L'implant cochléaire est une prothèse neurale implantée visant à restituer une sensation auditive chez des personnes souffrant de surdité neurosensorielle sévère à profonde. Si les performances en reconnaissance de la parole sont relativement bonnes dans le silence, elles chutent dramatiquement dans des environnements sonores complexes. L'une des principales limites de l'appareil vient du fait que chaque électrode stimule une large portion de la cochlée. Ainsi lorsque plusieurs électrodes sont activées les champs électriques produits interfèrent ce qui détériore la transmissions des informations sonores. Plusieurs modes de stimulation ont été proposés pour remédier à ce problème mais les améliorations en termes de reconnaissance de la parole restent limités. Dans ce projet, nous cherchons tout d'abord à expliquer via une simulateur acoustique, les résultats décevants obtenus avec le mode de stimulation bipolaire. Dans un deuxième temps nous tentons de mieux comprendre le comportement électrique de l'oreille interne implantée afin d'optimiser la stimulation multipolaire phased array (van den Honert et Kelsall 2007). Pour obtenir une stimulation efficace il faut par ailleurs s'assurer de l'état de la population neuronale à stimuler. Dans ce projet nous essayons donc de mieux comprendre l'interface électrode-neurones et d'identifier un possible corrélat psychophysique de l'état des neurones. Enfin nous discutons la possibilité de créer une stimulation optimale focalisée directement au niveau des neurones. / The cochlear implant is a neural prosthesis designed to restore an auditory sensation to people suffering from severe to profound sensorineural deafness. While satisfying speech recognition can be achieved in silence, their performance dramatically drop in more complex environments. One main limitations of the present device is due to the fact that each electrode stimulates a wide portion of the cochlea. As a result, when several electrodes are activated, the electrical field produced by different electrodes overlap which distorts the transmission of sound information. Several alternative stimulation modes have been proposed to overcome this issue but the benefit in terms of speech recognition remained limited. In this project, we first used an acoustic simulator of the cochlear implant to explain the desappointing results obtained with the bipolar stimuilation mode. We then try to better understand the electrical behavior of the implanted cochlea in order to optimize the multipolar phased array stimulation strategy ( van den Honert and Kelsall 2007). To achieve an efficient stimulation of the neural population it is necessary to determine the distribution of neural survival. In this project we aim to better understand the electrode-neuron interface and identify a possible psychophysical correlate of neural survival. Finally, we discuss the main results and the possibility to design an optimal stimulation strategy to achieve a spatially-focussed electrical field at the level of the nerve fibers.

Contexte : Les difficultés de compréhension de la parole dans le bruit représente la principale plainte des personnes malentendantes. Cependant, peu d’études se sont intéressées aux mécanismes d’encodage des sons en environnement bruyant. Ce faisant, nos travaux ont portés sur les stratégies d’encodage des sons dans le nerf auditif dans environnements calme et bruyant en combinant des techniques électrophysiologiques et comportementales chez la gerbille.Matériel et méthodes : L’enregistrement unitaire de fibres du nerf auditif a été réalisé en réponse à des bouffées tonales présentées dans un environnement silencieux ou en présence d’une bruit de fond continu large bande. Les seuils audiométriques comportementaux ont été mesurés dans les mêmes conditions acoustiques, par une approche basée sur l’inhibition du reflex acoustique de sursaut.Résultats : Les données unitaires montrent que la cochlée utilise 2 stratégies d’encodage complémentaires. Pour des sons de basse fréquence (<3,6 kHz), la réponse en verrouillage de phase des fibres de l’apex assure un encodage fiable et robuste du seuil auditif. Pour des sons plus aigus (>3,6 kHz), la cochlée utilise une stratégie basée sur le taux de décharge ce qui requiert une plus grande diversité fonctionnelle de fibres dans la partie basale de la cochlée. Les seuils auditifs comportementaux obtenus dans les mêmes conditions de bruit se superposent parfaitement au seuil d’activation des fibres validant ainsi les résultats unitaires.Conclusion : Ce travail met en évidence le rôle capital de l’encodage en verrouillage de phase chez des espèces qui vocalisent au-dessous de 3 kHz, particulièrement en environnement bruyant. Par contre, l’encodage de fréquences plus aiguës repose sur le taux de décharge. Ce résultat met l’accent sur la difficulté d’extrapoler des résultats obtenus sur des modèles murins qui communique dans les hautes fréquences (> à 4 kHz) à l’homme dont le langage se situe entre 0,3 et 3 kHz. / Background: While hearing problems in noisy environments are the main complaints of hearing-impaired people, only few studies focused on cochlear encoding mechanisms in such environments. By combining electrophysiological experiments with behavioral ones, we studied the sound encoding strategies used by the cochlea in a noisy background.Material and methods: Single unit recordings of gerbil auditory nerve were performed in response to tone bursts, presented at characteristic frequencies, in a quiet environment and in the presence of a continuous broadband noise. The behavioral audiogram was measured in the same conditions, with a method based on the inhibition of the acoustic startle response.Results: Single unit data shows that the cochlea used 2 complementary strategies to encode sound. For low frequency sounds (<3.6 kHz), the phase-locked response from the apical fibers ensure a reliable and robust encoding of the auditory threshold. For high frequencies sounds, basal fibers use a strategy based on the discharge rate, which requires a larger heterogeneity of fibers at the base of the cochlea. The behavioral audiogram measured in the same noise condition overlaps perfectly with the fibers’ threshold. This result validates our predictions made from the single fiber recordings.Conclusion: This work highlights the major role of the phase locked neuronal response for animal species that vocalize below 3 kHz (as human), especially in noisy backgrounds. At the opposite, high frequency sound encoding is based on rate information. This result emphasizes the difficulty to transpose results from murine model which communicate in the high frequencies (> 4 kHz) to human whose language is between 0.3 and 3 kHz.

Contexte: La réponse synchrone des fibres auditives, évaluée à partir de l'onde I des potentiels d'action évoqués auditifs (PEA), ou à partir du potentiel d'action composite (PAC) du nerf auditif, est l'élément clé du dépistage des neuropathies auditives. De récentes études ont toutefois montré que le seuil et l'amplitude de cette réponse pouvaient être absolument normaux malgré une perte importante de fibres du nerf auditif. Dans ce travail de thèse, nous proposons une nouvelle méthode d'exploration fonctionnelle, potentiellement applicable à l'homme, rendant mieux compte du nombre et de l'intégrité des fibres du nerf auditif. Cette méthode a été évaluée à l'aide d'un modèle pharmacologique de neuropathie physiologiquement pertinent.Matériel et méthodes: Chez des gerbilles, une perte sélective de fibres auditives a été induite par application d'une faible concentration d'ouabaïne dans la niche de la fenêtre ronde de la cochlée. Cette neuropathie a ensuite été caractérisée par des comptages de synapses (immunohistochimie/imagerie confocale 3D) et l'enregistrement de l'activité unitaire de fibres du nerf auditif. Les PAC et l'activité soutenue du nerf ont été enregistrés 6 jours après l'application d'ouabaïne, à l'aide d'une électrode de recueil disposée dans la niche de la fenêtre ronde. Résultats: L'application d'ouabaïne induit une perte spécifique des fibres à basse activité spontanée (AS<0,5 potentiel d'action/sec) comme observé au cours du vieillissement et après une surexposition sonore. La disparition de cette population de fibres est indétectable à l'aide du PAC car leur réponse unitaire est à la fois retardée et désynchronisée. Par contre, l'amplitude de la réponse soutenue du nerf se révèle être un bien meilleur indicateur de la perte des fibres à basse activité spontanée. Pour aller plus loin, nous avons mis au point une méthode qui permet d'observer l'activité synchrone et soutenue du nerf auditif dans une même réponse. Cette approche rend compte des trois mécanismes de fusion vésiculaire (libération rapide, lente et soutenue) de la première synapse auditive.Conclusion: L'analyse de la réponse soutenue du nerf auditif est une approche fiable pour déterminer le nombre et le phénotype fonctionnel des fibres qui composent le nerf auditif. Cette méthode, applicable à l'homme, devrait améliorer le dépistage des neuropathies, avec une meilleure différenciation des atteintes d'origine synaptique et/ou neuronale.Mots clés: Cochlée, nerf auditif, potentiel d'action composite, activité soutenue du nerf auditif, enregistrement unitaires, ouabaïne, neuropathie / Background: The synchronous activation of the auditory nerve fibers (ANFs), is commonly studied through the compound action potential (CAP), or the auditory brainstem responses (ABR), to probe deafness in experimental and clinical settings. Recent studies have shown that substantial ANF loss can coexist with normal hearing threshold, and even unchanged CAP amplitude, making the detection of auditory neuropathies difficult. In this study, we took advantage of the round window neural noise (RWNN) to probe ANF loss in a physiologically-relevant model of neuropathy.Material and methods: ANF loss was induced by the application of ouabain onto the round window niche. CAP and RWNN of the gerbil's cochlea were recorded through an electrode placed onto the round window niche, 6 days after the ouabain application. Afferent synapse counts and single-unit recordings were carried-out to determine the degree and the nature of ANF loss, respectively. Results: Application of a low ouabain-dose into the gerbil RW niche elicits a specific degeneration of low spontaneous rate (SR) fibers, as shown by single-unit recordings. Simultaneous recordings (CAP/single-unit) demonstrate that low-SR fibers have a weak contribution to the CAP amplitude because of their delayed and broad first spike latency distribution. However, the RWNN amplitude decreases with the degree of synaptic loss. The RWNN method is therefore more sensitive than CAP to detect low-SR fiber loss, most probably because it reflects the sustained discharge rate of ANFs. Based on these data, we proposed a far-field method (Peri-stimulus time response-PSTR) to assess the fast, slow, and sustain vesicular release at the first auditory synapse.Conclusion: The round window neural noise is a faithful proxy to probe the degree and the SR-based nature of fiber loss. This method could be translated into the clinic to probe hidden hearing loss and orient the practitioner toward synaptopathy and/or neuropathy.Key words: Cochlea, auditory nerve, compound action potential, round window neural noise, single fiber recording, ouabain-induced neuropathy

<div>Cochlear implants (CI) are sensory neuroprostheses capable of partially restoring hearing loss by electrically stimulating the auditory nerve to mimic normal hearing conditions. Despite their success and ongoing advances in both hardware and software, CI patients can still struggle to understand speech, most notably in complex auditory settings, also referred to as the cocktail party problem. Efforts to develop new CI algorithms to overcome this challenge rely on CI simulators and vocoders to test with normal hearing (NH) patients. However, recent studies have suggested that these tools fail to reproduce the stimuli perceived by CI patients. It is therefore critical to develop tools capable of producing better representations of the stimuli as perceived by CI patients. Thus, this work proposes a framework that incorporates physiological models of the peripheral auditory nerve. Using these models, the framework generates stimulations that elicit a neural response at the auditory nerve closer to that observed in NH conditions. Stimulations generated by the framework were evaluated by performing a vowel identification task. However, the task was performed by a classifier trained using deep learning techniques instead of a CI patient. These results give insight into how the framework could be applied for the development and validation of CI stimulation strategies.</div>

This study determined whether the Hodgkin-Huxley model for unmyelinated nerve fibres could be more comprehensively modified to predict excitation behaviour at Ranvier nodes of a human sensory nerve fibre, as specifically applied to the prediction of temporal characteristics of the human auditory system. The model was developed in three phases. Firstly, the Hodgkin-Huxley model was modified to describe action potential dynamics at Ranvier nodes using recorded ionic membrane current data from single human myelinated peripheral nerve fibres. A nerve fibre cable model, based on a combination of two existing models, was subsequently developed using human sensory nerve fibre morphometric data. Lastly the morphological parameters of the nerve fibre model were changed to resemble a Type I peripheral auditory nerve fibre and coupled to a volume-conduction model of the cochlea. This study is the first to show that the Hodgkin-Huxley model equations can be modified successfully to predict excitation behaviour of a generalised human peripheral sensory nerve fibre without using the Goldman-Hodgkin-Katz equations. The model includes a more comprehensive establishment of temperature dependence of the physiological and electrical parameters compared to existing models. Two versions of the human Type I auditory nerve fibre model were developed, one simulating an undamaged (non-degenerate) fibre and another a damaged (degenerate) fibre. Comparison between predicted and measured results indicated similar transient and persistent sodium, as well as slow potassium ionic membrane currents to those found in generalised sensory nerve fibres. Results confirm that chronaxie, rheobase current, mean latency, threshold and relative refractive periods depend on the amount of degeneracy of fibres. The model could account for threshold differences observed between different asymmetric waveforms. The combination of persistent sodium and slow potassium ionic membrane currents could in part predict non-monotonic excitation behaviour observed experimentally. A simplified method was developed to calculate electrically evoked compound action potential responses following neural excitation. It provided a computationally effective way to obtain an estimate of profile widths from the output of models that calculate neural excitation profiles, and an indirect way to estimate stimulus attenuation by calculating the value of the parameter that produces the best fit to experimental data. Results also confirmed that electrode arrays located closer to the modiolus produce more focussed neural excitation spread than more laterally located arrays. / Thesis (PhD)--University of Pretoria, 2010. / Electrical, Electronic and Computer Engineering / unrestricted

<div>Hearing loss hinders the communication ability of many individuals despite state-of-the-art interventions. Animal models of different hearing-loss etiologies can help improve the clinical outcomes of these interventions; however, several gaps exist. First, translational aspects of animal models are currently limited because anatomically and physiologically specific data obtained from animals are analyzed differently compared to noninvasive evoked responses that can be recorded from humans. Second, we lack a comprehensive understanding of the neural representation of everyday sounds (e.g., naturally spoken speech) in real-life settings (e.g., in background noise). This is even true at the level of the auditory nerve, which is the first bottleneck of auditory information flow to the brain and the first neural site to exhibit crucial effects of hearing-loss. </div><div><br></div><div>To address these gaps, we developed a unifying framework that allows direct comparison of invasive spike-train data and noninvasive far-field data in response to stationary and nonstationary sounds. We applied this framework to recordings from single auditory-nerve fibers and frequency-following responses from the scalp of anesthetized chinchillas with either normal hearing or noise-induced mild-moderate hearing loss in response to a speech sentence in noise. Key results for speech coding following hearing loss include: (1) coding deficits for voiced speech manifest as tonotopic distortions without a significant change in driven rate or spike-time precision, (2) linear amplification aimed at countering audiometric threshold shift is insufficient to restore neural activity for low-intensity consonants, (3) susceptibility to background noise increases as a direct result of distorted tonotopic mapping following acoustic trauma, and (4) temporal-place representation of pitch is also degraded. Finally, we developed a noninvasive metric to potentially diagnose distorted tonotopy in humans. These findings help explain the neural origins of common perceptual difficulties that listeners with hearing impairment experience, offer several insights to make hearing-aids more individualized, and highlight the importance of better clinical diagnostics and noise-reduction algorithms. </div>

Numerous studies showed that cochlear implant (CI) users generally prefer individualized stimulation rates in order to maximize their speech understanding. The underlying reasons for the reported variation in speech perception performance as a function of CI stimulation rate is unknown. However, multiple interacting electrophysiological processes influence the auditory nerve (AN) in response to high-rate CI stimulation. Experiments studying electrical pulse train stimulation of cat AN fibers (ANFs) have demonstrated that spike rates slowly decrease over time relative to onset stimulation and is often attributed to spike rate (spike-triggered) adaptation in addition to refractoriness. Interestingly, this decay tends to adapt more rapidly to higher stimulation rates. This suggests that subthreshold adaptation (accommodation) plays a critical role in reducing neural excitability. Using biophysical computational models of cat ANF including ion channel types such as hyperpolarization-activated cyclic nucleotide-gated (HCN) and low threshold potassium (KLT) channels, we measured the strength of adaptation in response to pulse train stimulation for a range of current amplitudes and pulse rates. We also tested these stimuli using a phenomenological computational ANF model capable of applying any combination of refractoriness, facilitation, accommodation, and/or spike rate adaptation. The simulation results show that HCN and KLT channels contribute to reducing model ANF excitability on the order of 1 to 100 ms. These channels contribute to both spike rate adaptation and accommodation. Using our phenomenological model ANF we have also shown that accommodation alone can produce a slow decay in ANF spike rates responding to ongoing stimulation. The CI users that do not benefit from relatively high stimulation rates may be due to ANF accommodation effects. It may be possible to use electrically evoked compound action potentials (ECAP) recordings to identify CI users exhibiting strong effects of accommodation, i.e., the increasing strength of adaptation as a function of increasing stimulation rate. / Dissertation / Doctor of Philosophy (PhD) / Cochlear implants (CI) attempt to restore hearing to individuals with severe to profound hearing deficits by stimulating the auditory nerve with a series of electrical pulses. Recent CI stimulation strategies have attempted to improve speech perception by stimulating at high pulse rates. However, studies have shown that speech perception performance does not necessarily improve with pulse rate increases, leading to speculation of possible causes. Certain ion channels located in auditory nerve fibers may contribute to driving the nerve to reduce its excitability in response to CI stimulation. In some cases, those channels could force nerve fibers to cease responding to stimulation, causing a breakdown in communication from the CI to the auditory nervous system. Our simulation studies of the auditory nerve containing certain types of channels showed that the effective rate of communication to the brain is reduced when stimulated at high rates due to the presence of these channels.

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