Evidence map›Paper›PMID 26709749›Full record

ArticleEar and hearing

Cortical Activation Patterns Correlate with Speech Understanding After Cochlear Implantation.

Cristen Olds, Luca Pollonini, Homer Abaya, Jannine Larky, Megan Loy, Heather Bortfeld, Michael S Beauchamp, John S Oghalai

Open access · greenAbstract read
In one paragraph

Article in Ear and hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Functional Near-Infrared Spectroscopy to Assess Central Pain Responses in a Nonpharmacologic Treatment Trial of Osteoarthritis.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2020
    Trial
  3. Article
  4. Article
  5. Treating Hearing Loss: From Cochlear Implantation to Gene Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Cochlear Health and Cochlear-implant Function.Journal of the Association for Research in Otolaryngology : JARO · 2023
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Cristen Olds1Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, California, USA; 2Department of Engineering Technology and Abramson Center for the Future of Health, University of Houston, Houston, Texas, USA; 3Department of Psychological Sciences, University of California, Merced, Merced, California, USA; and 4Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Luca Pollonini
Homer Abaya
Jannine Larky
Megan Loy
Heather Bortfeld
Michael S Beauchamp
John S Oghalai
Baylor College of Medicine · USInstitute for the Future · USUniversity of California, Merced · US

Funding

NEURAL SUBSTRATES OF OPTIMAL MULTISENSORY INTEGRATIONR01NS065395 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Michael S Beauchamp · 2010 to 2026
$5.5M
Outcomes in Children with Developmental Delay and Deafness: a Randomized TrialR01DC010075 · NIDCD · STANFORD UNIVERSITY · PI OGHALAI, JOHN S · 2009 to 2013
$2.0M
Translation of near-infrared spectroscopy for use in clinical neuro-imaging R56DC010164 · NIDCD · STANFORD UNIVERSITY · PI OGHALAI, JOHN S · 2010 to 2010
$420k
NIDCD NIH HHS R01 DC010075NIDCD NIH HHS R56 DC010164NINDS NIH HHS R01 NS065395
6 · The paper itself

Abstract

objectivesCochlear implants are a standard therapy for deafness, yet the ability of implanted patients to understand speech varies widely. To better understand this variability in outcomes, the authors used functional near-infrared spectroscopy to image activity within regions of the auditory cortex and compare the results to behavioral measures of speech perception.

designThe authors studied 32 deaf adults hearing through cochlear implants and 35 normal-hearing controls. The authors used functional near-infrared spectroscopy to measure responses within the lateral temporal lobe and the superior temporal gyrus to speech stimuli of varying intelligibility. The speech stimuli included normal speech, channelized speech (vocoded into 20 frequency bands), and scrambled speech (the 20 frequency bands were shuffled in random order). The authors also used environmental sounds as a control stimulus. Behavioral measures consisted of the speech reception threshold, consonant-nucleus-consonant words, and AzBio sentence tests measured in quiet.

resultsBoth control and implanted participants with good speech perception exhibited greater cortical activations to natural speech than to unintelligible speech. In contrast, implanted participants with poor speech perception had large, indistinguishable cortical activations to all stimuli. The ratio of cortical activation to normal speech to that of scrambled speech directly correlated with the consonant-nucleus-consonant words and AzBio sentences scores. This pattern of cortical activation was not correlated with auditory threshold, age, side of implantation, or time after implantation. Turning off the implant reduced the cortical activations in all implanted participants.

conclusionsTogether, these data indicate that the responses the authors measured within the lateral temporal lobe and the superior temporal gyrus correlate with behavioral measures of speech perception, demonstrating a neural basis for the variability in speech understanding outcomes after cochlear implantation.

Indexed as

Cochlear ImplantationComprehensionSpeech PerceptionAdultAgedAged, 80 and overAuditory CortexCase-Control StudiesCochlear ImplantsDeafnessFemaleFunctional NeuroimagingHumansMaleMiddle AgedSpectroscopy, Near-Infrared

Identifiers

PMID26709749
PMCPMC4844823
OpenAlexW2317248583

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.