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Updated: Jan 13, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
End-to-end audio-visual learning for cochlear implant sound coding simulations in noisy environments.
Meng-Ping Lin1, Enoch Hsin-Ho Huang2, Shao-Yi Chien1
1Graduate Institute of Electronics Engineering and the Department of Electrical Engineering, National Taiwan University, Taipei 106319, Taiwan.
Integrating visual cues with cochlear implant (CI) sound coding using deep learning significantly enhances speech intelligibility in noise. The novel audio-visual speech enhancement system improves signal-to-error ratio by 7.47 dB.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence
- Auditory Neuroscience
Background:
- Cochlear implants (CI) restore hearing for severe-to-profound hearing loss via electrical stimulation.
- Listening in noisy environments remains a significant challenge for CI users.
- Deep learning offers new approaches for CI sound coding, particularly by integrating visual information.
Purpose of the Study:
- To develop and evaluate an end-to-end CI system integrating an audio-visual speech enhancement (AVSE) module with the ElectrodeNet-CS (ECS) model.
- To assess the system's performance in improving speech intelligibility and signal quality in simulated noisy conditions.
Main Methods:
- An AVSE module was integrated with the ECS model to create the AVSE-ECS system.
- The AVSE-ECS system underwent joint training to optimize its performance.
- Objective speech intelligibility metrics and signal-to-error ratio (SER) were used for evaluation.
Main Results:
- The AVSE-ECS system demonstrated high objective speech intelligibility.
- A significant improvement in signal-to-error ratio (SER) of 7.4666 dB was achieved compared to advanced combination encoder strategies.
- Joint training of the AVSE-ECS system yielded superior results.
Conclusions:
- The integration of AVSE modules shows significant promise for advancing CI sound coding strategies.
- This audio-visual approach offers a potential solution to improve speech perception in noise for CI users.
- The AVSE-ECS system represents a step forward in developing more effective cochlear implant technologies.
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