Gap detection as a measure of electrode interaction in cochlear implants.

Gap detection thresholds were measured as an indication of the amount of interaction between electrodes in a cochlear implant. The hypothesis in this study was as follows: when the two stimuli that bound the gap stimulate the same electrode, and thus the same neural population, the gap detection threshold will be short. As two stimuli are presented to two electrodes that are more widely separated, the amount of neural overlap of the two stimuli decreases, the stimuli sound more dissimilar, and the gap thresholds increase. Gap detection thresholds can thus be used to infer the amount of overlap in neural populations stimulated by two electrodes. Three users of the Nucleus cochlear implant participated in this study. Gap detection thresholds were measured as a function of the distance between the two electrode pairs and as a function of the spacing between the two electrodes of a bipolar pair (i.e., using different modes of stimulation). The results indicate that measuring gap detection thresholds may provide an estimate of the amount of electrode interaction. Gap detection thresholds were a function of the physical separation of the electrode pairs used for the two stimuli that bound the gap. Lower gap thresholds were observed when the two electrode pairs were closely spaced, and gap thresholds increased as the separation increased, resulting in a "psychophysical tuning curve" as a function of electrode separation. The sharpness of tuning varied across subjects, and for the three subjects in this study, the tuning was generally sharper for the subjects with better speech recognition. The data also indicate that increasing the separation between active and reference electrodes has limited effect on spatial selectivity (or tuning) as measured perceptually.