Influence of stimulus frequency on NRT recordings.

Research in neural response telemetry (NRT) with the Cochlear 'Nucleus' CI24M Implant began a few years ago, using the first NRT software version (2.04). It has been demonstrated that NRT offers possibilities for fitting the implant speech processor. NRT sessions, however, remain lengthy for the patients, especially for children, and NRT research is seeking to reduce session time. The new version of the NRT software (3.0) allows implant stimulation up to 400 Hz, whereas the previous version stimulated only up to 80 Hz. The time gained is very significant. The goal of the present study was to observe and assess the modifications in NRT produced by these higher stimulus frequencies. Growth functions were measured in six adult patients for electrodes 5-10-15-20 at frequencies of 20, 80, 150, 250 and 365 Hz to determine NRT thresholds (NRT-T). Subjective detection thresholds (T) were also measured for the same electrodes and frequencies. The results showed that the number of valid responses, like the quality and amplitude of the NRT response, quickly decreased at these higher rates. Consequently, the number of measurement points used for the growth function decreased with frequency. Moreover, when frequency increased, the T value decreased while NRT-T increased: the gap between the two thresholds increased with frequency in a linear manner common to all patients. The growth function slopes did not change significantly with frequency.