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SECTION ONE | CLINICAL GUIDANCE
28
Table 1: The differences between SPEAK, CIS/CIS (RE) and ACE/ACE (RE)
Strategy
No. of
stimulation
sites
Stimulation rates
per channel (Hz)
No. of maxima / channels
stimulated per frame
SPEAK 20 250 6 to 10
CIS/CIS (RE) 4, 6, 8 or 12 900, 1200, 1800,
2400 or 3500
4, 6, 8 or 12 (up to 8 for
1800, 2400, 3500 Hz
ACE/ACE (RE) 22 250, 500, 720, 900,
1200, 1800, 2400
or 3500
up to 20 (depending upon
stimulation rate selected)
1.9.1 ACE
/ACE (RE)
ACE (Advanced Combination Encoder) combines the detailed spectral
representation of SPEAK and the high stimulation rates of CIS to produce a
very rich representation of sound. This strategy gives the clinician enormous
flexibility to optimize sound processing for each individual. Using ACE, the
clinician selects the number of stimulation channels (maximum = 22), the
number of maxima and the per channel stimulation rate. The TSR (number
of maxima multiplied by the per channel rate) depends upon the implant
type (e.g. Nucleus 24 implants vs Freedom vs CI500 series implants). Custom
Sound
provides a list of available rates based upon the type of implant used
by the recipient. ACE (RE) is specific to the Freedom
and CI500 series cochlear
implants. These implants provide higher stimulation rates with a maximum
TSR of 31,500 pps. The clinician may choose per channel rates of 1800, 2400,
and 3500 pps and number of maxima (maximum = 9 at 3500 pps, 8 at 1800
and 10 at 2400 pps). By default, the software chooses 8 maxima and 900 pps
for a TSR of 7200 pps. For more information, see Programming Principles
and Frequency-to-Channel Allocation.
The following electrodogram (Figure 5) shows how ACE represents the English
word ‘choice. Notice the amount of spectral and temporal detail this strategy
provides and how well it represents the spectrogram in Figure 6.
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