (S-CB) reflects the listeners’ ability to extract spectral detail from an acoustic speech signal. The goal of the current study was to better determine the resolution that CI users are able to employ when processing speech. Ten CI users between the ages of 32 and 72 years using Cochlear Ltd. devices participated. The original standard recordings from the Hearing In Noise Test (HINT) were filtered to a 1.5-octave band, which was then partitioned into sub-bands. Spectral information was removed from each partition and replaced with an amplitude-modulated noise carrier band; the modulated carriers were then summed for presentation. CI subject performance increased with increasing spectral resolution (increasing number of partitions), never reaching asymptote. This result stands in stark contrast to expectation, as it indicates that increases in spectral resolution up to that of normal hearing produced increases in performance. Accordingly, it is concluded that CI users can access spectral information as high as that of normal hearing (NH) when presented with narrowband speech stimuli. These results have implications for the design of future devices that allow better representation of tonal languages, music, and speech in noise

Coding Strategies for Cochlear Implants Under Adverse Environments

Cochlear implants are electronic prosthetic devices that restores partial hearing in patients with severe to profound hearing loss. Although most coding strategies have significantly improved the perception of speech in quite listening conditions, there remains limitations on speech perception under adverse environments such as in background noise, reverberation and band-limited channels, and we propose strategies that improve the intelligibility of speech transmitted over the telephone networks, reverberated speech and speech in the presence of background noise. For telephone processed speech, we propose to examine the effects of adding low-frequency and high- frequency information to the band-limited telephone speech. Four listening conditions were designed to simulate the receiving frequency characteristics of telephone handsets. Results indicated improvement in cochlear implant and bimodal listening when telephone speech was augmented with high frequency information and therefore this study provides support for design of algorithms to extend the bandwidth towards higher frequencies. The results also indicated added benefit from hearing aids for bimodal listeners in all four types of listening conditions. Speech understanding in acoustically reverberant environments is always a difficult task for hearing impaired listeners. Reverberated sounds consists of direct sound, early reflections and late reflections. Late reflections are known to be detrimental to speech intelligibility. In this study, we propose a reverberation suppression strategy based on spectral subtraction to suppress the reverberant energies from late reflections. Results from listening tests for two reverberant conditions (RT60 = 0.3s and 1.0s) indicated significant improvement when stimuli was processed with SS strategy. The proposed strategy operates with little to no prior information on the signal and the room characteristics and therefore, can potentially be implemented in real-time CI speech processors. For speech in background noise, we propose a mechanism underlying the contribution of harmonics to the benefit of electroacoustic stimulations in cochlear implants. The proposed strategy is based on harmonic modeling and uses synthesis driven approach to synthesize the harmonics in voiced segments of speech. Based on objective measures, results indicated improvement in speech quality. This study warrants further work into development of algorithms to regenerate harmonics of voiced segments in the presence of noise

The use of acoustic cues in phonetic perception: Effects of spectral degradation, limited bandwidth and background noise

Hearing impairment, cochlear implantation, background noise and other auditory degradations result in the loss or distortion of sound information thought to be critical to speech perception. In many cases, listeners can still identify speech sounds despite degradations, but understanding of how this is accomplished is incomplete. Experiments presented here tested the hypothesis that listeners would utilize acoustic-phonetic cues differently if one or more cues were degraded by hearing impairment or simulated hearing impairment. Results supported this hypothesis for various listening conditions that are directly relevant for clinical populations. Analysis included mixed-effects logistic modeling of contributions of individual acoustic cues for various contrasts. Listeners with cochlear implants (CIs) or normal-hearing (NH) listeners in CI simulations showed increased use of acoustic cues in the temporal domain and decreased use of cues in the spectral domain for the tense/lax vowel contrast and the word-final fricative voicing contrast. For the word-initial stop voicing contrast, NH listeners made less use of voice-onset time and greater use of voice pitch in conditions that simulated high-frequency hearing impairment and/or masking noise; influence of these cues was further modulated by consonant place of articulation. A pair of experiments measured phonetic context effects for the "s/sh" contrast, replicating previously observed effects for NH listeners and generalizing them to CI listeners as well, despite known deficiencies in spectral resolution for CI listeners. For NH listeners in CI simulations, these context effects were absent or negligible. Audio-visual delivery of this experiment revealed enhanced influence of visual lip-rounding cues for CI listeners and NH listeners in CI simulations. Additionally, CI listeners demonstrated that visual cues to gender influence phonetic perception in a manner consistent with gender-related voice acoustics. All of these results suggest that listeners are able to accommodate challenging listening situations by capitalizing on the natural (multimodal) covariance in speech signals. Additionally, these results imply that there are potential differences in speech perception by NH listeners and listeners with hearing impairment that would be overlooked by traditional word recognition or consonant confusion matrix analysis

Comparison of Two Music Training Approaches on Music and Speech Perception in Cochlear Implant Users

In normal-hearing (NH) adults, long-term music training may benefit music and speech perception, even when listening to spectro-temporally degraded signals as experienced by cochlear implant (CI) users. In this study, we compared two different music training approaches in CI users and their effects on speech and music perception, as it remains unclear which approach to music training might be best. The approaches differed in terms of music exercises and social interaction. For the pitch/timbre group, melodic contour identification (MCI) training was performed using computer software. For the music therapy group, training involved face-to-face group exercises (rhythm perception, musical speech perception, music perception, singing, vocal emotion identification, and music improvisation). For the control group, training involved group nonmusic activities (e.g., writing, cooking, and woodworking). Training consisted of weekly 2-hr sessions over a 6-week period. Speech intelligibility in quiet and noise, vocal emotion identification, MCI, and quality of life (QoL) were measured before and after training. The different training approaches appeared to offer different benefits for music and speech perception. Training effects were observed within-domain (better MCI performance for the pitch/timbre group), with little cross-domain transfer of music training (emotion identification significantly improved for the music therapy group). While training had no significant effect on QoL, the music therapy group reported better perceptual skills across training sessions. These results suggest that more extensive and intensive training approaches that combine pitch training with the social aspects of music therapy may further benefit CI users