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Peer-reviewedCC BY-NCAudiology & neuro-otology

Novel Psychoacoustic Measure of Spectral-Temporal Processing for Discrete Regions of the Cochlear Array: A Proof-of-Concept Study.

4 affiliations
  1. 1School of Human Sciences, The University of Western Australia, Crawley, Australia, [email protected].
  2. 2Ear Science Institute Australia, Subiaco, Australia, [email protected].
  3. 3Ear Science Institute Australia, Subiaco, Australia.
  4. 4UWA Centre for Ear Science, UWA Medical School, The University of Western Australia, Crawley, Australia.

Abstract

Introduction

Despite the general success of cochlear implantation (CI), the impact of known pathophysiological processes occurring within the cochlea after surgery on hearing outcomes are poorly understood. Previous studies suggested localised intracochlear variations in the electrode-cochlear interface and neurosensory targets may be contributing to poor outcomes for some CI users. Research has highlighted the need to define optimal cochlear biomarkers and behavioural measures to enhance diagnostic and therapeutic approaches for CI users with poor outcomes. The current proof-of-concept study introduces a novel adaptation of a measure of spectral-temporal processing and aimed to explore its association with electrophysiological measures and speech perception.Methods

Eighteen adult CI users with 24, 400, 500, and 600 series Cochlear Ltd devices were recruited from a large not-for-profit CI clinic in Australia. Participants completed a "sectional" adaptation of the spectral ripple STRIPES test (secSTRIPES) and bipolar transimpedances (4PI). Original STRIPES stimuli were band-pass filtered for secSTRIPES, targeting discrete high-frequency (basal) and low-frequency (apical) sections of the electrode array. A linear mixed model approach was used to determine if any relationship existed between localised impedance measures and secSTRIPES scores. Simple linear regression was used to investigate within-subject correlations and the association with conventional measures of speech understanding.Results

The analysed data in this study indicated within-subject sectional variability, with a meaningful difference in secSTRIPES scores for 13 of 18 participants (scores different by >1). Most participants (72%) scored worse on the basal secSTRIPES test. This sectional bias was significant when controlling for age and impedances for 14 CI users with bilateral hearing loss (p = 0.005). There was no statistically significant relationship between 4PI and secSTRIPES scores; however, the results suggested there may be positive trend between localised impedance and spectral-temporal processing. The association of secSTRIPES and speech scores was also nonsignificant; however, positive trends between speech and apical STRIPES scores were observed.Conclusions

This pilot study, the first to describe the sectional adaptation of the STRIPES test, provides sufficient proof of concept for secSTRIPES as a psychoacoustic measure of listening ability in localised sections of the electrode array. While results must be interpreted cautiously due to limitations of the sample size, preliminary findings reveal intracochlear variability in processing performance which warrants further investigation. Following formal validation, secSTRIPES may be beneficial for future research to explore how sectional biases influence overall processing for CI users and as a cochlear biomarker to guide interventions to improve CI performance.

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BibTeX
@article{chaffey2026novel,
  title = {{Novel Psychoacoustic Measure of Spectral-Temporal Processing for Discrete Regions of the Cochlear Array: A Proof-of-Concept Study.}},
  author = {Emma Louise Chaffey and Barbara Heinze and Christofer Bester},
  journal = {Audiology \& neuro-otology},
  year = {2026},
  month = oct,
  doi = {10.1159/aud/abnag005},
  url = {https://europepmc.org/article/MED/42832430},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Novel Psychoacoustic Measure of Spectral-Temporal Processing for Discrete Regions of the Cochlear Array: A Proof-of-Concept Study.
AU  - Emma Louise Chaffey
AU  - Barbara Heinze
AU  - Christofer Bester
PY  - 2026
DA  - 2026/10/05
JO  - Audiology & neuro-otology
DO  - 10.1159/aud/abnag005
UR  - https://europepmc.org/article/MED/42832430
AB  - Introduction  Despite the general success of cochlear implantation (CI), the impact of known pathophysiological processes occurring within the cochlea after surgery on hearing outcomes are poorly understood. Previous studies suggested localised intracochlear variations in the electrode-cochlear interface and neurosensory targets may be contributing to poor outcomes for some CI users. Research has highlighted the need to define optimal cochlear biomarkers and behavioural measures to enhance diagnostic and therapeutic approaches for CI users with poor outcomes. The current proof-of-concept study introduces a novel adaptation of a measure of spectral-temporal processing and aimed to explore its association with electrophysiological measures and speech perception.Methods  Eighteen adult CI users with 24, 400, 500, and 600 series Cochlear Ltd devices were recruited from a large not-for-profit CI clinic in Australia. Participants completed a "sectional" adaptation of the spectral ripple STRIPES test (secSTRIPES) and bipolar transimpedances (4PI). Original STRIPES stimuli were band-pass filtered for secSTRIPES, targeting discrete high-frequency (basal) and low-frequency (apical) sections of the electrode array. A linear mixed model approach was used to determine if any relationship existed between localised impedance measures and secSTRIPES scores. Simple linear regression was used to investigate within-subject correlations and the association with conventional measures of speech understanding.Results  The analysed data in this study indicated within-subject sectional variability, with a meaningful difference in secSTRIPES scores for 13 of 18 participants (scores different by >1). Most participants (72%) scored worse on the basal secSTRIPES test. This sectional bias was significant when controlling for age and impedances for 14 CI users with bilateral hearing loss (p = 0.005). There was no statistically significant relationship between 4PI and secSTRIPES scores; however, the results suggested there may be positive trend between localised impedance and spectral-temporal processing. The association of secSTRIPES and speech scores was also nonsignificant; however, positive trends between speech and apical STRIPES scores were observed.Conclusions  This pilot study, the first to describe the sectional adaptation of the STRIPES test, provides sufficient proof of concept for secSTRIPES as a psychoacoustic measure of listening ability in localised sections of the electrode array. While results must be interpreted cautiously due to limitations of the sample size, preliminary findings reveal intracochlear variability in processing performance which warrants further investigation. Following formal validation, secSTRIPES may be beneficial for future research to explore how sectional biases influence overall processing for CI users and as a cochlear biomarker to guide interventions to improve CI performance.
SN  - 1420-3030
SN  - 1421-9700
ER  -