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Effects of Stimulus Polarity and Artifact Reduction Method on the Electrically Evoked Compound Action Potential

Hughes, Michelle L.; Goehring, Jenny L.; Baudhuin, Jacquelyn L.

doi: 10.1097/AUD.0000000000000392
Research Articles

Objective: Previous research from our laboratory comparing electrically evoked compound action potential (ECAP) artifact reduction methods has shown larger amplitudes and lower thresholds with cathodic-leading forward masking (CathFM) than with alternating polarity (AltPol). One interpretation of this result is that the anodic-leading phase used with AltPol elicits a less excitatory response (in contrast to results from recent studies with humans), which when averaged with responses to cathodic-leading stimuli, results in smaller amplitudes. Another interpretation is that the latencies of the responses to anodic- and cathodic-leading pulses differ, which when averaged together, result in smaller amplitudes than for either polarity alone due to temporal smearing. The purpose of this study was to separate the effects of stimulus polarity and artifact reduction method to determine the relative effects of each.

Design: This study used a within-subjects design. ECAP growth functions were obtained using CathFM, anodic-leading forward masking (AnodFM), and AltPol for 23 CI recipients (N = 13 Cochlear and N = 10 Advanced Bionics). N1 latency, amplitude, slope of the amplitude growth function, and threshold were compared across methods. Data were analyzed separately for each manufacturer due to inherent differences between devices.

Results: N1 latencies were significantly shorter for AnodFM than for CathFM and AltPol for both Cochlear and Advanced Bionics participants. Amplitudes were larger for AnodFM than for either CathFM or AltPol for Cochlear recipients; amplitude was not significantly different across methods for Advanced Bionics recipients. Slopes were shallowest for CathFM for Cochlear subjects, but were not significantly different among methods for Advanced Bionics subjects. Thresholds with AltPol were significantly higher than both FM methods for Cochlear recipients; there was no difference in threshold across methods for the Advanced Bionics recipients.

Conclusions: For Cochlear devices, the smaller amplitudes and higher thresholds observed for AltPol seem to be the result of latency differences between polarities. These results suggest that AltPol is not ideal for managing stimulus artifact for ECAP recordings. For the Advanced Bionics group, there were no significant differences among methods for amplitude, slope, or threshold, which suggests that polarity and artifact reduction method have little influence in these devices. We postulate that polarity effects are minimized for symmetrical biphasic pulses that lack an interphase gap, such as those used with Advanced Bionics devices; however, this requires further investigation.

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Center for Hearing Research, Boys Town National Research Hospital, Omaha, Nebraska, USA.

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This research was supported by the National Institutes of Health (NIH), the National Institute on Deafness and Other Communication Disorders (NIDCD), Grants R01 DC009595 (M. L. Hughes, PI) and P30 DC04662. The content of this project is solely the responsibility of the authors and does not necessarily represent the official views of the NIDCD or the NIH.

Portions of this study were presented at the 8th International Symposium on Objective Measures in Auditory Implants meeting on October 15–18, 2014 in Toronto, Canada.

Michelle L. Hughes is a member of the Ear and Hearing editorial board. No other conflicts of interest are declared for any of the authors.

Received March 28, 2016; accepted October 17, 2016.

Address for correspondence: Michelle L. Hughes, Boys Town National Research Hospital, 555 North 30th Street, Omaha, NE, USA 68131. E-mail:

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