Towards decoding selective attention through cochlear implant electrodes as sensors in subjects with contralateral acoustic hearing

Objectives. Focusing attention on one speaker in a situation with multiple background speakers or noise is referred to as auditory selective attention. Decoding selective attention is an interesting line of research with respect to future brain-guided hearing aids or cochlear implants (CIs) that are designed to adaptively adjust sound processing through cortical feedback loops. This study investigates the feasibility of using the electrodes and backward telemetry of a CI to record electroencephalography (EEG). Approach. The study population included six normal-hearing (NH) listeners and five CI users with contralateral acoustic hearing. Cortical auditory evoked potentials (CAEP) and selective attention were recorded using a state-of-the-art high-density scalp EEG and, in the case of CI users, also using two CI electrodes as sensors in combination with the backward telemetry system of these devices, denoted as implant-based EEG (iEEG). Main results. In the selective attention paradigm with multi-channel scalp EEG the mean decoding accuracy across subjects was 94.8% and 94.6% for NH listeners and CI users, respectively. With single-channel scalp EEG the accuracy dropped but was above chance level in 8-9 out of 11 subjects, depending on the electrode montage. With the single-channel iEEG, the selective attention decoding accuracy could only be analyzed in two out of five CI users due to a loss of data in the other three subjects. In these two CI users, the selective attention decoding accuracy was above chance level. Significance. This study shows that single-channel EEG is suitable for auditory selective attention decoding, even though it reduces the decoding quality compared to a multi-channel approach. CI-based iEEG can be used for the purpose of recording CAEPs and decoding selective attention. However, the study also points out the need for further technical development for the CI backward telemetry regarding long-term recordings and the optimal sensor positions.

Automated summary

This study investigates the feasibility of using electrodes and backward telemetry of cochlear implants (CIs) to record electroencephalography (EEG). It shows that single-channel EEG is suitable for auditory selective attention decoding, although its decoding quality is reduced compared to a multi-channel approach. CI-based implant-based EEG (iEEG) can be used for recording cortical auditory evoked potentials (CAEP) and decoding selective attention.